Framework For Orthopaedic Nursing

The orthopaedic nursing framework includes four domains: practice, education, leadership, and research with the focus on client health. Activities in the four domains contribute to achieving the goal of client health. These domains are not mutually exclusive. For example, a nurse working primarily in the practice domain may simultaneously function as an educator, a leader, and a researcher. Furthermore, the domains interact with one another; activities or changes in one domain will have an impact on the activities in the other domains. These activities create the building blocks for the continuing development of the specific body of knowledge that defines orthopaedic nursing, standards, and competencies.

The beliefs and guiding principles of orthopaedic nursing underlie the standards in all four domains. Adherence to the standards contributes to and enhances the effectiveness of client care. Superimposed on all aspects of the framework is the reflective process. Through critical reflection, the orthopaedic nurse continually seeks new understanding and gains insight into healthcare practices in the pursuit of excellence.