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how are standards of nursing care developed

by Jazlyn Kilback Published 2 years ago Updated 2 years ago
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Within the nursing field, standards of care are developed by organizations that oversee nurses, such as the California Board of Registered Nursing as well as by policies and procedures enacted a facilities and community practices. Guidelines are created with input from administrative, academic, and clinical nursing experts.

Standards for nursing care are set by several organizations, including the American Nurses Association (ANA), your state's Nurse Practice Act, agency policies and procedures, federal regulators, and other professional nursing organizations. These standards assure safe, competent care is provided to the public.

Full Answer

What are the professional standards in nursing?

STANDARDS OF PROFESSIONAL NURSING PRACTICE American Nurses Association (ANA) ANA Standards of Practice Standard 1. Assessment. The registered nurse collects comprehensive data pertinent to the healthcare consumer’s health or the situation. Standard 2. Diagnosis . The registered nurse analyzes the assessment data to determine the diagnoses or ...

What is the standard of practice for nursing?

The Standards of Practice “describe[s] a competent level of nursing care, as demonstrated by the critical thinking model known as the nursing process, which includes the components of assessment, diagnosis, outcomes identification, planning, implementation, and evaluation,” and represents the problem-solving process that the registered nurse follows in daily interactions with patients, groups, communities, and systems.

What is the standard of practice for nurses?

Standards of Practice Standard 1: Assessment: The registered nurse collects comprehensive data pertinent to the patient’s health or the situation. Standard 2: Diagnosis: The registered nurse analyzes the assessment data to determine the diagnoses or issues. Standard 3: Outcomes Identification: The registered nurse identifies expected outcomes for a plan

What are Ana standards of care?

ANA Standards of Nursing Practice Standards of Practice Standard 1: Assessment: The registered nurse collects comprehensive data pertinent to the patient’s health or the situation. Standard 2: Diagnosis: The registered nurse analyzes the assessment data to determine the diagnoses or issues.

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How are nursing standards developed?

In nursing, these standards change as new methods and technology change. They are based on the most recent scientific data available. Regarding nursing, standards have been developed through the contribution of administrative, academic and clinical experts.

Who set standards for nursing and hospitals that improved patient care?

JCAHO accredits hospitals for three-year periods based on compliance with its standards in the areas of patient rights and patient care: organizational performance; leadership; information management; and nursing and medical staff structures. Approximately 85 percent of hospitals are accredited by JCAHO.

What are nursing professional standards?

Professional standards describe the competent level of care in each phase of the nursing process. They reflect a desired and achievable level of performance against which a nurse's actual performance can be compared.

Why are standards of care required for healthcare professionals and organizations?

Standards communicate expectations for how a particular health care activity will be performed in order that it achieve the desired results and define, for both health workers and clients, what is needed to produce quality services.

Who defines the standards of care for the practice of nursing?

Standards of nursing practice developed by the American Nurses' Association (ANA) provide guidelines for nursing performance. They are the rules or definition of what it means to provide competent care.

Why are nursing standards important?

Clinical Care Standards play an important role in delivering appropriate care and reducing unwarranted variation. They identify and define the care patients should be offered for a specific clinical condition in line with current best evidence.

How many nursing standards are there?

The Registered nurse standards for practice consist of the following seven standards: 1. Thinks critically and analyses nursing practice. 2. Engages in therapeutic and professional relationships.

What are standards of care in healthcare?

Treatment that is accepted by medical experts as a proper treatment for a certain type of disease and that is widely used by healthcare professionals. Also called best practice, standard medical care, and standard therapy.

Why is it important to follow professional standards?

Professional standards guarantee that we're accountable for our clinical decisions and actions, and for maintaining competence during our career. They're patient centered, promote the best possible outcome, and minimize exposure to risk of harm.

How are standards developed in healthcare?

Standards are created or reviewed by experts in the relevant field. They include researchers, care providers, patients and families, who form into a technical committee. The technical committee conducts preliminary research and creates a draft outline of the new or revised standard.

Why is it important to have standards in healthcare?

