This Nursing Practice Decision Making Framework is intended to assist nurses, facilities, boards of nursing, and other stakeholders in determining whether specific activities, interventions, or roles are permissible based on the nurse's level of education, licensure, and competence while meeting the standards established by the nurse practice act and the rules/regulations of each state or jurisdiction. To develop the Framework, the Tricouncil for Nursing, which included representatives from the American Nurses Association, American Organization of Nurse Executives, National League for Nursing, and the National Council of State Boards of Nursing, conducted a methodical review of the literature and existing decisionmaking algorithms in 2015. To get started, you can use EdrawMax online to create this Nursing Practice Decision Making Framework diagram.