Essay: Making sound professional judgment Essay: Making sound professional judgment To assist nurses in making sound professional judgment about nursing tasks or procedures there are six factors that govern decision-making for determining nursing scope of practice in the state of Texas. First, if the act is consistent with the Texas Nursing Practice Act (NPA), and whether the Board’s rules or position statements address the act. Second, if the activity is appropriately authorized by a valid order/protocol and in accordance with established policies and procedures. Third, if the act is supported by either research in nursing and health-related literature or in scope-of-practice statements
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