Standards promote responsibility and accountability for the quality and safety of services provided. By incorporating national and international best available evidence, standards also promote healthcare that is up to date, effective and consistent.

How do you ensure a high standard of care is delivered?

Five ways to deliver high quality care at low costMake affordable healthcare a noble purpose. Tapping into intrinsic motivation is often used to improve quality. ... Be explicit about the quality of care that can be provided. ... Harness all the available assets. ... Embed continuous quality improvement. ... Listen to your service users.

Who sets the standards for quality of care and makes it illegal to bill for services?

Which of the following sets the standards for quality of care and does not allow billing for services that are not necessary? Medicare regulations set standards for care that protect patients and direct quality care. It is against the law to bill Medicare for services that are not reasonable or necessary.

Who defines quality of care?

The Institute of Medicine defines health care quality as "the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge."

Which set of standards applies to healthcare facilities?

Joint Commission standards are the basis of an objective evaluation process that can help health care organizations measure, assess and improve performance. The standards focus on important patient, individual, or resident care and organization functions that are essential to providing safe, high quality care.

What are the standards of patient care?

Five standards for patient carerespect.attitude.behaviour.communication.privacy and dignity.

What is the standard of practice in nursing?

The standards of practice outline the educational planning process. Standard 1 , Assessment of Practice Gaps, states "the nursing professional development practitioner analyzes issues, trends and supporting data to determine the needs of individuals, organizations, and communities in relation to health care.".

What is scope and standards for nursing?

The Scope and Standards for Nursing Professional Development (NPD) describe the competencies that NPD practitioners should perform. Just as nursing has continued to evolve with the changing healthcare landscape, the roles and responsibilities for NPD practitioners have also evolved.

What is standard 2 in NPD?

Standard 2 describes how the NPD practitioner collects data and information to validate an identified professional practice gap and determine if it is a knowledge, skill, or practice gap. Standard 3 summarizes how the NPD practitioner identifies the desired outcomes of the education plan.

What do NPD practitioners need to know?

All NPD practitioners need to know about and adhere to the NPD standards of practice. NPD practitioners can use them in a variety of ways to enhance NPD practice and advance the specialty. Harper, Maloney, and Shinners[3] provided exemplars of how various organizations operationalized the NPD scope and standards in their settings, including developing roles of the NPD practitioner, developing a departmental purpose and goals, applying the standards to educational programs, and describing challenges identified.

What are the inputs and throughputs of the revised standards?

The revised standards include a new systems practice model, composed of inputs , throughputs, and outputs. Price[2] delineated the key points of this model as a strategy used to realign their department with the revised standards. Inputs include the NPD practitioner, who continuously conducts environmental scanning, and the learner. Throughputs occur in the context of the interprofessional practice and learning environments and include 7 NPD roles and 6 key areas of responsibility. The standards define learning environment as "any environment in which NPD practice is delivered." Areas of NPD responsibility are:

How does NPD promote professional development?

The NPD practitioner promotes professional role development by identifying and developing strategies to facilitate a continuous process of maturation through lifelong learning . Standards of practice serve as the core of the model, with the cogs on the central gear of the standards representing the NPD roles.

What are the standards of professional performance?

There are 10 standards of professional performance. Standard 7 outlines how the NPD practitioner integrates ethics in all aspects of NPD practice. Standard 8 summarizes how the NPD practitioner maintains current knowledge and competency both in nursing and NPD practice.

How do nurses provide care?

Regardless of specialty or type of nursing, all nurses follow a basic nursing process that forms the core of care for patients: 1 Assessment. Nurses first assess their patients by using all the information available. This includes medical data as well as psychological, economic, lifestyle, and cultural factors. Nurses can provide the best care only when they have a wide range of information about patients. 2 Diagnosis. Using the assessment, nurses then make clinical judgments about a patient’s symptoms, medical conditions, and needs. The diagnosis goes well beyond simply naming a condition and includes recognizing all issues and needs that the patient has. 3 Planning. The nurse then sets goals for the patient based on the assessment and clinical judgment, or diagnosis. A plan is formed to help the patient meet those goals, which may include reducing pain, increasing mobility, or addressing mental health needs. 4 Implementation. With a plan in place the nurse and the nurse’s team implements the plan and keeps a record of what is done for the patient and whether goals are met. The records are crucial for providing continuity of care. 5 Evaluation. Evaluation is an ongoing process that the nurse uses to determine if the patient is meeting goals and if the patient’s needs are met. The evaluation can be used to change the plan and how it is implemented.

