Assignment: Regulation for Nursing Practice Staff Development Meeting

Sample Answer for Assignment: Regulation for Nursing Practice Staff Development Meeting Included

Assignment: Regulation for Nursing Practice Staff Development Meeting

Assignment Regulation for Nursing Practice Staff Development Meeting

A Sample Answer for The Assignment: Assignment: Regulation for Nursing Practice Staff Development Meeting

Title: Assignment: Regulation for Nursing Practice Staff Development Meeting

The role of the boards of nursing is to promote the welfare and protect public health through assuring and overseeing the licensed nurses based on their level of practice. Therefore, the boards of nursing act as state agencies that provide safety and competent care (Spector et al.,2018). Each board of directors comprises a non-profit organization, National Council of State Boards of Nursing (NCSBN), and operates independently. Notably, the number of boards of nursing is fifty -nine in total. The board of nursing is lead by the board of directors consisting of nurses and other members. The state’s boards of directors are responsible for administering the laws that govern the nursing practice and education. The board of nursing is prohibited from lobbying, supporting, or lobbying any proposed bill during the legislative sessions.

In contrast, professional nursing associations differ from the board of nursing since they act as professional membership organizations that require members to pay the dues, thus helping them enjoy the benefits. Additionally, the professional nurse association is elected by members of the association thus governed by the Board of Directors (Halstead, 2017). Moreover, the professional nursing association serves as the united voice for nurses and works actively, thus empowering the process to deliver quality health care.

The board for my region is the North Dakota board of nursing. The board membership consist of nine appointed member who are appointed by the governor. Notably, there are five of the members are registered nurses ,two licensed practical nurse, one advanced practice nurse and a public member. The serving term for the North Dakota board of nursing is a four years team and no member is allowed to be appointed more than two consecutive terms and the public member is appointed by the governor. coinciding with the four years term.

To become a member of the North Dakota board of nursing, one must have the United States Social Security Number. A member must have completed a nursing program that prepared you for the level of licensure sought and includes supervised clinical experience across the life span as part of the curriculum. Moreover, one must have one of the following: four hundred hours of license nursing practice in the last four years for the level of licensure sought (if practice occurred outside of the United States, complete the Verification of Employment Form). Either complete a nursing program in the past four years or complete a board-approved refresher course within the past four years. You must submit proof of initial licensure by examination with the examination meeting North Dakota requirements for licensure examinations in effect at the time the applicant qualified for initial licensure.

The state regulation related to general nurse scope of practice is the Advanced Practice Registered

Nurses (APRNs). The APRNS include the clinical nurse specialist, nurse midwives, nurse practitioners, and nurse anesthetists, and they all help in a pivotal role in the future of health care. Advanced Practice Registered Nurses act at the forefront in providing preventive care services to the public. APRNs treat and diagnose illnesses by advising the public on health issues and engaging in continuous education to remain ahead of any technology, thus influencing the nurse’s role. Additionally, they provide primary, acute, and specialty health care across the lifespan through treatment and illness assessment.

The advanced practice nurse profession regulation influences cost-effectiveness in healthcare by helping in diagnosing common medical problems, ordering tests, making referrals, and prescribing medications. Additionally, the regulation influences access to healthcare providing competent and safe care in the setting, thus strengthening the workforce that fulfills the escalating healthcare demands(Woo et al., 2017)

. Moreover, the advanced practice nurse profession helps in the emergency setting by enabling physicians to pay greater attention to patients with highly complex and acuity issues. Therefore, by improving access to prompt emergent care, the regulation influences the delivery by enhancing timely treatment through observing priority in emergency care.

The state regulation related to the general nursing scope includes the Registered Nurse (RN) and Advanced Practice Registered Nurse (APRN). The state regulation is educated, maintain active licensure and title to practice nursing. Therefore, Registered Nurse regulation help in defining the standards and parameters of professional nursing practice. In addition, they emphasize advanced protection over the advancement of nursing; decisions tend to be conservative and risk-averse, as well as helping in the regulatory process. The Registered nurse shapes the care, thus influencing the nurse’s role.

