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Provision 1 Resource

Provision 2 Resource

Provision 3 Resource

  • ANA Leadership Institute Competency Model 8/13
  • ANA Position Statement on Privacy and Confidentiality
  • ANA Position Statement on Professional Role Competence - Reaffirmed 11/14.
    The public has a right to expect registered nurses to demonstrate professional competence throughout their careers. ANA believes the registered nurse is individually responsible and accountable for maintaining professional competence. The ANA further believes that it is the nursing profession’s responsibility to shape and guide any process for assuring nurse competence. Regulatory agencies define minimal standards for regulation of practice to protect the public. The employer is responsible and accountable to provide an environment conducive to competent practice. Assurance of competence is the shared responsibility of the profession, individual nurses, professional organizations, credentialing and certification entities, regulatory agencies, employers, and other key stakeholders.
  • ANA Position Statement on Abuse of Prescription Drugs - Approved 4/5/91
    ANA opposes fraudulent or incompetent prescribing activities by health care providers and the misuse of prescribed drugs by nurses themselves. The association encourages comprehensive pharmacology education for nurses practicing in all settings to ensure safe and appropriate prescription of drugs. The association believes education for nurses with prescription privileges should include, but not be limited to:
    (A) Education on the misuse, abuse and addictive potential of prescription drugs.

    (B) Vulnerabilities of special populations which place them at higher risk for drug dependence, i.e. newborns, adolescents, preadolescents, elders, and individuals with chronic illnesses, including substance dependency and mental illness.

    (C) Legal provisions for accountability of the nurse for assessment, intervention and evaluation in relation to prescription, illicit and legal drugs (alcohol).

    (D) Education in prescription practice and management for metabolic altering natural substances such as steroids and growth hormone.
  • ANA’s Resolution Statement on The Profession’s Response to the Problem of Addictions and Psychiatric Disorders in Nursing
  • Barnsteiner, J. (2011). Teaching the Culture of Safety. The Online Journal of Issues in Nursing. Vol 16, No. 3 Sept. 2011.
  • Basic HHS Policy for Protection of Human Research Subjects. Code of Federal Regulations TITLE 45. Public Welfare- Dept. of HHS, Part 46 (Revised 2009)
  • Lachman, VD; Murray, JS; & Ganske, KM. (2012). Doing the right thing: Pathways to moral courage. American Nurse Today, May 2012: vol. 7; no.
  • The AACN Synergy Model for Patient Care (Nurse competencies)
  • Weaver, SJ; Dy, S; Lubomski, LH; & Wilson, R. (2013). Chapter 33 Promoting a Culture of Safety in Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Agency for Healthcare Research and Quality; Mar. 2013.
  • 2015 Institute for Healthcare Improvement. Develop a Culture of Safety.

Provision 4 Resource

Provision 4.1: Authority, Accountability, and Responsibility

  • Raso, R. (2015). Being accountable (or the unexpected virtue of no excuses). Nursing Management, 46(5), 6. DOI: 10.1097/
  • Ridge, R. A. (2015). Putting the I in integrity. Nursing Management, 46(4), 52-54. DOI: 10.1097/01.NUMA.0000462381.26593.91

Provision 4.2: Accountability for Nursing Judgments, Decisions, and Actions

  • Spiva, L. A., Jarrell, N.,& Baio, P. (2014). The power of nursing peer review. Journal of Nursing Administration, 44 (11), 586-90. DOI:10.1097/NNA.0000000000000130

Provision 4.3: Responsibility for Nursing Judgments, Decisions and Actions

  • Miltner, R. S., Jukkala, A., Dawson, M. A., & Patrician, P. A. (2015). Professional development needs of nurse managers.Journal of Continuing Education in Nursing, 46(6), 252-258. DOI 10.3928/00220124-20150518-01
  • Blažun, H., Kokol, P., & Vosner, J. (2015). Research literature production on nursing competencies from 1981 till 2012: A bibliometric snapshot. Nursing Education Today, 35, 673-679. DOI:10.1016/j.nedt.2015.01.002

Provision 4.4: Assignment and Delegation of Nursing Activities or Tasks

  • Aroke, E. N. (2014), Full nursing potential: A concept clarification. Nursing Forum, 49(4), 278-287.  DOI:10.1111/nuf.12096
  • The Joint Commission (2015). Speak up initiatives. Retrieved from
  • Montalvo, I. (2007). The National Database of Nursing Quality Indicators® (NDNQI®). The Online Journal of Issues in Nursing, 12(3). DOI: 10.3912/OJIN.Vol12No03Man02

Provision 5 Resources

  • Duty to care versus duty to self
    Schroeter, K., Journal Of Trauma Nursing: The Official Journal Of The Society Of Trauma Nurses, Vol. 15 No.1 (2008), pp. 3-4; Doi:10.1097/01.JTN.0000315779.97341.d3
  • Agency, duties and the "Ashley treatment"

    Tan, N., and Brassington, I., Journal of Medical Ethics; Vol. 35, No. 11 (November 2009), pp. 658-661; Published by: BMJ; Article Stable URL:
  • Self-care strategies for nurses: A psycho-educational intervention for stress reduction and the prevention of burnout.

    Kravits, K., McAllister-Black, R., Grant, M., and Kirk, C., Journal of Applied Nursing Research, Vol. 23, No. 3, (August 2010) pp. 130-8. Doi: 10.1016/j.apnr.2008.08.002.


  • The Interprofessional Institute for Self-Care at Kent State University School of Nursing,
    Kent State University College of Nursing; P.O. Box 5190; Kent, OH 44242
    An excellent website!
  • Winnipeg Regional Health Authority,
    650 Main Street; 4th Floor, Winnipeg, Manitoba; R3B1E2, Canada
    This site has an extensive list of resources for nurses who need assistance with duties to self
  • University of Minnesota Center for Spirituality & Healing
    Mayo Memorial Building; C592420 Delaware Street SE; Minneapolis, MN 55455
    This site has great material that the practicing nurse can access online, especially the section on "taking charge of your health & wellbeing"

Provision 6 Resource

  1. Clark, C. M. (2013). Creating and sustaining civility in nursing education. Indianapolis, IN: Sigma Theta Tau International Publishing.
  2. Crigger, N., & Godfrey, N. (2011). The making of nurse professionals. A transformational, ethical approach. Sudbury, MA: Jones & Bartlett Learning.
  3. Lower, J. (2012). Civility starts with you. American Nurse Today, 7(5),

Provision 7 Resource

Provision 8 Resource

Provision 9 Resource

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