What is the importance of implementing a plan in nursing?

Implementation. With a plan in place the nurse and the nurse’s team implements the plan and keeps a record of what is done for the patient and whether goals are met. The records are crucial for providing continuity of care.

Where is Nursing Care Provided?

Nursing care provides services for patients in all medical settings: hospitals, medical centers and offices, community clinics, urgent care clinics, emergency rooms, nursing homes, and in the homes of individuals. The level of nursing care utilized in each setting depends on several factors, including patient needs. A typical doctor’s office may not need many nurses, while a nursing home or emergency room needs several nurses to provide services to patients with more serious medical needs.

Why is nursing important?

The Importance of Nursing Care. Nursing care is used in all medical settings because it is a type of care that is important to overall patient wellness. They are on the frontline of caring for patients, assessing and diagnosing them often before a doctor is available to do the same. Nurses help keep patients comfortable and serve as their advocates.

What is a registered nurse?

A registered nurse is a nurse that has completed a degree program in nursing and is certified to provide more advanced medical services. They are also qualified to make nursing diagnoses and to supervise CNAs and LPNs. Registered nurses may also pursue advanced training to become nurse practitioners, nurse midwives, or nurse anesthetists. These nurses can provide more advanced medical care.

How do nurses assess patients?

Nurses first assess their patients by using all the information available. This includes medical data as well as psychological, economic, lifestyle, and cultural factors. Nurses can provide the best care only when they have a wide range of information about patients. Diagnosis.

What is the job of a nurse?

The work that nurses do helps keep patients healthy and comfortable, and also prevents worsening or new conditions. Nursing care is provided in hospitals, doctor’s offices, urgent care clinics, and residential facilities, like nursing homes. Nursing care can also be provided in the home. The services nursing care provides include many different ...

When were nursing practice standards first published?

The first nursing practice standards were published in 1973. Since that time, both the ANA and specialty nursing organizations have developed standards. However, the proliferation of standards, reflecting a wide divergence of intent, format, and scope, has limited their usefulness.

What is the Committee for Nursing Practice Standards?

The Committee, working with representatives of the specialty nursing organizations, has developed a framework for development of both nursing practice standards and guidelines. Standards and guidelines are defined and differentiated.

When were clinical standards published?

The first nursing practice standards were published in 1973.

What is professional standards in nursing?

Professional standards and nursing process. Professional standards ensure that the highest level of quality nursing care is promoted. Excellent nursing practice is a reflection of sound ethical standards. Client care requires more than just the application of scientific knowledge.

Why are standards of care important?

Standards of care are important if a legal dispute arises over whether a nurse practiced appropriately in a particular case.

Why is nursing important?

The status of nursing as a profession is important because it reflects the value society places on the work of nurses and the centrality of this work to the good of society. a profession is characterized by prolonged education that takes place in a college or university.

What is the nursing attainment?

The nurse attains knowledge and competency that reflects current nursing practice

What is a professional nurse?

A professional nurse also supervises, teaches, and directs all of those involved in nursing care. So there are some guidelines are essential to check how the nurses perform professionally and how they exercise the care, cure and co ordination aspects of nursing.

What is the role of a registered nurse in nursing?

The registered nurse systematically enhances the quality and effectiveness of nursing practice

What are the two concepts that are in the forefront of professional nursing and its services ideal?

Professional nursing practice involves “specialized skills essential to the performance of a unique, professional role” the two main concepts that are in the forefront of professional nursing and its services ideal are accountability and autonomy.

What is the purpose of standards in nursing?

