The American Association of Critical-Care Nurses (AACN) has published "AACN Scope and Standards for Progressive Care Nursing Practice," marking the first time a standalone edition has been tailored specifically to this growing specialty. Previously included in a combined edition with critical care nursing practice, the new publication addresses the unique complexities of caring for acutely ill patients who are moderately stable but at an elevated risk of instability. ​
Progressive care nurses provide direct care to patients requiring a high intensity of care and vigilance. These patients are often found in hospital units such as progressive care units, telemetry, stepdown, intermediate, adaptable acuity units, emergency departments, and long-term acute care hospitals. Additionally, progressive care nurses may offer virtual nursing support by remotely monitoring acutely ill patients. ​
The standalone publication reflects the maturation of progressive care into a distinct practice area within the critical care continuum. Anna Alder, chair of the task force responsible for the standards, noted that the increasing number of patients requiring highly skilled nursing care, who are not critically ill, has contributed to the recognition of progressive care as a specialized field. This recognition underscores the need for clinical and educational resources tailored to progressive care nursing. ​
The "AACN Scope and Standards for Progressive Care Nursing Practice" provides an in-depth exploration of the specialty, covering neonatal, pediatric, adult, and geriatric populations. It outlines the expected levels of practice and professional performance for progressive care registered nurses, detailing the competencies required to meet each standard. The resource also delineates the vital role of progressive care nurses in delivering patient- and family-centered care in today's complex healthcare environments.
The publication of these dedicated standards represents a significant advancement for progressive care nursing. It provides a framework that acknowledges the specialized skills and knowledge required to care for a patient population that is acutely ill yet moderately stable. As progressive care continues to evolve, these standards will serve as a foundation for practice, education, and further development within the specialty.