Registered nurse regulation can influence the cost of health care since they are always on the front lines. For instance, many departments implement improvement of the project through involving the front-line members. Additionally, a registered nurse can advocate against unnecessary treatments or medication, thus influencing the organization costs. Furthermore, registered nurses help coordinate care from multiple providers, thus managing caseloads if patients with intense care need influence effective access to healthcare. Moreover, they act as health coaches, thus preventing illness and promoting wellness which influences the delivery of patient care.

Assignment: Regulation for Nursing Practice Staff Development Meeting REFERENCES

• Halstead, J. A. (2017). Professional nursing organizations. Issues and trends in nursing: Practice, policy, and leadership, 107-118.
• Spector, N., Hooper, J. I., Silvestre, J., & Qian, H. (2018). Board of nursing approval of registered nurse education programs. Journal of Nursing Regulation, 8(4), 22-31. https://www.sciencedirect.com/science/article/pii/S2155825617301783
• Woo, B. F. Y., Lee, J. X. Y., & San Tam, W. W. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review. Human resources for health, 15(1), 1-22. https://link.springer.com/article/10.1186/s12960-017-0237-9
• https://www.nursingworld.org/
• https://www.ncsbn.org/index.htm

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

Please follow the instructions below for the writing of this coursework. You need PowerPoint to complete the course work.i will attach couple of files. an instruction page, a couple of other students PowerPoint examples to guide your writing i want you to use CNO COLLEGE OF NURSE OF ONTARIO AS THE BOARD IN MYY SPECIFIC REGION.

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

ORDER NOW FOR AN ORIGINAL PAPER!!! Assignment: Regulation for Nursing Practice Staff Development Meeting

To Prepare:

Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.

Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (9- to 10-slide PowerPoint presentation)

Develop a 9- to 10-slide PowerPoint Presentation that addresses the following:

Describe the differences between a board of nursing and a professional nurse association.

A board of nursing is a regulatory body that is responsible for overseeing and licensing nurses within a specific state or region. Boards of nursing establish the standards of nursing practice, enforce the rules and regulations governing nursing, and discipline nurses who violate these standards. They play a critical role in protecting the public by ensuring that nurses meet the necessary qualifications and adhere to the appropriate standards of care.

On the other hand, a professional nurse association is a membership organization that is focused on advocating for the nursing profession, providing resources and education for nurses, and promoting professional development and networking opportunities. Professional nurse associations can be national or regional, and they often have a specific focus, such as critical care, pediatrics, or oncology nursing. They offer nurses a way to connect with peers, stay up to date on industry developments, and advance their careers.

Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area. Assignment: Regulation for Nursing Practice Staff Development Meeting

The board of nursing that oversees nursing practice in Texas is the Texas Board of Nursing (BON). The BON is a regulatory agency that was created by the Texas Legislature in 1909 to protect the public by regulating the practice of nursing. The BON is responsible for setting standards for nursing education and practice, licensing qualified nurses, and investigating complaints against nurses.

The Texas Board of Nursing consists of 13 members who are appointed by the Governor of Texas, with the advice and consent of the Senate. The members include registered nurses, licensed vocational nurses, nurse educators, and members of the public. Members of the board serve staggered six-year terms.

To become a member of the Texas Board of Nursing, a person must be a registered nurse or licensed vocational nurse who has been actively practicing nursing for at least five years. The person must also be a resident of Texas and must not have any conflicts of interest that would impair their ability to serve on the board.

The Texas Board of Nursing has several regulations related to the general nurse scope of practice, such as rules related to delegation, supervision, and the administration of medication. The board also has regulations related to Advanced Practice Registered Nurses (APRNs), such as rules related to certification, education, and prescribing authority.

Who is on the board?

How does one become a member of the board?

Describe at least one federal regulation for healthcare.

How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?

Has there been any change to the regulation within the past 5 years? Explain.

Describe at least one state regulation related to general nurse scope of practice.

How does this regulation influence the nurse’s role?

How does this regulation influence delivery, cost, and access to healthcare?

Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).

How does this regulation influence the nurse’s role?

How does this regulation influence delivery, cost, and access to healthcare?

