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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.
The function of nursing care plans has changed drastically over the past several decades. In 1953, care planning was not believed to be within the nursing scope of practice. [5] In the 1970s, care planning was activity based. [5] Patients were listed according to the procedures they were having done, which determined their plan of care. [5]
The scope of care UAPs are responsible for is delegated by RNs or other clinical licensed professionals. UAPs care for patients in hospitals , residents of nursing facilities , clients in private homes, and others in need of their services due to old age or disability .
Advance of American Nursing (3rd ed 1995) ; 4th ed 2003 is titled, American Nursing: A History; Kaufman, Martin, et al. Dictionary of American Nursing Biography (1988) 196 short biographies by scholars, with further reading for each; Reverby, Susan M. Ordered to Care: The Dilemma of American Nursing, 1850–1945 (1987) excerpt and text search
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]
The number of professions subject to regulation, the requisites for an individual to receive professional licensure or certification, the scope of practice that is permitted for the individual to perform, and the nature of sanctions that can be imposed for failure to comply vary across jurisdictions.
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A nursing intervention is defined as a single nursing action – treatment, procedure or activity – designed to achieve an outcome to a diagnosis, nursing or medical, for which the nurse is accountable. [12] Patient services are usually initiated as medical orders by a referring physician and reviewed by the admitting nurse.