Nursing Leadership: Scope and Standards of Practice, 3rd edition

By American Nurses Association

The Nursing Leadership: Scope and Standards of Practice, 3rd Edition, formerly titled Nursing Administration, is an essential document for every nurse leader practicing in the United States. The scope of practice statement answers the who, what, when, where, how, and why questions of nursing leadership. The standards provide authoritative statements of the actions and behaviors that all nurse leaders are expected to competently perform, regardless of role, population, specialty, and setting. Each standard is accompanied by detailed competencies for the three practice levels.
The product of extensive thought work by many nurse leaders, this new edition provides 19 national standards of practice and professional performance. Each standard is accompanied by detailed competencies for nurse leaders. This premier professional resource informs and guides nurse leaders in their vital work providing safe, quality, and competent care.

• Language: English
• Publisher: Nursesbooks
• Release date: Mar 29, 2024
• ISBN: 9781953985903

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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The American Nurses Association (ANA) is a national professional association. This publication reflects the position of ANA regarding the scope and standards of nursing practice and should be reviewed in conjunction with state board of nursing regulations. State law, rules, and regulations govern the practice of nursing, while Nursing Leadership: Scope and Standards of Practice, 3rd Edition guides registered nurses in the application of their professional skills and responsibilities.

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. The 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 healthcare issues affecting nurses and the public.

American Nurses Association

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Silver Spring, MD 20910

Cataloging-in-Publication data on file with Library of Congress

Copyright © 2024 American Nurses Association. 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

Print 978-1-953985-88-0

ePDF 978-1-953985-89-7

ePUB 978-1-953985-90-3

Mobi 978-1-953985-91-0

SAN: 851-3481

Contents

Contributors

Nursing Leadership Scope of Practice

Function of the Scope Statement

Introduction—Evolution of the Specialty Scope and Standards

Definition of Nursing Leadership Specialty Practice

Professional Identity in Nursing

Nursing Leadership Scope and Standards Framework

Skills, Knowledge, Experience Progression

Leadership Competencies

American Organization for Nursing Leadership Competencies

Role Qualifications

Education

Certification

The Evolution of Nursing Leadership

The Future

Leadership Practices

External Influences

Diversity, Inclusion, Health Equity, and Social Justice

Introduction

Background

Role Accountabilities and Responsibilities

Accountabilities for Health Advocacy and Policy

Digital Technology

Emergency Mitigation Through Recovery

Health and Well-Being of Nurse Leaders and Those They Lead

Healthy Work Environments That Optimize Outcomes

Incivility, Bullying, and Workplace Violence: What Leadership Should Know

Innovation

Legal and Regulatory Compliance

Networking, Partnering, and Collaboration

Patient and Population Health

Safety, Quality, and Risk Management

Strategic and Financial Stewardship

Workforce Strategy

Closing Statement

Standards of Nursing Leadership Practice

Standards of Practice

Standards of Professional Performance

Glossary

References

Appendix A Framework for Nurse Leadership

Appendix B Crosswalk of the AONL, Future of Nursing, American AACN Essentials Competencies

Index

Contributors

Special thanks to AONL leadership, staff, and members for their significant contributions in developing the content of this document.

Review and Revision Work Group Members (2021–2023)