The purpose of standards of clinical nursing practice is to describe the responsibilities for which nurses are held accountable. The standards for nursing practice: 1) Reflect the values and priorities of the nursing profession; 2) Provide direction for professional nursing; 3) Provide a framework for the evaluation of nursing practice;

What are the standards of care?

The standards of care are the yardstick that is used by the legal system to measure the actions of a nurse who is involved in any type of nursing negligence or malpractice. The underlying principle used to establish standards of care is based on the actions that would likely be taken by a reasonable person (nurse) who was placed in a same or similar situation. A nurse is judged against the standards of care that have been established within the profession and specialty area of practice. The ANA and appropriate specialty organizations publish these standards, which are updated continually as healthcare technology and practices change.

What is the nurse practice act?

The Nurse Practice Acts in each state control the practice of nursing through licensing.

What is the nursing process?

Standards of care describe a competent level of nursing care as demonstrated by the nursing process involving assessment, diagnosis, outcome identification, planning, implementation and evaluation. The nursing process encompasses the significant actions taken by nurses in providing care to all clients, and forms the foundation ...

What is the responsibility of a nurse?

As nursing has evolved into the profession that it is, each individual nurse has the responsibility to have read the Nurse Practice Act of his particular state and to understand the standards of care that are set forth in that state’s practice act, policies and procedures established by the healthcare facility where he works and other standards applicable to his practice.

What is a client in nursing?

“Clients” may include any individual, family, group or community for whom the nurse is providing services formally specified as sanctioned by the nurse practice acts.

How are the parameters of nursing regulated?

The practice parameters of nursing are regulated by the individual states through regulatory agencies and boards. These boards are established by state legislation and are given statutory authority by state legislatures to enforce professional practice acts. Individuals cannot legally practice nursing without a license.

What are the principles of nursing development?

The standard must: have an explicit purpose that aligns with the College’s public interest mandate. be clear and easily understood. be relevant to nursing practice and reflect the generally accepted practice of a competent nurse.

What are the factors that influence nursing?

A number of factors influence their development. These are: 1 nursing practice 2 laws and government policy 3 societal and health care context 4 public confidence 5 College Council and committees 6 College members and stakeholders

Is developing standards linear or a process?

Developing standards is not a linear process. Different activities can occur in a number of phases at once. It is also common to move back and forth among phases.

What is standard of care?

A standard of care can also refer to informal or formal guidelines that are generally accepted in the medical community for the treatment of a disease or condition. 2  It may be developed by a specialist society or organization and the title of standard of care awarded at their own discretion.

What is standard of care in healthcare?

In legal terms, a standard of care is used as the benchmark against a healthcare provider's actual work. 1 For example, in a malpractice lawsuit, the healthcare provider's lawyers would want to prove that the practitioner's actions were aligned with the standard of care. The plaintiff's lawyers would want to show how a healthcare provider violated the accepted standard of care and was therefore negligent. What constitutes the standard of care will change from community to community as well as evolve over time.

What is a clinical practice guideline?

It can be a clinical practice guideline, a formal diagnostic and treatment process a doctor will follow for a patient with a certain set of symptoms or a specific illness. That standard will follow guidelines and protocols that experts would agree with as most appropriate, also called "best practice.". Standards of care are developed in ...

Does Verywell Health use peer reviewed sources?

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

Is a standard of care the same in another community?

A standard of care in one community will not necessarily be the same standard in another. Further, one doctor's standard can vary from another doctor's standard.

Does a healthcare provider have to meet the standard of care?

But the standard of care in legal settings is not written down, it is provided by the testimony of expert witnesses. The healthcare provider only has to meet the test that he provided the care that a minimally competent healthcare provider would have done in the same situation and given the same resources. 1 He doesn't have to rise above that standard to be acquitted of malpractice. Either side of a malpractice case may point to clinical practice guidelines and consensus statements, but these do not definitively judge whether the defendant failed to provide the standard of care.

What are the assumptions underpinning the nursing framework?

the two assumptions underpinning the framework (entry-level nursing education must be at the baccalaureate level; and expectations of the framework must be adaptable to local contexts and support local population needs).

Why is nursing important?

