Correctional Nursing: Scope and Standards of Practice, Third Edition
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In 2018, the American Nurses Association (ANA) convened a volunteer work group of correctional nurses to review and revise the 2013 Correctional Nursing: Scope and Standards of Practice, Second Edition. This new edition’s scope of practice addresses what is expected of all correctional nurses, specifying the who, what, where, when, why, and how of their practice. The detailed discussion of that scope of practice provides the context needed to understand and use the standards, presenting the underlying assumptions, characteristics, environments and settings, education and training requirements, key issues and trends, and ethical and conceptual bases of the specialty. The 16 standards themselves are those by which all correctional nurses are held accountable for their practice. Each standard is measurable by a set of specific competencies that serve as evidence of minimal compliance with that standard.
In addition to correctional nursing practitioners, educators, and students, the Correctional Nursing: Scope and Standards of Practice, 3rd Edition, will also be useful for other nursing professionals and allied healthcare providers, researchers, and scholars. In addition, it will be of interest to others involved in the correctional industry, including employers, insurers, lawyers, regulators, policy makers, and stakeholders.
American Nurses Association
The American Nurses Association (ANA) is the premier organization representing the interests of the nation's 4 million registered nurses. ANA is at the forefront of improving the quality of health care for all. Founded in 1896, and with members in all 50 states and U.S. territories, ANA is the strongest voice for the profession
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Correctional Nursing - American Nurses Association
About the American Nurses Association
The American Nurses Association (ANA) is the only full-service professional organization representing the interests of the nation’s 4.2 million registered nurses through its constituent/state nurses associations and its organizational affiliates. ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the public.
American Nurses Association
8515 Georgia Avenue, Suite 400
Silver Spring, MD 20910
Copyright © 2021 ANA. All rights reserved. No part of this book may be reproduced or used in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher.
ISBNs SAN: 851-3481
print 978-1-947800-77-9
epdf 978-1-947800-79-3
epub 978-1-947800-78-6
mobi 978-1-947800-80-9
Contents
Contributors
Preface
Audience for This Publication
Scope of Correctional Nursing Practice
Definitions
A History of Nurses Within the Correctional Environment
1800s
1900—Present
Population Served
Correctional Nursing Practice and Roles
Primary Care
Acute Care
Urgent or Emergency Care
Palliative Care
Restricted Housing Care
Special Care
Transitional Care
Care Coordination
Medication Management
Health Promotion
Patient Education
Advocacy
Delegation
Preservation of Safety
Correctional Nursing Practice Settings
Point of Care
Institutional Designs
Accreditation in Correctional Health Care
Professional Guidance for Correctional Nursing Practice
Nine Provisions of the Code of Ethics for Nurses
Provision 1. The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.
Provision 2. The nurse’s primary commitment is to the patient, whether an individual, family, group community, or population.
Provision 3. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient.
Provision 4. The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum patient care.
Provision 5. The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth.
Provision 6. The nurse through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality health care.
Provision 7. The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development.
Provision 8. The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities.
Provision 9. The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy.
Guiding Principles for Correctional Nursing Practice
Educational Preparation and Certification
Graduate-Level Prepared Nurses in the Correctional Setting
Advanced Practice Registered Nurses in the Correctional Setting
Partnerships with Community and Academic Nurses
Nursing Leadership in the Correctional Setting
Specialty Certification
Research and Evidence-Based Practice
Translation of Evidence into Practice in Correctional Settings
Issues and Trends in Correctional Nursing
Workforce Recruitment and Retention
Call for National Specialty Organization of Correctional Nurses
New Technologies
Restrictive Housing
Collaboration and Entrepreneurship
Research and Dissemination of Knowledge
Muse’s Proposed Framework for Correctional Nursing
Summary
Standards of Correctional Nursing Practice
Standard 1. Assessment
Standard 2. Diagnosis
Standard 3. Outcomes Identification
Standard 4. Planning
Standard 5. Implementation
Standard 5A. Coordination of Care
Standard 5B. Health Teaching and Health Promotion
Standard 6. Evaluation
Standards of Professional Performance for Correctional Nursing
Standard 7. Ethics
Standard 8. Culturally Congruent Practice
Standard 9. Communication
Standard 10. Collaboration
Standard 11. Leadership
Standard 12. Education
Standard 13. Evidence-Based Practice and Research
Standard 14. Quality of Practice
