Enforcement of nursing standards is a multi-faceted process: - Accreditation: Healthcare institutions must meet certain standards to receive accreditation from bodies like The Joint Commission. - Licensing and Certification: Nurses must obtain and maintain licensure and certification, which require adherence to specific standards. - Performance Evaluations: Regular assessments and peer reviews help ensure compliance with established standards. - Disciplinary Actions: Regulatory bodies have the authority to take disciplinary actions against nurses who fail to meet required standards.