A well-educated, professional nursing workforce is essential to good health care outcomes. Although nursing education is being strengthened globally, considerable diversity persists in the level and standards of nursing education both within and across countries. An international framework of guidelines for nursing education has, therefore, been developed to promote greater international consistency and high-quality nursing education globally.

What is Global Alliance for Nursing Education and Sciences?

The Global Alliance for Nursing Education and Sciences (GANES) undertook a multinational methodology to develop global educational guidelines for preservice baccalaureate nursing education. This methodological approach will be described, and the policy implications of the Global Pillars Framework that emerged will be discussed.

What is the purpose of the global framework for nursing education?

The purpose of this paper is to discuss the multinational methodology used to develop a global framework for professional nursing education and the policy implications of this framework in guiding the harmonization of nursing education demanded by the State of the World's Nursing 2020 (WHO, 2020a) call to action. The framework includes the underpinning assumption that nurses be prepared at the baccalaureate level and three pillars of global expectations targeting: a) learning outcomes for graduating preservice nursing students; b) standards for nursing programs, and c) standards for educational institutions delivering nursing programs.

What is grey literature in nursing?

Grey literature refers to information produced outside dedicated publishing channels such as journals. It includes policy papers, reports, newsletters, government documents, conference proceedings and so on. The following search terms guided the process: nursing education guidelines, and nursing education standards. Documents were retained if they were published by a national or international organization involved in nursing, health care or nursing education. Eighteen documents were reviewed and were supplemented by peer reviewed articles on nursing competencies. This literature informed a first draft of the Global Pillars Framework.

What is the Global Pillars Framework?

The Global Pillars Framework reflects international best practices, but the guidelines are adaptable across socio-cultural contexts facilitating the integration of locally relevant education. As 2020 has been declared the Year of the Nurse and Midwife globally, the ground has been laid for the next evolution in the education of the nursing workforce globally.

How many clarifications were recommended for convergent and single participantrecommendations?

For convergentand single participantrecommendations, 9 recommended clarification, 28 recommended additions, 3 recommended removal, and 5 recommended modifications. Three of the divergentrecommendations were about changing an expectation albeit in opposing directions. Two were about removing or retaining a concept or assumption (GANES, 2019).

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Introduction

  • "Standards are professionally developed expressions of the range of acceptable variations from a norm or criterion"-Avedis Donabedian. Standards may be defined as "Benchmark of achievement which is based on a desired level of excellence. Criteria are pre-determined elements against which aspects of the quality of medical service may be compared.
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What Are Nursing Standards?

  • All standards of practice provide a guide to the knowledge, skills, judgment & attitudes that are needed to practice safely. They reflect a desired and achievable level of performance against which actual performance can be compared. Their main purpose is to promote, guide and direct professional nursing practice. (Registered Nurses Association of BC (2003) & the College of Nur…
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Why Are Standards Important?

  1. Outlines what the profession expects of its members.
  2. Promotes guides and directs professional nursing practice – important for self-assessment and evaluation of practice by employers, clients and other stakeholders.
  3. Provides nurses with a framework for developing competencies
  4. Aids in developing a better understanding & respect for the various & complimentary roles th…
  1. Outlines what the profession expects of its members.
  2. Promotes guides and directs professional nursing practice – important for self-assessment and evaluation of practice by employers, clients and other stakeholders.
  3. Provides nurses with a framework for developing competencies
  4. Aids in developing a better understanding & respect for the various & complimentary roles that nurses have. ( Registered Nurses Association of BC (2003) & the College of Nurses of Ontario (2002)

What Is A Profession?

