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In the United States, scope of practice law is determined by the states' legislatures and regulatory boards. [1] [3]According to the National Conference of State Legislatures, non-physician health care providers are providing increasing levels of service to patients, especially in rural and other underserved communities.
Nursing is a health care profession that "integrates the art and science of caring and focuses on the protection, promotion, and optimization of health and human functioning; prevention of illness and injury; facilitation of healing; and alleviation of suffering through compassionate presence". [1]
Nursing assessment is the gathering of information about a patient's physiological, psychological, sociological, and spiritual status by a licensed Registered Nurse. Nursing assessment is the first step in the nursing process. A section of the nursing assessment may be delegated to certified nurses aides.
The Emergence of Modern Nursing (2nd ed. 1972) Dock, Lavinia Lloyd. A Short History of Nursing from the Earliest Times to the Present Day (1920)full text online; abbreviated version of her four volume A History of Nursing; also vol 3 online; Donahue, M. Patricia. Nursing: The finest art, an illustrated history.
Faith Community Nursing: Scope and Standards of Practice was approved by the American Nurses Association in 2005 (and updated in 2012) and define the specialty as "...the specialized practice of professional nursing that focuses on the intentional care of the spirit as part of the process of promoting holistic health and preventing or ...
The CNO's definition for a nurse's scope of practice is: "The practice of nursing is the promotion of health and the assessment of, the provision of care for, and the treatment of health conditions by supportive, preventive, therapeutic, palliative, and rehabilitative means in order to attain or maintain optimal function". [15]
Scope of practice for nurse practitioners is defined at four levels: 1) professional, 2) state, 3) institutional, and 4) self-determined. [3] At the professional level, nursing organizations such as the AACN and the ANCC regulate nursing certification and publish guidelines for the scope and standards of practice for ACNP's. At the state level ...
The scope of home health nursing is directly related to the nursing process. This includes assessment, diagnosis, planning, implementation, and evaluation. [5] The standards of home health nursing integrate research, education, proper use of resources, the quality of care provided, team collaboration, and ethical principles. [5]