Standards for practice for registered nurses in Australia

Cashin, Andrew; Heartfield, Marie; Bryce, Julianne; Devey, Lisa; Buckley, Thomas; Cox, Darlene; Kerdo, Eleanor; Kelly, John G.; Thoms, Debra; Fisher, Murray

doi:10.1016/j.colegn.2016.03.002

Cited by 41 publications

(32 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…New editions of practice standards and codes of practice published since 2014 in Australia (Nursing & Midwifery Board of Australia, 2016, the United Kingdom (Nursing & Midwifery Council, 2018a, 2018b and Canada (Canadian Nurses Association, 2015, 2017 were located. Narrative synthesis of these documents confirmed the seven domains of the professional practice framework identified in 2014 were still current and relevant.…”

Section: Phase 3: Review Of Recent Literature To Assess the Currency mentioning

confidence: 99%

A framework of nurses’ responsibilities for quality healthcare — Exploration of content validity

et al. 2020

View full text Add to dashboard Cite

a b s t r a c tBackground: Quality of healthcare may be compromised if nurses do not understand the full scope of their responsibilities. Aim: To establish the content validity of a professional practice framework of nurses' responsibilities for healthcare quality. Methods: In Phase 1, a narrative synthesis of the practice standards of five peak nursing bodies informed development of a practice framework. A search for validated instruments to measure the framework domains identified elements of practice within each domain. In Phase 2, 10 focus groups with 74 registered nurses were analysed to explore content validity of the framework. Literature review assessed the framework for currency in Phase 3. Findings: The resulting framework comprises seven domains representing nurses' responsibilities for healthcare quality: (a) Management of the Environment; (b) Promotion of Safety; (c) Evidence Based Practice; (d) Medical and Technical Competence; (e) Person Centred Care; (f) Positive Interpersonal Behaviours; and (g) Clinical Leadership and Governance. Nurses' descriptions of their responsibilities for healthcare quality validated the domains and provided examples of how they are operationalised in practice. No new domains or elements of practice were identified in the focus groups or literature. Discussion and conclusion:The seven-domain framework to describe nurses' responsibilities for healthcare quality has content validity and provides the foundation for an instrument to determine nurses' beliefs about their responsibilities for healthcare quality. Future research is required to investigate coherence between nurses' beliefs and professional and organisational expectations of nurses' responsibilities for safeguarding healthcare quality, and to measure change in perceptions of responsibilities as a result of interventions. Summary of relevance Problem or issueProfessional, organisational and educational expectations of nurses' responsibilities for healthcare quality may not be commensurate with nurses' understandings of their role. What is already knownNurses' responsibilities to ensure healthcare quality are broad-ranging; most commonly nurses identify patient safety responsibilities. What this paper adds A new framework, grounded in nurses' scope of practice, has content validity and encompasses measurable practice-based domains of healthcare quality. It provides the foundation for an instrument to measure nurses' beliefs about their responsibilities for healthcare quality, identify gaps between nurses' and professional, organisational and educational expectations of healthcare quality responsibilities, and measure changes in perceptions as a result of interventions.

show abstract

Section: Phase 3: Review Of Recent Literature To Assess the Currency mentioning

confidence: 99%

A framework of nurses’ responsibilities for quality healthcare — Exploration of content validity

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Nurses’ migration has resulted in requirements for comparable competencies (World Health Organization, ). This has been particularly in evidence in the past decade, when regulation has been enacted to ensure the competence of a globally migrating health and nursing workforce (Cashin et al., ). For example, in order to facilitate the mobility of the international nursing workforce, the International Council of Nurses (ICN; Alexander & Runciman, ) identified 17 indicators within three domains of the generalist registered nurses’ (RNs’) competencies framework to advocate for global nursing competency.…”

mentioning

confidence: 99%

Current Literature Review of Registered Nurses’ Competency in the Global Community

Liu

Aungsuroch

2018

J of Nursing Scholarship

View full text Add to dashboard Cite

show abstract

“…Person‐centred practice is fundamental to evidence‐based nursing practice (Cashin et al, 2017). Our findings align with the person‐centred nursing framework (McCormack & McCance, 2006, 2010), in particular, the component “person‐centred processes.” Person‐centred processes focus on delivering care by working with a person's beliefs and values, engagement, having a sympathetic presence, sharing decision‐making, and providing for physical needs (McCormack & McCance, 2006).…”

Section: Discussionmentioning

confidence: 99%

Healthcare professionals providing care coordination to people living with multimorbidity: An interpretative phenomenological analysis

Peart

Lewis

Barton

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To explore the healthcare professionals (HCP) experience of providing care coordination to people living with multimorbidity. Background There is increasing interest in improving care of people living with multimorbidity who need care coordination to help manage their health. Little is known about the experiences of HCP working with people living with multimorbidity. Design Phenomenological approach to understanding the experiences of HCP. Methods We interviewed 18 HCP, including 11 registered nurses, working in care coordination in Melbourne, Australia. We used interpretative phenomenological analysis to identify themes from descriptions of providing care, identifying and responding to a person’s needs, and the barriers and facilitators to providing person‐centred care. Results We identified four themes as follows: (a) Challenge of focusing on the person; (b) “Hear their story,” listening to and giving time to clients to tell their story; (c) Strategies for engagement in the programme; and, (d) “See the bigger picture,” looking beyond the disease to the needs of a person. Our results are reported using COREQ. Conclusions The HCP experienced challenges to a traditional approach to care when focusing on the person. They described providing care that was person‐centred, and acknowledged that optimal, guideline‐oriented care might not be achieved. They took the necessary time to hear the story and see the context of the person’s life, to help the person manage their health. Relevance to clinical practice For registered nurses in care coordination programmes, focusing on the client may challenge traditional approaches to care. Providing care involves developing a relationship with the client to optimise health outcomes. Experienced registered nurses appear to use skills in reflective practice and accept the parameters of care to improve the client’s health and well‐being.

show abstract

Standards for practice for registered nurses in Australia

Cited by 41 publications

References 23 publications

A framework of nurses’ responsibilities for quality healthcare — Exploration of content validity

A framework of nurses’ responsibilities for quality healthcare — Exploration of content validity

Current Literature Review of Registered Nurses’ Competency in the Global Community

Healthcare professionals providing care coordination to people living with multimorbidity: An interpretative phenomenological analysis

Contact Info

Product

Resources

About