  • Characteristics of a Profession according to Houle (1980) 1. Concept of mission open to change. 2. Mastery of theoretical knowledge. 3. Capacity to solve problems. 4. Use of theoretical knowledge. 5. Continued seeking of self-enhancement by its members. 6. Formal training. 7. Credentialing system to certify competence. 8. Creation of subculture. 9. Legal reinforcement o…
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Professionalization of Nursing

  • Professionalization is the process by which an occupation achieves professional status. The status of nursing as a profession is important because it reflects the value society places on the work of nurses and the centrality of this work to the good of society. a profession is characterized by prolonged education that takes place in a college or university. Values, beliefs, and ethics rela…
See more on currentnursing.com

Professional Standards and Nursing Process

  • Professional standards ensure that the highest level of quality nursing care is promoted. Excellent nursing practice is a reflection of sound ethical standards. Client care requires more than just the application of scientific knowledge. A nurse must be able to think critically, solve problems, and find the best solution for client’s needs to assist clients in maintaining, regaining, or improving th…
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Nursing Profession and Essential Components

  • Nursing is a helping, independent profession that provides services that contribute to the health of people. Three essential components of professional nursing are care, cure and co-ordination. Caring aspect is rational and requires as nurse to understand the patient’s needs at a level that permits individualization of nursing therapies. To cure is to assist patients in understanding thei…
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Nursing as A Profession

  • Nursing is not simply a collection of specific skills, and the nurse is not simply a person trained to perform specific tasks. Nursing is a profession. No one factor absolutely differentiates a job or a profession, but difference is important in terms of how nurse practice. When one can say a person acts “professionally”, for example, we imply that the person is conscientious in actions, knowled…
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Standards of Professional Performance

  • The ANA Standards of professional Performance describes a competent level of behavior in the professional role, including activities related to quality of care, performance appraisal , education, collegiality, ethics, collaboration, research, and resource utilization, this document serves as objective guidelines for nurses to be accountable foe their actions, their patients, and their peer…
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Standards of Care

  • The standards of care in the ANA nursing: Scopes and Standards of practice (2004) describe a competent level of nursing care. The levels of care are demonstrated through the nursing process. The nursing process is the foundation of clinical decision making and includes all significant actions taken by nurses in providing care to clients. Within these are the nursing resp…
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1.Standards of Care in Nursing - HG.org

Url:https://www.hg.org/legal-articles/standards-of-care-in-nursing-6237

26 hours ago They are based on the most recent scientific data available. Regarding nursing, standards have been developed through the contribution of administrative, academic and clinical experts. …

2.Nursing Professional Development Standards

Url:https://www.ncbi.nlm.nih.gov/books/NBK534784/

32 hours ago Regardless of specialty or type of nursing, all nurses follow a basic nursing process that forms the core of care for patients: Assessment. Nurses first assess their patients by using all the …

3.Nursing Care | Standards of Care

Url:https://www.standardsofcare.org/understanding-care/types/nursing/

31 hours ago Nursing, with leadership from the American Nurses Association (ANA), has a long-standing commitment to the development of standards. The first nursing practice standards were …

4.Development of clinical practice standards for nurses

Url:https://pubmed.ncbi.nlm.nih.gov/1824446/

23 hours ago The standards for nursing practice: 1) Reflect the values and priorities of the nursing profession; 2) Provide direction for professional nursing; 3) Provide a framework for the evaluation of …

5.Nursing Standards - Current Nursing

Url:https://www.currentnursing.com/nursing_management/nursing_standards.html

6 hours ago With the revision of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) nursing standards in 1991, a new emphasis has been placed on the nursing standards of …

6.Part 2: Nursing standards, their history and significance

Url:https://www.medical-legalnews.com/part-2-nursing-standards-their-history-and-significance/

17 hours ago  · Standards of care are developed in a number of ways; sometimes they are simply developed over time, and in other cases, they are the result of clinical trial findings. Clinical …

7.Developing Standards - CNO

Url:https://www.cno.org/en/learn-about-standards-guidelines/standards-and-guidelines/developing-standards/

30 hours ago  · Because the quality of nursing education is a critical determinant of the quality of nursing practice, the guidelines for nursing education in the Global Pillars Framework have the …

8.Nursing standards of patient care and standards of …

Url:https://pubmed.ncbi.nlm.nih.gov/10125968/

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9.Understanding Standard of Care for Patients - Verywell …

Url:https://www.verywellhealth.com/standard-of-care-2615208

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10.Global standards for professional nursing education: The …

Url:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7571445/

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