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    Neuroscience Nursing: Scope and Standards of Practice
    Neuroscience Nursing: Scope and Standards of Practice
    Neuroscience Nursing: Scope and Standards of Practice
    Ebook247 pages2 hours

    Neuroscience Nursing: Scope and Standards of Practice

    By American Nurses Association and American Association of Neuroscience Nurses

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    About this ebook

    Neuroscience nursing is the practice specialty that addresses the needs and care of those with biological, psychological, social, and spiritual alterations as a result of nervous system dysfunction. No other specialty specifically addresses this population. The neuroscience registered nurse provides care and preventive services, across the lifespan, from birth through death, to individuals at risk for or with problems due to neurologic dysfunction, their families, and the communities in which they live. This publication is a guide to the essentials of that specialty, providing neuroscience nurses with a framework for practice.
    The American Association of Neuroscience Nurses (AANN) and ANA have collaborated to produce a foundational resource for contemporary neuroscience nursing practice. Neuroscience Nursing: Scope and Standards of Practice is a comprehensive, up-to-date delineation of the competent level of nursing practice and professional performance common to and expected from neuroscience registered nurses whatever their practice levels or setting. It reflects the most current thinking in the specialty and offers a blueprint for neuroscience nursing philosophy, principles, and practices.
    The publication’s scope of practice addresses what is expected of all neuroscience registered nurses, specifying the who, what, where, when, why, and how of neuroscience nursing practice. The detailed discussion of that scope of practice provides the context needed to understand and use the standards. The 17 standards are those by which all RNs in neuroscience nursing are held accountable for their practice. Each standard is measurable by a set of specific competencies that serve as evidence of minimal compliance with that standard.
    This foundational volume reflects the diverse activities of neuroscience nursing and serves neuroscience nurses in their personal lives, clinical practice, education, research, and community service. Although primarily for neuroscience nursing practitioners, educators, students, and others directly involved in nursing care, research, advocacy, and certification, this book can also inform other healthcare providers, researchers and scholars as well as employers, insurers, lawyers, regulators, policy makers, and stakeholders.
    LanguageEnglish
    PublisherNursesbooks
    Release dateDec 17, 2018
    ISBN9781947800236
    Neuroscience Nursing: Scope and Standards of Practice
    Author

    American Nurses Association

    The American Nurses Association (ANA) is the premier organization representing the interests of the nation's 4 million registered nurses. ANA is at the forefront of improving the quality of health care for all. Founded in 1896, and with members in all 50 states and U.S. territories, ANA is the strongest voice for the profession

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      Book preview

      Neuroscience Nursing - American Nurses Association

      Library of Congress Cataloging-in-Publication Data available upon request.

      The American Nurses Association (ANA) is the only full-service professional organization representing the interests of the nation’s 4 million registered nurses through its constituent/state nurses associations and its organizational affiliates. The ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on healthcare issues affecting nurses and the public.

      ISBN print 978-1-947800-21-2

      ISBN ePDF 978-1-947800-22-9

      ISBN ePub 978-1-947800-23-6

      ISBN mobi 978-1-947800-24-3

      Copyright ©2019 American Nurses Association and American Association of Neuroscience Nurses. All rights reserved. Reproduction or transmission in any form is not permitted without written permission of the American Nurses Association (ANA). This publication may not be translated without written permission of ANA. For inquiries, or to report unauthorized use, email copyright@ana.org.

      First printing December 2018

      Table of Contents

      Contributors

      Preface

      Setting the Stage

      Foundational Documents

      Audience

      Definitions and Distinguishing Characteristics of Neuroscience Nursing Practice

      Definitions

      Distinguishing Characteristics of Neuroscience Nursing

      Historical Perspective on Neuroscience Nursing Standards and Evolution of Practice