Edna Cadmus, PhD, RN, NEA-BC, FAAN, Co-Chair

Christina Dempsey, DNP, MBA, RN, CENP, CNOR, FAAN, Co-Chair

G. Rumay Alexander, EdD, RN, FAAN

Angela M. Ball, MPH, RN, PHN

Robyn Begley, DNP, RN, NEA-BC, FAAN

Laurie Benson, BSN

Garrett Chan, PhD, RN, APRN, FAANP, FAEN, FCNS, FNAP, FPCN, FAAN

Joseph Marc A. de Veyra, DNP, MBA, RN, CNL, PCCN

Cole Edmonson, DNP, RN, NEA-BC, FACHE, FNAP, FAAN

Nanne M. Finis, MS, RN

Mary Ann Fuchs, DNP, RN, NEA-BC, FAAN

Ronda Hughes, PhD, MHS, RN, FAAN

Melissa Hermanson, MSN, MBA, RN, NEA-BC

M. Lindell Joseph, PhD, RN, FAONL, FAAN

Karlene M. Kerfoot PhD, RN, FAAN

Simmy King, DNP, MS, MBA, RN-BC, NE-BC, CHSE, FAAN

Megan Matson, DNP, RN, CCRN-K, CENP

Kevin Moore, BSN, RN

Valerie Morrison, DBA, MSM, BSN, RN, NEA-BC, SHRM-SCP

Paula M. Neira, JD, MSN, RN, CEN, FAAN

Lindsay Novacek, DNP-PHNL, RN, CCHP

Madelyn M. Pearson, DNP, RN, NEA-BC

Daniel Pesut, PhD, RN, FAAN

Pamela Rudisill, DNP, MSN, RN, NEA-BC, FAAN, FAONL

Donna Russo, MSN, BSN, RN

Hussein M. Tahan, PhD, RN, FCM, FAAN

Timothy Thomas, MSN, RN, CCHP

Lydel Wright, MSN, BSN, RN, NEA-BC

ANA Committee on Nursing Practice Standards

Elizabeth O. Dietz, EdD, RN, CS-NP, CSN, FAAN, Co-chair

Mona Pearl Treyball, PhD, RN, CNS, CCRN, FAAN, Co-chair

Nena M. Bonuel, PhD, RN, CCRN-E, ACNS-BC, APRN-BC, FNAP

Patricia Bowe, DNP, MS, RN

Ahnyel Burkes, DNP, RN-BC, NEA-BC

Marlissa Esquivel, MSN, RN, AMB-BC

Tonette McAndrew, MPA, BSN, RN

Linda Inez Perkins, MSN, RN-BC

Michael Manasia, MSN, RN, OCN, Alternate

Shelly Wells, PhD, MBA, MS, APRN-CNS, ACNS-BC, ANEF, Alternate

ANA Staff

James Angelo, MA, Publishing Director

Carol J. Bickford, PhD, NI-BC, CPHIMS, FAMIA, FHIMSS, FAAN, Content editor

Katie Boston-Leary, PhD, MBA, RN, NEA-BC, Content contributor

Erin E. Walpole, PMP, Production editor

Nursing Leadership Scope of Practice

Function of the Scope Statement

The scope and standards of practice statement (pages 1–57) describes the who, what, where, when, why, and how of professional nursing leadership practice and performance. Each of these questions must be sufficiently answered to provide a complete picture of the practice and its boundaries, context, application, and membership. The depth and breadth in which individual registered nurses (RNs) engage in the total scope of nursing leadership practice is dependent upon education, experience, role, leadership accountability, practice setting (care environment), organization of employment, and the population served.

Introduction—Evolution of the Specialty Scope and Standards

Nursing leadership, previously referred to as nursing administration, is a long-standing nursing specialty practice. The American Nurses Association (ANA) first published the Standards for Organized Nursing Services and Responsibilities of Nurse Administrators Across All Settings in 1988, followed by a revision in 1991. The Scope and Standards for Nurse Administrators was then published in 1995, followed by the second edition released in 2005. The follow-on Nursing Administration: Scope and Standards of Practice (2009) and Nursing Administration: Scope and Standards of Practice, Second Edition (2016) reflected the practice environments at those times.

This 2024 edition characterizes the evolution of nursing administration specialty practice to the nursing leadership specialty and the challenges and new opportunities in the work environments that span the continuum of settings where nurse leaders work today. The publication of the 2024 Nursing Leadership: Scope and Standards of Practice was the culmination of an intense 18-month collaborative professional review and revision effort hosted by the ANA. A dedicated and experienced workgroup met virtually at least twice a month to discuss and revise the document which was posted for public comment in February 2023. All the comments and suggestions received during the public comment period were subsequently reviewed, with many incorporated into the final document that then completed the two-step ANA nursing specialty scope and standards review process.

Definition of Nursing Leadership Specialty Practice

Nursing leadership is the specialty practice devoted to collaboratively and collegially setting the vision, mission, and values for health, human services, and social care. It is the art and science of nursing leadership, influence, empowerment, and governance of and with professional nurses and other team members that advance a culture of clinical and operational excellence, including but