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Understanding Professional Accountability: Credentialing and Accreditation in Nursing

This chapter explores the vital concepts of professional accountability, credentialing, and accreditation in nursing. It highlights the responsibility nurses have towards their patients, the public, and their profession. The regulation of nursing by various agencies ensures public safety and welfare, with an emphasis on education and ethical standards. The chapter also discusses the role of accreditation bodies like the ANA and NLNAC, the importance of licensure and continuing education, and the impact of the Nurse Licensure Compact. Ultimately, it underscores the commitment to competence and excellence in nursing practice.

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Understanding Professional Accountability: Credentialing and Accreditation in Nursing

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  1. Chapter 9 Professional Accountability: Credentialing and Accreditation

  2. Professional Accountability • Responsibility that one assumes for their practice • Obligation to report or account for their actions • To the profession, public, and themselves

  3. Regulation of Nursing • National, state, and local agencies • Guide regulation to protect the public’s health, safety, and welfare • Examples of each

  4. Hallmarks of a Profession • University education • Distinct service or practice and discipline • Research-based body of knowledge • Autonomy (self-governance) and accountability • Code of ethics • Association membership

  5. Accountability • Begins with preconditions • Ability • Responsibility • Authority • Ends in accountability • Alliance for Nursing Accreditation (ANA)

  6. Accreditation and Approval in Nursing Education • History • Purposes • National League for Nursing Accrediting Commission (NLNAC) • Commission on Collegiate Nursing Education (CCNE) • American Nurses Association (ANA)

  7. National Council of State Boards of Nursing (NCSBN) • History • Purpose • Three categories of state boards

  8. Licensure • History • NCSBN’s role • National Council Licensure Examination for Registered Nurses (NCLEX-RN) • APRNs

  9. Mutual RecognitionModel of Nurse Licensure • Goal • Nurse Licensure Compact • Impact on each state’s Nurse Practice Act

  10. Advantages of Compact • Nurses practice in multiple states without needing multiple licenses • Collaboration between interstate boards of nursing may increase public safety • Improved access to nursing care in rural settings

  11. Trends in Mandatory Continuing Education (MCE) • State specific • Specialty specific • Setting specific • Link between MCE and professional competence

  12. Certification and Credentialing • American Nurses Credentialing Center (ANCC) • Specialty organizations • Advance practice

  13. Healthcare Accreditation • Joint Commission on Accreditation of Healthcare Organizations (JCAHO) • History • Purpose • Goals • Magnet Status

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