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ANMF National Practice Standards for Nurses in General Practice NATIONAL PRACTICE STANDARDS for NURSES IN GENERAL PRACTICE Australian Nursing and Midwifery Federation Standards funded by the Australian Government Department of Health Acknowledgements This Project, managed by the Australian Nursing and Midwifery Federation, was funded by the Australian Government Department of Health. The Commonwealth makes no representation or warranty that the information in this publication is correct and accurate. The views expressed in this document are those of the authors and do not necessarily reflect those of the Commonwealth. Our research partner in this project was the School of Nursing and Midwifery, University of Wollongong, led by Dr Elizabeth Halcomb. The Project Team consisted of: Julianne Bryce, Australian Nursing and Midwifery Federation Senior Federal Professional Officer Elizabeth Foley, Australian Nursing and Midwifery Federation Federal Professional Officer Christine Ashley, Australian Nursing and Midwifery Federation Project Officer Dr Elizabeth Halcomb, University of Wollongong Professor of Primary Health Care Nursing [Lead Researcher] Dr Moira Stephens, University of Wollongong Senior Lecturer [Research Assistant] The Australian Nursing and Midwifery Federation would like to thank the hundreds of nurses who gave generously of their time to participate in the research, review the successive drafts and contribute to the national standards. The Project Team acknowledges the significant contribution of the Project Advisory Group and the Project Reference Group to the research and development of these national standards. Special thanks to the ANMF Editing and Design Team, Kristy Male and Daniel Cordner for the production of the document. Design by Daniel Cordner Design ISBN Print: 978-0-909599-09-6 ISBN Electronic: 978-0-909599-10-2 © Australian Nursing and Midwifery Federation 2014 This work is copyright. It may be produced in whole or part subject to an inclusion of an acknowledgement of the source. Prepared by the Project Team: Dr Elizabeth Halcomb, Julianne Bryce, Elizabeth Foley, Christine Ashley and Dr Moira Stephens. December 2014 Australian Nursing and Midwifery Federation. National practice standards for nurses in general practice. Melbourne: Australian Nursing and Midwifery Federation - Federal Office, 2014. National Practice Standards for Nurses in General Practice NATIONAL PRACTICE STANDARDS for NURSES IN GENERAL PRACTICE Australian Nursing and Midwifery Federation Standards funded by the Australian Government Department of Health National Practice Standards for Nurses in General Practice Table of Contents PREFACE ...................................................................................................................................... 1 GLOSSARY ................................................................................................................................... 2 ABBREVIATIONS .......................................................................................................................... 7 1. INTRODUCTION ........................................................................................................................ 8 Overview .................................................................................................................................................. 8 Australian General Practice ................................................................................................................... 9 What can a nurse do in general practice? ........................................................................................... 10 What are professional practice standards? ......................................................................................... 10 Complexity of practice in general practice .......................................................................................... 11 Registered nurses and enrolled nurses .............................................................................................. 11 Performance review ............................................................................................................................. 12 2. THE PRACTICE STANDARDS FOR NURSES IN GENERAL PRACTICE ....................................... 13 Overview ................................................................................................................................................ 13 Development of these Standards ......................................................................................................... 14 iii The Standards ....................................................................................................................................... 14 Domain 1: Professional Practice ......................................................................................................... 17 Domain 2: Nursing Care ...................................................................................................................... 22 Domain 3: General Practice Environment ........................................................................................... 29 Domain 4: Collaborative Practice ........................................................................................................ 36 REFERENCES ............................................................................................................................. 39 APPENDICES.............................................................................................................................. 41 Appendix A. Members of the Project Advisory Group ......................................................................... 41 Appendix B. Members of the Project Reference Group ...................................................................... 41 National Practice Standards for Nurses in General Practice Preface The Australian Nursing and Midwifery Federation [ANMF] is delighted to be able to release the National practice standards for nurses in general practice for the benefit of all nurses, their colleagues working as part of the general practice team and, most importantly, the community for whom nurses provide care. These national Standards clearly articulate best practice for registered nurses and enrolled nurses working in the general practice setting. They should be used in conjunction with the professional practice framework developed and required by the Nursing and Midwifery Board of Australia for all nurses. The project to revise the existing Australian Nursing Federation [ANF] Competency Standards for nurses in general practice was funded by the Australian Government Department of Health and managed by the ANMF. Our research partner in this project was the University of Wollongong. A project team from the ANMF and the University of Wollongong, led by Julianne Bryce, Senior Federal Professional Officer and lead researcher Dr Elizabeth Halcomb, Professor of Primary Health Care Nursing, undertook the development of the new national Standards. This project would not have been possible without the generous contribution of the hundreds of nurses who participated in the underpinning research and the review and validation of the draft Standards. We encourage all nurses in General Practice to use these new national Standards to work to their full scope of practice in this rapidly growing health care setting for the betterment of the 1 Australian community. Lee Thomas Federal Secretary Australian Nursing and Midwifery Federation National Practice Standards for Nurses in General Practice Glossary Competence “The combination of skills, knowledge, attitudes, values and abilities that underpin effective and/or superior performance in a profession”[1, p.10). Competence “encompasses both confidence and capability”(2, p.16). Competence assessment “Assessment of an individual’s competence may occur through structured educational programs or a peer review process”(2, p.16). “Evidence of a person’s competence may include: • written transcripts of the skills/knowledge they have obtained in a formal course • their in-service education session records • direct observation of their skill • questioning/clarification of their knowledge base • evaluation of planned care which includes the consumer’s perspective using agreed criteria • self-assessment through reflection on performance in comparison with professional standards”(2, p.16). 2 Consumer The term consumer may refer to either individuals, groups or communities such as patients, residents and/or their families/representatives/significant others “who work in partnership with nurses to plan and receive nursing care”(2, p.16). The term client is often used interchangeably with ‘consumer’. Decision-making framework The national decision making framework is a set of tools and principles to assist nurses in the process of making decisions about whether specific tasks are within their individual scope of practice(2). It also provides a framework for nurses seeking to expand their individual scope of practice. “Differences in the education, experience and competence of the individual, and in the context in which they practise, are considered in using the template tools” (2, p.4). National Practice Standards for Nurses in General Practice Delegation / Delegate “A delegation relationship exists when the registered nurse, as a member of the multidisciplinary health care team, delegates aspects of nursing care, which they are competent to perform and which they would normally perform themselves, to another member of the health care
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