Academic journal article Online Journal of Issues in Nursing

Implementing the New ANA Standard 8: Culturally Congruent Practice

Academic journal article Online Journal of Issues in Nursing

Implementing the New ANA Standard 8: Culturally Congruent Practice

Article excerpt

Standard 8: Culturally Congruent Practice. The registered nurse practices in a manner that is congruent with cultural diversity and inclusion principles.

American Nurses Association (2015a) p. 69; (Table 1)

In 2015, the American Nurses Association (ANA) published the third edition of Nursing: Scope and Standards of Practice (NSSP) to include, for the first time, the Standard of Culturally Congruent Practice. In this article, we present the history of the revised standards and the new Standard 8; discuss the application of the new standard to nursing practice; consider research related to culturally congruent nursing care; and conclude with a Call to Action for promoting culturally congruent practice for nurses, educators, and researchers.

History of the Revised Standards and New Standard 8

ANA is responsible for articulating the social contract between the profession and society, which includes the definition of nursing (ANA, 2015a), the nursing code of ethics (ANA, 2015b), and the scope and standards of nursing practice (ANA, 2015a). These three works, which ANA calls the Essentials of Nursing Practice, guide nurses in their practice and inform the public of the profession's expectations of its licensed members. The scope of nursing practice describes the who, what, where, when, why, and how of nursing practice; and it provides a complete picture of the dynamic and complex practice of nursing and its evolving boundaries and membership (ANA, 2015a: Nursing Scope and Standards Revision Workgroup, 2015). The standards of nursing practice, as listed in Table 1, are authoritative statements of the duties that all registered nurses, regardless of role, population, or specialty, are expected to competently perform. Performance of the competencies that accompany each standard may be considered as evidence of compliance with that standard, but the list is not exhaustive (ANA, 2015a).

In June 2014, ANA commissioned a workgroup of 40 expert nurses, diverse in education, experience, and demographics, to review and revise the 2010 Nursing: Scope and Standards of Practice (NSSP), 2nd Ed. (ANA, 2010). For over a year, the workgroup met regularly via telephone-conference calls. The workgroup first examined and slightly revised the definition of nursing originally published in the 2003 Nursing's Social Policy Statement and later in the 2010 edition (ANA, 2003: ANA, 2010).The workgroup added the terms "facilitation of healing" and "groups" to enhance the definition of nursing:

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, 2015a, p. 1).

The workgroup next reviewed the scope statements and all standards. This review occurred at a period of global and national angst, in part due to a steady increase of culturally and ethnically diverse consumers within healthcare educational programs, workforce, and delivery systems. Global connectivity and communications continued to grow exponentially while ethnic strife, mass migration, and related humanitarian need spiked to crisis proportions (Médicins Sans Frontières, 2016). In the United States (U.S.), in addition to expression of divergent views on immigration policy, altercations with authorities exposed human-rights deprivation and harm to racial, ethnic, and immigrant groups (Morales, Pilet, & Ruedin, 2015: Shively et al., 2014: U.S. Department of Justice. 2015: 2016). In contrast, the U.S. Supreme Court concurrently expanded the civil rights of same-sex couples to include marriage and related privileges, citing the laws governing marriage as reflecting historically "continuity and change" (Obergefell v. Hodges, 576 U. S., 2015, p. 6). "Race matters" was an important concept in the dissenting opinion to the Supreme Court decision in Schuette v. …

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