Professional Nursing and State-Level Regulations

According to Bosse et al. (2018), the Board of Nursing (BON) evaluates and regulates license applications and takes necessary disciplinary actions to resolve and minimize professional misdemeanors. For instance, BON evaluates applications through a comprehensive background check to ensure that nursing applicants have the requisite education and professional experience (Neff et al., 2018). The Board also evaluates whether nursing practitioners participate in continuing professional education or are in good standing before sanctioning license renewal based on clearly defined standards and practice regulations. However, practice standards versions differ across different states in the United States (Neff et al., 2018). For instance, while some states permit full practice authority in primary settings for their advanced practice nurses (APNs), others only sanction APNs full practice authority under strict professional supervision (Bosse et al., 2017). Therefore, this discussion compares at least two APRN Board of Nursing regulations in my state (Ohio) with those of at least one other state.

Comparison and Application of the Regulations to APRNs in Ohio and Texas

Advanced Practice Registered Nurses (APRNs) are bounded by specific regulations and rules governing their practice as licensed healthcare practitioners. According to Milstead and Short (2019), regulations are essential in the nursing discipline and other related professional engagements. Such rules and policies ensure that only competent and qualified individuals practice in various professional roles. Specifically, regulations in the nursing field are mainly designed and enforced by professional entities such as ANA and BONs to help streamline services and optimize patient outcomes.

According to Milstead and Short (2019), NRBs (Nursing Regulatory Bodies) have jurisdictional authority and power to regulate nursing practice across the United States. For instance, APRNs in Ohio are mandated by the state’s Board of Nursing to prescribe. However, they must have a special prescribing license to prescribe medications, especially controlled substances such as Valium and Morphine (Milstead & Short, 2019). For instance, APRNs prescribing controlled substances must get a special DEA number first. According to the Ohio Board of Nursing, all written prescriptions by APRNs must have the prescribing DEA numbers; otherwise, the prescription will be considered invalid.

The Ohio Nursing Board establishes minimum requirements for APRN initial and continued licensure. For example, for initial licensure, the Board requires APRNs to have an active Ohio RN license, hold a masters or doctoral degree with a major in a nursing specialty, and have a minimum of one current national certification in a nursing specialty or population focus specified by a certifying entity (Bosse et al., 2017). The Board also requires APRNs to have a standard care arrangement with a collaborating physician and a Certificate of Authority. They should also earn graduate degrees after sitting for an approved certification examination. Other additional requirements include a course in advanced pharmacology comprising at least 45 contact hours specific to the nurses’ specialty or practice areas and a 1,500 hours externship with at least 500 hours directly under the strict observation of a supervising professional (Nursing Licensure.org, n.d. b). For APRNs from other jurisdictions, the Ohio Board of Nursing requires proof of prescriptive authority and completing a mandatory two-hour course in Ohio prescribing law.

The Ohio Board of Nursing further stipulates that APRNs prescribing medication in the state must complete the requisite and approved 45-hour training in advanced pharmacology (Nursing Licensure.org, n.d. b)). The pharmacology course will introduce APRNs to various legal, ethical, and fiscal implications of prescribing medications. They must also execute the standard of care arrangement (SCA), a written, formal guide for planning and evaluating patients’ healthcare processes and plans. APRN prescribers in Ohio should also complete a minimum of 12 hours of advanced pharmacology, maintain quality assurance provisions and registration with the DEA (Drug Enforcement Administration), and prescribe based on the stipulated nursing rules and standards (Nursing Licensure.org, n.d. b). Most importantly, APRNs in Ohio are limited to similar restrictions as the physicians they are working with within different practice environments (Nursing Licensure.org, n.d. a). For example, if the APRNs are working with dentists, they cannot prescribe outside the limits of the profession (dentistry).

Texas Board of Nursing also identifies the unique and dynamic role of APRNs. The Board’s scope of advanced practice emphasizes experience, knowledge acquisition, evidence-based practice, and technology development in strengthening care delivery systems (Nursing Licensure.org, n.d. a). According to the Board’s scope of practice, APRNs in Texas can perform and influence specific procedures and activities. Based on educational requirements, APRNs must have a masters level or higher qualification (Nursing Licensure.org, n.d. a). They must also undergo preceptorship programs to prepare them for their specific roles and population focus. APRN certification must be consistent with the level of education, population foci, and recognized roles. The renewal requirements include the need for continuing education and active practice (a minimum of 400 practice hours) (Nursing Licensure.org, n.d. a).