      Neuroscience Nursing’s Scope and Standards of Practice

      Description of the Scope of Neuroscience Nursing Practice

      The Science of Neuroscience Nursing

      The Art of Neuroscience Nursing

      Development and Function of Nursing Standards

      The Nursing Process

      Tenets of Neuroscience Nursing Practice

      Healthy Work Environments for Neuroscience Nursing

      Ethics in Neuroscience Nursing

      Model of Professional Practice Regulation

      Overview of the Standards of Neuroscience Nursing Practice

      Standards of Practice for Neuroscience Nursing

      Standards of Professional Performance for Neuroscience Nursing

      Professional Competence in Neuroscience Nursing Practice

      Definitions and Concepts Related to Neuroscience Nursing Competence

      Competence and Competency in Neuroscience Nursing Practice

      Evaluating Competence

      Professional Neuroscience Nurses Today

      Statistical Snapshot

      Licensure and Education of Neuroscience Registered Nurses

      Neuroscience Advanced Practice Registered Nurses

      Roles and Responsibilities of Neuroscience Registered Nurses

      Roles and Responsibilities of Neuroscience Advanced Practice Registered Nurses

      Neuroscience Nurse Practice Settings

      Neuroscience Nursing’s Societal and Ethical Dimensions

      Continued Commitment to the Profession

      Professional Trends and Issues

      Summary of the Scope of Neuroscience Nursing Practice

      Standards of Professional Neuroscience Nursing Practice

      Standards of Practice for Neuroscience Nursing

      Standard 1. Assessment

      Standard 2. Diagnosis

      Standard 3. Outcomes Identification

      Standard 4. Planning

      Standard 5. Implementation

      Standard 5A. Coordination of Care

      Standard 5B. Health Teaching and Health Promotion

      Standard 6. Evaluation

      Standards of Professional Performance for Neuroscience Nursing

      Standard 7. Ethics

      Standard 8. Culturally Congruent Practice

      Standard 9. Communication

      Standard 10. Collaboration

      Standard 11. Leadership

      Standard 12. Education

      Standard 13. Evidence-Based Practice and Research

      Standard 14. Quality of Practice

      Standard 15. Professional Practice Evaluation

      Standard 16. Resource Utilization

      Standard 17. Environmental Health

      Glossary

      References

      Contributors

      Janice L. Hinkle, RN, PhD, CNRN Task Force Chairperson

      Sarah Andrews, RN, MSN, ACNS-BC, SCRN, PCCN, CMSRN

      Susan Bell, RN, MS, CNRN, CNP

      Joan L. Censullo, RN, PhD, FAHA

      Catherine Lang, MSN, ACNS, CNRN, SCRN

      Bridgette Solomon Larson, RN, BSN, CCRN

      Daphny Grace Peneza, RN, MSN, CNOR

      Ambre Pownall, RN, MSN, APRN, PPCNP-BC

      Catherine Stephens, RN, MSN, CNRN

      Deborah Stabell Tran, RN, MS, SCRN, NE-BC

      Misti Tuppeny, RN, MSN, CNS, CCRN, CNRN, CCNS

      Lori Kennedy Madden, RN, PhD, ACNP-BC, CCRN, CNRN, AANN Board of Directors Liaison

      Joan Kram, RN, MBA, FACHE, CAE, AANN Staff Liaison

      Contributors to the Scope and Standards of Neuroscience Nursing Practice, 2002

      Susan Bell, RN, MS, CNRN, CNP, Task Force Chairperson

      Laura Mcilvoy, RN, MSN, CCRN, CNRN

      Janice L. Hinkle, RN, PhD, CNRN

      Susan Fowler, RN, PhD, CCRN, CNRN, CS

      Chris Stewart-Amidei, RN, MSN, CNRN

      Janette Yanko, RN, MN, CNRN

      Tess Sierzant, MSN, RN, CNRN

      Susan Young, RN, MN

      Michelle VanDemark, RN, MS, AANN Board of Director’s Liaison

      Louise S. Miller, MA, AANN Staff Liaison

      Carol Bickford, PhD, RN-BC, American Nurses Association (ANA)

      Contributors to the Advanced Practice Scope and Standards, 2010

      Chris Stewart-Amidei, RN, MSN, CNRN, CCRN, FAAN, Task Force Chairperson

      Nancy Villanueva, PhD, CRNP-BC, CNRN

      Rose Rossi Schwartz, PhD, RN

      Christi Delemos, MS, RN, ACNP

      Therese West, MSN, RN, APN-C

      Susan Tocco, MSN, RN, CNRN, CNS, CCNS

      Cathy Cartwright, MSN, RN, PCNS

      Rich Jones, BSN, PNP, CNRN, RNFA

      Cindy Blank-Reid, MSN, RN, CEN

      Joseph Haymore, MS, RN, CNRN, CCRN, ACNP

      Preface

      Neuroscience nursing is a nursing specialty that addresses the needs and care of individuals with biological, psychological, social, and spiritual alterations because of nervous system dysfunction (Webb, 2000). Registered nurses (RNs) and advanced practice registered nurses (APRNs) specializing in the practice of neuroscience nursing are challenged to provide care to these healthcare consumers, which include patients and families within a complex and constantly changing environment. The roles of neuroscience RNs and APRNs are multifaceted and dynamic. It is crucial for neuroscience RNs and APRNs to be aware of the diverse statutes and regulations governing their practice and be able to perform within their defined scope of practice. This document serves to assist the neuroscience RN and APRN in developing a framework for practice.

      Setting the Stage

      Foundational Documents

      Neuroscience Nursing: Scope and Standards of Practice describes components of competent nursing practice and professional performance in the specialized field of neuroscience nursing. This document outlines the expectations of the professional role of the neuroscience nurse, identifies the scope of practice, and presents the standards of professional nursing practice with accompanying competencies for all neuroscience nurses. There are several key foundational resources that nurses practicing neuroscience nursing in the United States have to inform and guide their practice. First, tenets of an ethical framework for neuroscience nurses practicing across all roles, settings, and levels of practice are identified through the Code of Ethics for Nurses with Interpretive Statements (ANA, 2015a). Another significant foundational document is Nursing’s Social Policy Statement: The Essence of the Profession (ANA, 2010), which conceptualizes nursing practice, describes the social context of nursing, and provides the definition of nursing. The final foundational resource is Nursing: Scope and Standards of Practice, Third Edition (ANA, 2015b). The scope and standards of neuroscience nursing practice have been developed from these documents.

      Audience

      Both RNs and APRNs specializing in neuroscience nursing constitute the primary audience for this professional resource. Healthcare providers and interprofessional colleagues, as well as administrators practicing in healthcare systems, agencies, and organizations, will find this a valuable reference in understanding the roles of neuroscience RNs and APRNs. In addition, patients, families, communities, and populations using neuroscience nursing services can use this document to better understand what comprises the practice of neuroscience nursing and who its members are: RNs and APRNs specializing in neuroscience nursing. Finally, legislators, regulators, legal counsel, and the judiciary system may wish to reference this document to better understand what constitutes the practice of neuroscience nursing.

      Definitions and Distinguishing Characteristics of Neuroscience Nursing Practice

      Definitions

      Nursing is defined as, the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations (Nursing: Scope and Standards of Practice, Third Edition, ANA, 2015, p. 1).

      Neuroscience nursing is defined as a nursing specialty that addresses the needs and care of individuals with biological, psychological, social, and spiritual alterations because of nervous system dysfunction (Webb, 2000). Biological nervous system dysfunction encompasses a vast array of neurological impairments, illnesses, and conditions. Examples of some of the biological impairments include, but are not limited to, traumatic brain injury (TBI), spinal cord injury, tumors, and

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