Standard 15. Professional Practice Evaluation
Standard 16. Resource Utilization
Standard 17. Environmental Health
Glossary
References
Appendix. Muse’s Proposed Framework for Correctional Nursing
Framework Components
Quality-Centered Patient (Person) Care
Contributions to Patient Care
Justice-Involved Populations/Correctional Setting
Contributions to the Profession
Contributions to Society
Index
Contributors
Correctional Nursing Scope and Standards Work Group
Mary V. Muse, MS, RN, CCHP-A, CCHP-RN; Co-Chair
Deborah A. Shelton, PhD, RN, NE-BC, CCHP, FAAN; Co-Chair
Brenda J. Baker, PhD, RNC, CNS
Patricia Blair, PhD, LLM, JD, MSN, CCHP
Regina D. Bradley, MHA, BSN, RN, CCHP
Jennifer L. Brush, BSN, RN
Clarion Campbell, MSN, RN
Alison M. Colbert, PhD, PHCNS-BC, FAAN
Ruby M. Gideon, MSN, RN
Lorie S. Goshin, PhD, RN
Jeremie D. Gregory, MSN, FNP-C
Ruth O. Ifediora, MSN-ED, RN, CCHP-RN
Catherine M. Knox, MN, RN, CCHP-RN
Susan Loeb, PhD, RN, FGSA, FAAN
Denise R. Rahaman, BSN, MBA, CCHP-RN, CCHP-A, NEA-BC
Kaitlin Loadholt, BSN, RN
Karen Rea, MSN, RN, FNP
Louise A. Reagan, PhD, APRN, ANP-BC, FAANP
Lori E. Roscoe, PhD, DNP, APRN, ANP-C, CCHP-RN
Susan Smith, MSN, CCHP-RN
Elizabeth Betsy
O. Swanson, DNP, MPH, APRN-BC
Timothy W. Thomas, MSN, RN, CCHP
Tracey L. Titus, RN, CCHP-RN, CCHP-A
Nicole Walker, MSN, RN, CCHP
Constance S. Weiskopf, PhD, APRN, PMHCNS-BC
Raneé M. Wright, MSN, RN, CCHP-RN, CCHP-MH
Linda Follenweider, MSN, APN, RN; Consultant
ANA Staff
Carol J. Bickford, PhD, RN-BC, CPHIMS, FAMIA, FHIMSS, FAAN
Erin Walpole, BA, PMP
ANA Committee on Nursing Practice Standards
Nena M. Bonuel, PhD, RN, CCRN-K, APRN-BC
Patricia Bowe, DNP, MS, RN
Danette Culver, MSN, APRN, ACNS-BC, CCRN-K
Elizabeth O. Dietz, EdD, RN, CS-NP, Alternate
Kirk Koyama, MSN, RN, CNS, PHN, Co-Chair
Tonette McAndrew, MPA, RN
Stacy McNall, MSN, RN, IBCLC, PMHNP-BC
Linda Inez Perkins, MS, RN-BC, Alternate
Verna Sitzer, PhD, RN, CNS
Mona Pearl Treyball, PhD, RN, CNS, CCRN-K, FAAN
Preface
In 2018, the American Nurses Association (ANA) convened a volunteer work group of correctional nurses to review and revise the 2013 Correctional Nursing: Scope and Standards of Practice, Second Edition. These registered nurses (RNs) and advanced practice registered nurses (APRNs) held various positions in federal, state, and local adult and juvenile correctional and detention facilities, as well as academic institutions, professional organizations, and healthcare facilities. They contributed diverse perspectives in all discussions.
The work group used telephone conference calls and electronic mail communications to complete its work. ANA’s 2015 Code of Ethics for Nurses with Interpretive Statements and 2015 Nursing: Scope and Standards of Practice, Third Edition, served as additional foundational resources. The draft scope and standards document was posted on the Nursing World website at http://NursingWorld.org for a thirty-day public comment period in September 2019. The work group reviewed each submitted comment and further revised the document as necessary.
The ANA Committee on Nursing Practice Standards completed its review of the draft Correctional Nursing: Scope and Standards of Practice, Third Edition, using established review criteria. Recommended revisions were completed before ANA’s Board of Directors conducted a final review and approved this nursing specialty scope of practice statement and acknowledged the revised scope and standard of correctional nursing practice in December 2019.
Previous Edition
If you require access to the previous edition of the Correctional Nursing: Scope and Standards of Practice, please contact ANA via NursingWorld.org or email fulfillment@ana.org.
Audience for This Publication
The primary audience for Correctional Nursing: Scope and Standards of Practice, Third Edition, is the registered nurse (RN) and advanced practice registered nurse (APRN) working in this specialty practice area or contemplating movement into this practice environment. The scope and standards address the expectations for all professional correctional nurses in every clinical and functional role in the correctional health arena. Facility administrators, academicians, other healthcare colleagues, and correctional staff will find the scope and standards a valuable reference. Others who may value this beneficial resource include legislators, regulatory bodies, legal counsel, consultants, nursing students, families, and patients. Correctional Nursing: Scope and Standards of Practice, Third Edition, provides a resource for a better understanding of the expectations for a correctional nurse and how a correctional nurse leads in the healthcare community.
Scope of Correctional Nursing Practice
Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations
(ANA 2015b, 1). Nursing is both a science and an art, the essence of which is caring for and respecting human beings, including those who are detained or incarcerated and those who are under legal supervision in the community.
Definitions
Correctional nursing is the delivery of evidence-based nursing to protect, promote, and optimize health and abilities; prevent illness and injury; facilitate healing; alleviate suffering through the diagnosis and treatment of human response with care and respect; and advocate for individuals, families, groups, communities, and populations under the jurisdiction of the justice system.