APRNs in Texas have limited prescriptive authority because they must work with physicians to prescribe medications, including controlled substances. Expressly, physicians in Texas can delegate ordering and prescription processes to APRNs. However, unlike in Ohio, the duration of the prescription authority cannot exceed 90 days (Nursing Licensure.org, n.d. b). APRNs must also consult with the delegating physicians before continuing a treatment process that involves the same controlled substances beyond 90 days. They must also consult with the delegating physicians before prescribing controlled substances to children under the age of two years (Nursing Licensure.org, n.d. a). Overall, APRNs in Texas must have a full and active practice license issued by the state Board of Nursing, a valid prescriptive authorization number, disclose any previous or current disciplinary problems, and be in good standing before practicing in the state.

Similarities and Differences

The respective State Board of Nursing regulates the activities of APRNs in Ohio and Texas. The BONs are the licensing and regulatory bodies responsible for establishing APRNs’ standards and scope of practice (Nursing Licensure.org, n.d. a). Most of the regulations propagated by the BONs ensure that nurses provide patients with quality medical care. For example, the regulations guiding APRNs’ educational requirements ensure that only those with advanced clinical education standards have passed the national board certification exam practice.

However, despite sharing numerous standard nursing practice regulations, the three states differ regarding the authorization of full practice authority. For example, APRNs in Texas are permitted full practice authority, while those in Ohio have limited or reduced practice authority. This means that APRNs in Ohio cannot practice independently in their primary settings (Nursing Licensure.org, n.d. b). They cannot prescribe medications and treat basic mild and severe illnesses without signing supervision contracts with a physician.

In conclusion, the Board of Nursing in Ohio and Texas play critical roles in shaping and enhancing care and patient outcomes. However, BONs in Texas should expand prescriptive authority to APRNs to prescribe medications independently without a physician’s supervision. APRNs should not have to sign a practice contract to execute their professional mandate, which limits their performance abilities.

References

Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761-765. https://doi.org/10.1016/j.outlook.2017.10.002

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.

Neff, D.F, Yoon, S.H., Steiner, R.L., Bumbach, M.D., Everhrt, D., & Harman J.S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379-385. doi:10.1016/j.outlook.208.03.001

Nursing Licensure.org. (n.d. a). Advanced practice registered nurse license requirements in Texas. https://www.nursinglicensure.org/np-state/texas-nurse-practitioner/

Links to an external site.

Nursing Licensure.org. (n.d. b). Advanced practice registered nurse license requirements in Ohio. https://www.nursinglicensure.org/np-state/ohio-nurse-practitioner/

 

• •  

The state board of nursing is a regulatory body responsible for overseeing the practice of nursing within a specific state. The regulatory framework in Kentucky, governed by the Kentucky Board of Nursing sets guidelines and standards for nursing education, scope of practice, and licensure. These impact different aspects like licensure which the Kentucky regulatory system ensures nurses meet specific requirements to obtain and maintain their licenses. This regulatory body defines the scope of practice for different types of nurses in Kentucky. It outlines specific tasks that registered nurses (RN) and advanced practiced registered nurses (APRN) are allowed to perform. Key regulations establish practice standards that nurses must adhere to in Kentucky such as patient assessment, documentation, and medication administration. Compliance with this helps to maintain high-quality nursing across the state. Moreover, the regulatory requirement mandates continuing education for nurses which helps nurses stay up to date with advanced health care. Patient safety is one of the bigger domains they focus like medication errors and infection control.

Comparison of Kentucky and North Carolina licensure for APRN

Both Kentucky and North Carolina have specific licensure requirements for advanced Practice Registered Nurses (APRN). They both require APRNs to have a graduate degree in nursing from an accredited program and to hold National certification in their respective roles.

In Kentucky, APRNs can diagnose, treat, and prescribe medications independently. In North Carolina, APRNs have restricted practice authority and will need a supervising physician.

