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128 Professionalstandards Essay

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Protecting the public by
effectively regulating registered
nurses and nurse practitioners

Professional
Standards
for Registered Nurses and
Nurse Practitioners

accountability
knowledge
service
ethics

College of

2855 Arbutus Street

T: 604.736.7331

Registered Nurses

Vancouver, BC

F: 604.738.2272

of British Columbia

V6J 3Y8 Canada

Toll-free: 1.800.565.6505

PROFESSIONAL STANDARDS FOR REGISTERED NURSES AND NURSE PRACTITIONERS

CRNBC’S MANDATE
CRNBC’s mandate is to ensure that all individuals seeking entry to practice and maintaining registration are competent and ethical professionals. The College does this by setting standards, supporting nurses to meet standards and acting if standards are not met. CRNBC’S PURPOSE

CRNBC’s purpose is to protect the public by effectively regulating registered nurses and nurse practitioners.
ABOUT THIS DOCUMENT
This document provides information on CRNBC’s four Professional Standards for registered nurses and nurse practitioners, which fall under the umbrella of all CRNBC Standards of Practice.

The Introduction (p. 5) explains what standards are, why they are important and who has responsibility for them. It also defines Professional Standards and Indicators (i.e., how each Professional Standard is met).

The section on Professional Standards (p. 8) presents each of the four standards:

Standard 1: Professional Responsibility and Accountability

Standard 2: Knowledge-Based Practice

Standard 3: Client-Focused Provision of Service

Standard 4: Ethical Practice

This section also illustrates with Indicators how each Professional Standard is applied in four main areas of practice:

Clinical

Education

Administration

Research

Finally, the Appendices comprise two helpful sections: a glossary of terms and information about other relevant resources.

College of Registered Nurses of British Columbia

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PROFESSIONAL STANDARDS FOR REGISTERED NURSES AND NURSE PRACTITIONERS

WHERE TO GET ASSISTANCE
For further information on the Professional Standards or any nursing practice issue, contact CRNBC Practice Support at:

Telephone: 604.736.7331 ext. 332

Toll-free in Canada: 1.800.565.6505

Email: [email protected]

CRNBC STANDARDS OF PRACTICE
The College is responsible under the Health Professions Act for setting Standards of Practice for its registrants. CRNBC Standards of Practice comprise:

Professional Standards (this document): These Standards provide an overall framework for the practice of nursing in British Columbia. They set out minimum levels of performance that nurses 1 are required to achieve in their practice.

Practice Standards: Requirements related to specific aspects of nurses’ practice. These standards complement the Professional Standards and provide additional information on specific topics.

Scope of Practice Standards: Standards, limits and conditions related to the scope of practice for registered nurses and nurse practitioners.

CRNBC Standards of Practice are available online at www.crnbc.ca

Effective Date: November 2012
© College of Registered Nurses of British Columbia/October 2013 2855 Arbutus Street
Vancouver, BC V6J 3Y8
Tel 604.736.7331 or 1.800.565.6505
Pub. No. 128

1.

“Nurse” refers to registered nurses, nurse practitioners and licensed graduate nurses.

College of Registered Nurses of British Columbia

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PROFESSIONAL STANDARDS FOR REGISTERED NURSES AND NURSE PRACTITIONERS

Table of Contents
I N T R OD UC T I ON

5

P r o fe s si on a l S ta n d a r ds

8

S ta n d a r d 1 : P r o f e ss i on a l R es p o n s ib il i ty a n d A cc o un ta b i li ty

8

S ta n d a r d 2 : K n o w l ed g e - B a s e d P r a c t ic e

11

S ta n d a r d 3 : C l i en t - F oc u se d P r o v is io n of S er v i c e

15

S ta n d a r d 4 : E th i ca l P r a c ti c e

18

Ap p en d ix 1 : G l o ssa r y

21

Ap p en d ix 2 : R e so ur c es

23

College of Registered Nurses of British Columbia

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PROFESSIONAL STANDARDS FOR REGISTERED NURSES AND NURSE PRACTITIONERS

INTRODUCTION
Nursing has a proud history of service to the public, and the public expects competent nurses to provide safe and ethical nursing care. In British Columbia, the public has entrusted the College of Registered Nurses of British Columbia (CRNBC), through the Health Professions Act, with the responsibility for establishing, monitoring and enforcing standards of practice and professional ethics for registered nurses and nurse practitioners.

WHAT IS A STANDARD?
A standard is an expected and achievable level of performance against which actual performance can be compared. It is the minimum level of acceptable performance. Professional Standards
The Professional Standards, which are one set of standards under the umbrella of CRNBC Standards of Practice, are statements about levels of performance that nurses are required to achieve in their practice. The Professional Standards:

Reflect the values of the nursing profession

Clarify what the profession expects of nurses

Represent the criteria against which nurses’ practice in British Columbia is measured by clients, employers, colleagues, themselves and others

Indicators
Indicators provide specific criteria for meeting each Professional Standard in each of the four main areas of practice: clinical, education, administration and research. Indicators are used to measure the actual performance of an individual nurse. The Indicators are not written in order of importance, nor are they intended to be an exhaustive list of criteria for each Professional Standard. The Indicators will be especially helpful for nurses who assume responsibilities in practice areas outside their primary area of responsibility. For example, a nurse whose primary responsibility is for clinical practice may at times assume responsibilities for education (e.g., teaching a student in practicum). Or a nurse who usually works in administration may sometimes be responsible for research (e.g., collecting data for a research or quality improvement study). In these cases, nurses will find helpful direction in the Indicators for the relevant practice areas. WHY HAVE PROFESSIONAL STANDARDS?

The primary purpose of the Professional Standards is to promote, guide and direct professional practice. The Professional Standards are used by individual nurses, the public, employers, CRNBC and other stakeholders.

College of Registered Nurses of British Columbia

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PROFESSIONAL STANDARDS FOR REGISTERED NURSES AND NURSE PRACTITIONERS

Nurses
The Professional Standards are used by registered nurses and nurse practitioners to: 

Better understand their professional obligations

Support their own continuing competence and professional development

Explain what nursing is and what nurses do

Advocate for changes to policies and practices

Define and resolve professional practice problems

Include in nursing education courses/programs

Public
The public can use the Professional Standards to understand the expectations for professional nursing practice.
Employers
Employers can use the Professional Standards to develop systems that support nurses to meet CRNBC’s Standards of Practice. Examples include:

Developing job descriptions that identify expectations for practice

Developing orientation programs

Creating performance appraisal tools

CRNBC
CRNBC uses the Professional Standards to meet its legal responsibility to protect the public by regulating nurses’ practice. Examples include:

To recognize entry-level and re-entry education programs for registered nurses and nurse practitioners in the province

To clarify to the public and other health care professionals what the profession expects of its members

To provide guidance to nurses re...

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Keywords

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