Standards of Professional Performance for Home Health Nursing
Standard 7. Ethics
The home health registered nurse practices ethically.
COMPETENCIES
The home health registered nurse:
Uses Code of Ethics for Nurses with Interpretive Statements (ANA, 2001) to guide practice.
Delivers care in a manner that preserves and protects patient autonomy, dignity, rights, values, and beliefs.
Recognizes the centrality of the patient and family as core members of any healthcare team.
Upholds patient confidentiality within legal and regulatory parameters.
Assists patients in self-determination and informed decision-making.
Provides information on the patient’s rights and responsibilities, as well as risks, benefits, and outcomes of healthcare regimens, to allow informed decision-making by the patient, including informed consent and informed refusal.
Maintains a therapeutic and professional patient-nurse relationship within appropriate professional role boundaries.
Contributes to resolving ethical issues involving patients, colleagues, community groups, systems, and other stakeholders.
Takes appropriate action regarding instances of illegal, unethical, or inappropriate behavior that could endanger or jeopardize the best interests of patients or situations.
Speaks up to question healthcare practice when necessary for safety and quality improvement.
Advocates for equitable patient care.
Maintains her or his own health and well-being through healthpromoting behaviors.
ADDITIONAL COMPETENCIES FOR THE GRADUATELEVEL PREPARED HOME HEALTH NURSE AND THE ADVANCED PRACTICE REGISTERED NURSE
The graduate-level prepared home health nurse or the advanced practice registered nurse:
Participates in interprofessional teams that address ethical risks, benefits, and outcomes.
Promotes excellence in clinical practice that supports accuracy and truthfulness in coding, financing, and reporting of outcomes at the agency and systems level.
Uses expertise to influence health policy.
Standard 8. Education
The home health registered nurse attains knowledge and competence that reflect current nursing practice.
COMPETENCIES
The home health registered nurse:
Participates in ongoing educational activities to keep abreast of professional practice issues, knowledge, and skills to provide evidence-based patient care.
Demonstrates a commitment to lifelong learning through self-reflective inquiry that addresses personal learning and professional growth needs.
Seeks relevant educational experiences that reflect current practice needs to maintain current knowledge, skills, abilities, and judgment in clinical practice or role performance.
Acquires evidence-based knowledge and skills appropriate to the population, specialty, setting, role, or situation.
Seeks formal and independent learning experiences to develop and maintain current knowledge, clinical skills, and professional skills.
Identifies learning needs based on nursing knowledge, the various roles the nurse may assume, and the changing needs of the population.
Participates in formal or informal consultations to address issues in nursing practice as an application of education and knowledge base.
Shares educational findings, experiences, and ideas with peers.
Contributes to a work environment conducive to the education of healthcare professionals.
Maintains professional records that provide evidence of competence and lifelong learning.
ADDITIONAL COMPETENCIES FOR THE GRADUATELEVEL PREPARED HOME HEALTH NURSE AND THE ADVANCED PRACTICE REGISTERED NURSE
The graduate-level prepared home health nurse or the advanced practice registered nurse:
Uses current healthcare research findings and other evidence to expand clinical knowledge, skills, abilities, and judgment; enhance role performance; contribute to innovative practice models and improved patient outcomes; and increase knowledge of professional issues.
Provides education and consultation to other home health clinicians regarding strategies to enhance patient care and improve the disease self-management skills of patients, families, and caregivers.
Standard 9. Evidence-Based Practice and Research
The home health registered nurse integrates evidence and research findings into practice.
COMPETENCIES
The home health registered nurse:
Uses current evidence-based nursing knowledge, including research findings, to guide practice.
Incorporates evidence when initiating changes in nursing practice.
Participates, as appropriate to educational level and position, in the formulation of evidence-based practice through research.
Shares personal or third-party research findings with colleagues and peers.
ADDITIONAL COMPETENCIES FOR THE GRADUATELEVEL PREPARED HOME HEALTH NURSE AND THE ADVANCED PRACTICE REGISTERED NURSE
The graduate-level prepared home health nurse or the advanced practice registered nurse:
Contributes to nursing knowledge by conducting or synthesizing research and other evidence that discovers, examines, and evaluates current practice, knowledge, theories, criteria, and creative approaches to improve healthcare outcomes.
Promotes a climate of research and clinical inquiry within the interprofessional healthcare team and the community.
Disseminates research findings through activities such as presentations, publications, consultation, and journal clubs.
Standard 10. Quality of Practice
The home health registered nurse contributes to quality nursing practice.
COMPETENCIES
The home health registered nurse:
Demonstrates quality by applying and documenting the nursing process in a responsible, accountable, and ethical manner.
Uses best practices, creativity, and innovation to enhance the quality of care and improve patient outcomes.
Participates in quality improvement initiatives in home health nursing and interprofessional practice. Activities may include:
Identifying aspects of practice important for quality monitoring.
Using indicators to monitor quality, safety, and effectiveness of practice.
Collecting data to monitor quality and effectiveness of practice.
Analyzing quality data to identify opportunities for improving practice.
Formulating recommendations to improve practice and outcomes.
Implementing activities to enhance the quality of practice.
Developing, implementing, and/or evaluating policies, procedures, and guidelines to improve the quality of practice.
Leading interprofessional teams to evaluate clinical care and health services.
Participating in efforts to minimize costs and support appropriate resource utilization.
Identifying problems that occur in day-to-day work routines in order to correct process inefficiencies.*
Analyzing factors related to quality, safety, and effectiveness.Stay updated, free articles. Join our Telegram channel
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