In North Carolina, APRNs have Collaborative Practice Agreement (CPA) with a supervising physician. The CPA outlines the scope of practice, relationship, and other aspects of collaboration. Kentucky does not have a CPA requirement for APRNs with full practice authority.

In Kentucky, APRNs have full practice authority. In North Carolina, APRNs have limited prescription authority and may require supervision by a physician.

  APRNs Practicing and Adhering to Regulations

To practice as an APRN in Kentucky, individuals must be licensed as registered nurses and hold national certification in their specialized area of practice. scope of practice for APRNs in Kentucky includes assessing, diagnosing, treating, and managing patients. (Mlambo & McGrath, 2021)

Ethical and Legal Standards: APRNs must adhere to ethical principles and legal standards in their practice. They are expected to maintain patient confidentiality, uphold professional boundaries, and provide care that aligns with ethical guidelines. APRNs must also be aware of and comply with relevant healthcare laws and regulations, such as those related to patient rights, privacy.

Attempts to replace and repeal Obamacare (Affordable Care Act) and Policymakers’ incapacity to pass the American Health Care Act disadvantages prospective voters. It is agreed that the Patient Protection and Affordable Care Act of 2010 (ACA) was a developed system. The first time, it hardly desired to debate social righteousness in American healthcare. Replacing or repealing the Affordable Care Act was one of the number-one priorities for the Trump administration (Obamacare repeal, 2017). Republican attempts quickly lacked support across the board when lawmakers discovered that the latest proposals to ‘repeal and replace’ would affect the moderate American voter. Many Republican legislators began seeing their re-election possibilities slim if they resumed supporting the repeal and replacement of Obamacare or ACA.

The first attempt at repealing and replacing the ACA was accepted in May 2017 when the American Health Care Act (AHCA) was passed in the House of Representatives. The AHCA that the Trump administration and Republican legislators aimed to use to replace and repeal Obamacare. However, it evolved that under the AHCA, 24 million Americans will lose their health insurance coverage (Willison & Singer, 2017). The AHCA suggested a tax credit not based on income but based on age. It alone would have increased the cost of healthcare for many Americans. A Patient and State Stabilization Fund were also implemented to reduce premiums by twenty percent. However, the effect of this will be higher premiums for Americans who already have pre-existing medical conditions. In addition, the new law replacing the ACA will grant states the power to suspend specific rules currently in the ACA, given certain conditions. It will also increase healthcare coverage premiums for Americans with chronic diseases (Reisman, 2015).

A cost-benefit analysis by the lawmakers, including Republicans, soon showed them that because of the far-reaching negative aspects of ‘repeal and replaced,’ they risked not getting re-elected. The new strategy would, as noted above, deprive many Americans of access to quality healthcare. However, this is the same issue discussed by Obamacare in the sample essay on Politics and the Patient Protection and Affordable Care Act. For example, the American Academy of Family Physicians opposed the AHCA proposals because they increased health insecurity among Americans. According to the AAFP, this new approach has raised premiums and refused patients insurance coverage due to age, health status, or socio-economic status (Shader, 2015). Mitch McConnell, the senate majority leader, found it hard to get support for the AHCA as it was for these re-election purposes. A fault with the AHCA was noticed by none other than the Congress Budget Office (CBO). In the end, the senators created their revision plan, called the Better Care Reconciliation Act of 2017, for their interests.

 Washington state and Idaho have similar and different regulations governing the scope of practice (SOP) and licensure renewals. For example, advanced registered nurse practitioners (ARNP) have a renewal period every two years in Washington state and Idaho (State of Idaho Board of Nursing, n.d.; Washington State Department of Health, n.d.). Also, the states do not require a practice agreement or supervision by a physician to practice (National Nurse-Led Care Consortium, 2017). However, Washington state and Idaho do still differ in their regulations governing renewal requirements. For example, Idaho requires that ARNPs have a peer review “Performed by a licensed APPN, Physician, PA or other professional certified by a recognized credentialing organization” every two years (States of Idaho Board of Nursing, n.d., PEER REVIEW – APPNS section). In Idaho, this is a requirement to substantiate that peers attest that care given meets the standard of care by another practitioner with the exact conditions. Washington states regulations do not require this of ARNPs that are renewing their licenses. However, as you can see, they do have some similar and different rules that apply to their SOP and licensure renewal. 

