Accreditation In Nursing Facilities

The administrators Each person in charge of any program that has anything to do with nursing has an effect on the evaluation process. They must be confident that the quality and consistency of nursing is being met when they graduate students (accreditation) or hire. They must know that the programs are meeting state and Federal requirements and must continually lobby for funding to keep the flow of professional nurses coming as needed.

Credentialing from advanced practice registered nurses (APRNs) perspective is defined as “furnishing the documentation necessary to be authorized by a regulatory body or institution to engage in certain activities and use a certain title” (Hanson, 2014). Credentialing is also define from a local institutional process that consider specific documentations for APRN before they assume the practice role as APRN within their facility. In health care system, credentialing ensures individuals meet required standards of practice and is prepared to perform those duties implied by the credentials. National certification and education are considered as part of credentialing for APRN to acquire basic level of competence to practice. (Hanson, 2014)

enhance quality. Some of the nursing issues in health care reform are; access to care,

The number one priority of the Registered Nurse should be to provide holistic, patient-centred, safe and evidence based care to every patient. Patients who are admitted into hospital or seek healthcare services externally through clinics or the community usually expect to receive the safest and the highest quality of care possible from that facility. Registered Nurses have a major responsibility to ensure that this is achieved. To help guide nurses and other healthcare workers in the right direction, the Nursing and Midwifery Board of Australia created and enforced the “Registered Nurse Standards for Practice”. These standards aim to assist healthcare practitioners in providing high quality and safe care to every client. The standards also aim to prevent any form of harm or negative consequence to the patient during and after their time in any healthcare facility. This paper will discuss the reportedly increasing issue of elder abuse, the responsibilities of the Registered Nurse and the associated Standards of Practice when faced with a patient or family that is experiencing this type of harm. The standards discussed in this paper will be Standards 2.5, 2.9 and 6.6.

The meeting I attended was the Arizona State Board of Nursing via livestream on September 17, 2015. This meeting is open to the public to attend or watch online livestream which is what I did. The members of attendance were: Board President Randy C. Quinn, RN, MSN, CRNA, Board Vice President Carolyn Jo McCormies, RN, MS, FNP-BC, Board Secretary Terri Berrigan, LPN, C-AL, and Board Members Lori A. Gutierrez, BS, RN-C, DON-CLTC, CBN, Jana Machesky, LPN, Kathryn L. Busby, J.D., Dr. Kimberly A. Post, DPN, MBA/HCM, RN, NEA-BC, M. Shawn Harrell, RN, MS, and lastly Melinda Pheanis Preston, DNP, APRN, PMHNP-BC. According to the Arizona Board of Nursing mission statement their organization protects and promotes the welfare of the public ensuring that each person holding a nursing license of the practice of nursing license or certificate is competent to practice safely (“Mission Statement,” n.d.). The purpose of these board meetings is to discuss any regulations that need investigating so they keep the nursing standards to protect the public. This involves bringing forth nurses to discuss any disciplinary actions that have been brought up against them or that needs further review.

The aim of this assignment is to explore the four stages of APIE, explaining their importance in nursing, as well as identifying possible problems within the stages, in relation to the videos of Joe. These issues will then be anaylsed using theory, to create possible explanations and consequences for the behaviour and actions shown by Joe and the nurses.

Three issues or trends I see that are important with regard to credentialing are reimbursement, malpractice and education. Within each issue are opportunities for the advance practice nurse (APN) to grow in knowledge and participate in change. It is important to understand why each one effects credentialing for the APN.

An accurate and specific documentation of universally accepted set of codes are important for the protection of healthcare providers as well as increased reimbursement for services received. These codes are for the validation of which services the patient received from their health care provider ( (Page, 2009). Having the correct codes in place insures the provider with the information needed by the health insurance carrier. Maintained by the AMA (American Medical Association), this universal numeric assignment is also used for developing guidelines for medical care review as well as data collection for medical education and research (Scott, 2013).

American Nurses Association (ANA) Standards of Professional Performance explains how all registered nurses do their work and activities consistently according to their professions that promote the wellbeing of their patients and communities (ANA, 2010a). The standards provide a mechanism to patients that they are been taken good care of and that the nurses know exactly what to do so as to provide high-quality care and the measures are in place to determine whether nursing care meets the standards. These activities are related to performance like ethics, quality of practice, education, communication, resources, leadership, environmental health, professional practice evaluation, and evidence-based practice and research. Registered nurses are responsible for their professional actions to themselves, their patients, their peers, and the community at large.

214) “The ACA and the need for APRNs, nurse faculty, and nurse researchers would have increased dramatically under any scenario.” (L R Cronenwett [RWJF Iniative on the Future of Nursing], 2010, table 1). “Not only must schools of nursing build their capacity to prepare more students. Nursing need to focus on fundamental improvements in the delivery of nursing care to improve patient safety and quality is key.” (IOM, 2010, p. 208)

Qualified instructors available to teach nursing students in educational facilities are beginning to be a problem within the nation. Most nursing instructors that teach in educational facilities are advanced in their line of work, and many of them are expected to retire within the next five years. New faculty of nursing programs will be in priority when the number of retirees increases (Rosenfeld, 2009).

Despite many efforts to improve staffing numbers, there is often still a staff shortage among staff in hospitals and acute care settings. While the most obvious solution to short staffing is to hire more nurses, there are also other ways to make staffing more effective. A patient acuity tool is a staffing instrument that can be used to decide how much time and attention each individual patient requires. By knowing the acuity level of each patient, charge nurses can decide how many patients each nurse can be assigned to at a time. This essay describes the way a patient acuity instrument improves healthcare outcomes by promoting patient-centered care and improving on key nurse competencies including teamwork and collaboration, quality improvement, and safety measures.

In the early 1980s it came to light that while the supply of nurses had reached a record high, only 80% of hospitals nationwide had adequate nurse staffing levels (American Nurse Credentialing Center, 2011, p. 8). To address this issue a taskforce was formed within the American Academy of Nursing (AAN). Through an initial study of 165 hospitals, the AAN determined the characteristics of healthcare organizations that were magnetically attracting and retaining nurses as employees (American Nurse Credentialing Center, p. 9). In this study the AAN found “Forces of Magnetism” that contributed to the high level of job satisfaction amongst nurses, superior quality of care, low job turnover, and high level of nurse involvement in leadership, decision-making, and research. In the early 1990s, catapulted by the findings of this initial study, the American Nurses Credentialing Center (ANCC) developed the Magnet Recognition Program. The intention of the ANCC’s Magnet Recognition Program was threefold: To reward hospitals that demonstrated “excellence in the delivery of nursing services to patients;” to encourage quality in the nursing work environment to support practicing professional nurses; and to guide navigation for the dissemination of evidenced-based clinical nursing practice (American Nurse Credentialing Center, 2011, p. 14).

Furthermore, licensing and accreditation standards must be heightened to insure the quality of the nurses that enter the workforce. Certifying organizations must therefore mandate the proper demonstration of core competencies and skills prior to endowing students with the nursing title. The nursing profession, according to the IOM report, must undergo fundamental changes within the overall education of nurses. In many respects the basic

As the recommendation has been established as best practice this chapter will propose a clinical audit to review the extent to which the recommendation is applied in practice. Practitioners have a responsibility to continually improve their standards of care (Nursing and Midwifery Council, 2010). Clinical audits are a valuable tool for professionals to monitor their current practice and promote improvements in care (Benjamin, 2008).