STANDARDS OF CARE AND

PROFESSIONAL PERFORMANCE
STANDARDS

Ns. Ridhoyanti H, S.Kep, M.Kep

SCOPE AND STANDARDS OF

PSYCHIATRIC-MENTAL HEALTH NURSING PRACTICE

Standards of
care
Assessment
Diagnosis
Outcome
identification
Planning
Implementation
Evaluation

Standards of
professional
Performance
Quality of care
Performance
appraisal
Education
Collegiality
Ethics
Collaboration
Research
Resource
utilization

ANA &
APNA
(2000)

Standards of Care

Standard I : Assessment
Nurse collects patient health data
Rationale
Requires linguistically and culturally effective

communication skills, interviewing, behavioral

observation, etc.

Nursing Conditions
Self

awareness,
accurate
therapeutic
communication,
dimensions

observation,
responsive

Nursing Behaviors
Establish nursing contract, obtain information,

validate data, organize data

Standard II : Diagnosis
Analyze the assessment data in determining
diagnoses
Rationale
Recognition and identification of patterns of

response to actual or potential psychiatric

illness

Nursing Condition
Decision

making,
knowledge
of
parameters, sociocultural sensitivity

normal

Nursing Behavior
Identify patterns, compare data with norms,

analyze, identify problems, validate problems

Standard III : Outcome identification

Identifies expected outcomes individualized to
the patient
Rationale
Influence mental health outcomes and

improve the patients health status

Nursing Condition
Critical thinking skills, partnership

Nursing Behavior
Hypothesizing,

specifying
outcomes, validating goals

expected

Standard IV : Planning
Develops a plan of care
Rationale
Guide

therapeutic
intervention
systematically, document progress

Nursing Condition
Application of theory, respect

Nursing Behavior
Prioritize

goals,
identify
activities, validate plan

nursing

Standard V : Implementation
Implement the interventions identified in
the plan of care
Rationale
To

promote, maintain,
physical health

restore

mental

and

Nursing Condition
Past clinical experience, knowledge of research,

responsive dimensions

Nursing Behavior
Consider available resource, implement nursing

activities, generate alternatives, coordinate

Intervensi Dasar

Standard V-A : Counseling

Improving or regaining their previous coping
abilities
Standard V-B: Millieu Therapy
Provides, maintains a therapeutic environment

Standard V-C : Promotion of Self Care Activities

Using daily activities to foster self care
Standard V-D : Psychobiological Intervention
Uses knowledge to restore the patients
prevent disability

health and

Standard V-E : Health Teaching

Assist in achieving satisfying, productive, healthy pattern
of living

Standard V-F : Case Management

To coordinate comprehensive health service and
ensure continuity of care
Standard V-G : Health Promotion & Health Maintenance
Employs strategies and interventions to promote and
maintain health and prevent mental illness

Advanced practice
intervention

Standard V-H : Psychotherapy

To assist patients in preventing mental illness and
disability, treating, improving mental health status

Standard V-I : Pharmacology agent prescription

making
Uses prescriptive authority to treat symptoms of
psychiatric illness
Standard V-J : Consultation
To enhance the abilities of other clinicians to
provide services

Standard VI : Evaluation
Evaluates the patients progress
Rationale
Continuous process of appraising the effect of

nursing and the treatment regimen on the

patients health status and expected outcomes

Nursing Condition
Supervision, self-analyze, peer review, patient-

family participation

Nursing Behavior
Compare

patients responses and expected

outcome, reviewing nursing process, modify,
participate in quality improvement activities

Standards of
Professional
Performance

Standard I : Quality of Care

Evaluate the quality of care and effectiveness of
nursing

Standard II : Performance Appraisal

Evaluates ones own psychiatric mental health
nursing practice in relation to professional
practice standard and regulation

Standard III: Education

Acquires and maintains
nursing practice

current

knowledge

in

Standard IV : Collegiality
Interact with and contributes to the professional
development of peers, health care clinicians and
others

Standard V : Ethics
Assessment, actions, recommendation on behalf of
patients are determined and implemented in an
ethical manner

Standard VI : Collaboration
Collaborates with the patient, clinicians in providing
care

Standard VII: Research

Contributes to nursing and mental health
trough the use of research methods and
findings
Standard VIII: Resource Utilization
Consider
factors
related
to
safety,
effectiveness, cost of planning and
delivering patient care

Thank You