           Regulations are applied by SOP from nursing acts and implicitly state the legal authority of what ARNPs are allowed to do in their practice. The SOP determines precisely if your practicing state enables you to practice to the fullest extent of your education and experience. Washington state and Idaho allow ARNPs to practice to the fullest extent of their education and experience (Centers for Disease Control and Prevention, 2016, Table 2). However, ARNPs still need to know what that means to them not just in Washington state but others as well. There are boundaries to practice, and it is imperative to know where those are for the safety of patients and what they comply with within practice. 

           ARNPs may adhere to the scope of practice and renewal regulations in various ways. To comply with any law, you need to understand what is in it. ARNPs need to fully understand the regulations that guide the scope of practice and licensure renewal requirements in their state. For example, imagine if you had a care provider that is an ARNP who was not sure if they could prescribe certain scheduled medications. By checking with your scope of practice, you would adhere to the regulations that govern prescriptive authority. If you were in Idaho, this would also cross over into the laws governing the peer-reviewed process for licensure renewal that would lead to failure to meet with peer-reviewed performance if you were prescribing medications that you are not authorized to do. Also, it is imperative to monitor changes related to SOP and licensure to ensure that you are up to date and conforming to practice and license renewal requirements (Milstead & Short, 2019, p. 70). Knowing and understanding the regulations that govern your scope of practice and licensure renewal is essential for ARNPs to understand current and continued practice requirements. 

References 

Centers for Disease Control and Prevention. (2016). State law fact sheet: a summary of NURSE PRACTITIONER scope of practice laws, in   effect April 2016. CDC.gov. Retrieved June 29, 2021, from                                                                                                                 https://www.cdc.gov/dhdsp/pubs/docs/SLFS_NSOP_508.pdf#:~:text=Nurse%20practitioners%E2%80%99%20authority%20to%20treat%20patients%20is%20regulated,under%20the%20supervision%20of%20another%20health%20care%20professional. 

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning. 

National Nurse-Led Care Consortium. (2017, September). State-by-state guide to laws regarding Nurse Practitioner prescriptive authority and Physician practice. Retrieved June 29, 2021, from https://nurseledcare.phmc.org/images/pdf/policy/Policy—NP-Practice-Regulations-Chart-2017.pdf 

State of Idaho Board of Nursing. (n.d.). Licensure application types. Retrieved June 29, 2021, from https://ibn.idaho.gov/licensure/licensure-application-types/ 

States of Idaho Board of Nursing. (n.d.). Statute, rules, and policies. State of Idaho Board of Nursing. Retrieved June 29, 2021,                    from  https://ibn.idaho.gov/wp-content/uploads/2020/06/6-APRN.pdf 

Washington State Department of Health. (n.d.). Nurse Licensing. Retrieved June 29, 2021, from https://www.doh.wa.gov/LicensesPermitsandCertificates/NursingCommission/NurseLicensing/ReneworReactivateaLicense#ARNP 

Regulation for Nursing Practice Staff Development Meeting

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

Resources

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

To Prepare:

• Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
• Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

• Describe the differences between a board of nursing and a professional nurse association.
• Describe the board for your specific region/area.
  • Who is on the board?
  • How does one become a member of the board?
• Describe at least one state regulation related to general nurse scope of practice.
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
  • If a patient is from another culture, how would this regulation impact the nurse’s care/education?
• Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Has there been any change to the regulation within the past 5 years? Explain.  
• Include Speaker Notes on Each Slide (except on the title page and reference page)

By Day 7 of Week 6

Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.

submission information

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area. 

1. To submit your completed assignment, save your Assignment as WK6Assgn+LastName+Firstinitial
2. Then, click on Start Assignment near the top of the page.
3. Next, click on Upload File and select Submit Assignment for review.

