This Is The Questionyou Have Been Asked To Investigate A New Procedur
This is the question: You have been asked to investigate a new procedure that physicians would like nurses to adopt in the hospital. Discuss the process you would apply to determine whether the procedure falls within the RN scope of practice and how you would go about introducing the new procedure with physicians and fellow nurses. Please use this Grading Rubric and Sample Table for this DQ Class this question assumes you are the nurse manager and is a how you would evaluate and implement a standard practice or standing order into your unit. Complete all of the learning activities, critically think and post your reply. Here is a link to " An Explanation of the Scope of RN Practice Including Standardized Procedures" from the CA BON, your state BON site likely has something similar, but this gives a general idea of procedures one might follow.
Paper For Above instruction
Implementing new procedures within a hospital setting requires a thorough understanding of the Registered Nurse (RN) scope of practice and a strategic approach to introduce changes effectively among physicians and nursing staff. As a nurse manager, the process begins with a comprehensive review of the procedure concerning the Nurse Practice Act (NPA) and the guidelines provided by the state's Board of Nursing (BON). According to the California Board of Nursing, standardized procedures are protocols that allow RNs to perform specific interventions under certain conditions, if they are within the scope of practice and supported by appropriate training and institutional policies (California BON, n.d.).
The first step in assessing whether the new procedure falls within the RN scope involves a detailed analysis of the procedure's components aligned with state regulations and institutional standards. This includes evaluating the protocol's clinical appropriateness, the required competencies, and whether it is supported by current evidence. The Nurse Practice Act offers legal boundaries, delineating what registered nurses are permitted to perform, and is essential in this evaluation (Woolley & Williams, 2020). Additionally, institutional policies and standards of care must be reviewed to ensure consistency with organizational expectations and resources for staff training.
After establishing that the procedure aligns with legal and institutional standards, the next phase involves staff training and competency assessments. This step ensures that nurses receive appropriate education and demonstrate proficiency before independently performing the procedure. This aligns with the standards in the CA BON regarding the need for documented competency and ongoing evaluation (California BON,
n.d.). Furthermore, involving interdisciplinary teams, including physicians, in the planning and discussion fosters clarity, mutual understanding, and professional collaboration, which is vital for successful implementation.
Introducing the new procedure also requires careful change management strategies. Applying Lewin’s Change Theory, the process involves unfreezing existing practices, communicating the need for change, and addressing potential resistance by involving staff in decision-making. Engaging nurses and physicians through educational sessions, discussions, and feedback opportunities helps promote buy-in and minimizes uncertainties. Building consensus is essential, especially when higher accountability or patient safety concerns are involved.
Legal considerations are paramount, particularly in ensuring that the protocol complies with scope and does not expose the institution to liability. Documentation, informed consent when necessary, and clear delineation of responsibilities must be incorporated into the protocol. Additionally, ongoing evaluation and quality assurance should be instituted to monitor compliance and interventions' effectiveness post-implementation.
In summary, determining if the new procedure fits within an RN’s scope requires a careful review of legal guidelines, institutional policies, and staff competencies. Effective introduction to physicians and nurses depends on transparent communication, collaborative planning, and structured education, all underpinned by change management principles to facilitate acceptance and safe practice adoption.
References
California Board of Nursing. (n.d.). An explanation of the scope of RN practice including standardized procedures. https://www.bvnpt.ca.gov
Woolley, T., & Williams, M. (2020). Legal and ethical dimensions of nursing practice. Nursing Law Review, 15(2), 78-85.
Kozlowski, K., & Bien, G. (2018). Implementing clinical protocols safely: A comprehensive guide. Journal of Nursing Administration, 48(4), 200–205.
Benner, P., Tanner, C., & Chesla, C. (2009). Expertise in nursing practice: Caring, clinical judgment & ethics. Springer Publishing Company.
Kurta, I. (2017). Change management strategies for nursing leadership. Journal of Nursing Management,
25(3), 188–195.
Doody, O., & Doody, C. M. (2012). Transformational leadership in nursing practice. British Journal of Nursing, 21(20), 1223–1228.
Johnson, M., & Webber, J. (2019). Approaches to evidence-based practice implementation in nursing. Nursing Research and Practice, 2019, 1–7.
Schmidt, N., & Brown, J. (2019). Evidence-based practice for nurses: Appraisal and application of research. Jones & Bartlett Learning.
Ulrich, C., et al. (2017). Nurse competency and patient safety: Research and implications. Journal of Nursing Care Quality, 32(2), 104–110.
Henderson, A., & Kearns, T. (2021). Building interprofessional collaboration for safe healthcare delivery. Journal of Interprofessional Care, 35(1), 1–11.