Rubric

NURS_6050_Module03_Week06_Assignment_Rubric

Criteria	Ratings	Pts
This criterion is linked to a Learning Outcome Boards of Nursing vs. Professional Nurse AssociationsDevelop a 8- to 9- slide PowerPoint presentation that addresses the following:· Describe the differences between a board of nursing and a professional nurse association.· Describe the members of the board for your specific region/area.· Who is on the board?· How does one become a member of the board?· Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.	25 to >22.0 pts ExcellentUsing sufficient evidence, the response accurately and thoroughly describes the differences between a board of nursing and professional nurse associations. …Response provides a complete and accurate description of who is on a board of nursing. …Response provides a detailed and thorough explanation of how one becomes a member of the board of nursing. …Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide. 22 to >19.0 pts GoodUsing sufficient evidence, the response accurately describes the differences between a board of nursing and professional nurse associations. …Response provides an accurate description of who is on a board of nursing. …Response provides an accurate explanation of how one becomes a member of the board of nursing. …Speaker notes are included on every slide and are used to explain the significant points on each slide. 19 to >17.0 pts FairDescription of the differences between a board of nursing and professional nurse associations is inaccurate or incomplete. …Description of who is on a board of nursing is incomplete or inaccurate. …Explanation of how one becomes a member of the board of nursing is vague or inaccurate. …Speaker notes are incomplete or lack sufficient elaboration. 17 to >0 pts PoorDescription of the differences between a board of nursing and professional nurse associations is inaccurate or incomplete. …Description of who is on a board of nursing is incomplete or inaccurate. …Explanation of how one becomes a member of the board of nursing is vague or inaccurate. …Speaker notes are missing.	25 pts
This criterion is linked to a Learning Outcome The Impact of State Regulation on Nurse PracticeDescribe at least one state regulation related to general nurse scope of practice.• How does this regulation influence the nurse’s role?• How does this regulation influence delivery, cost, and access to healthcare?• If a patient is from another culture, how would this regulation impact the nurse’s care/education?• Has there been any change to the regulation within the past 5 years? Explain.• Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.	30 to >26.0 pts ExcellentResponse includes an accurate and thorough description of how one state regulation is related to general nurse scope of practice. …Response accurately and thoroughly explains how the regulation influences the nurse’s role. …Response accurately and thoroughly explains how the regulation(s) influences delivery, cost, and access to healthcare. …Response accurately and thoroughly explains how the regulation impacts the nurse’s care/education to provide care for other cultures. … Changes fully explained. …Presentation includes speaker notes that explain and elaborate the significant points of the presentation. 26 to >23.0 pts GoodResponse includes an accurate description of how one state regulation is related to general nurse scope of practice. …Response accurately explains how the regulation influences the nurse’s role. …Response accurately explains how the regulation(s) influences delivery, cost, and access to healthcare. …Response accurately explains how the regulation impacts the nurse’s care/education to provide care for other cultures. …Changes partially explained. …Presentation includes speaker notes that explain the points of the presentation. 23 to >20.0 pts FairDescription of one or more state regulations that are related to general nurse scope of practice is incomplete or inaccurate. …Explanation of how the regulation(s) influences the nurse’s role is vague or inaccurate. …Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague or inaccurate. …Explanation of how the regulation(s) influences the nurse’s care/education for other cultures is vague or inaccurate. …Change is vague. …Presentation includes speaker notes that are incomplete or lack appropriate explanation. 20 to >0 pts PoorDescription of one or more state regulations related to general nurse scope of practice is vague and inaccurate or is missing. …Explanation of how the regulation(s) influences the nurse’s role is vague and inaccurate or is missing. …Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague and inaccurate, or is missing. …Explanation of how the regulation(s) influences the nurse’s care/education for other cultures is vague or inaccurate or missing. …Change was not discussed. …Speaker notes are missing.	30 pts
This criterion is linked to a Learning Outcome Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).• How does this regulation influence the nurse’s role?• How does this regulation influence delivery, cost, and access to healthcare?• Has there been any change to the regulation within the past 5 years? Explain.Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.	30 to >26.0 pts ExcellentUsing sufficient evidence, response includes an accurate and thorough description of how one state regulation is related to Advanced Practice Registered Nurses (APRNs). …Response accurately and thoroughly explains how the regulation influences the nurse’s role. …Response accurately and thoroughly explains how the regulation(s) influences delivery, cost, and access to healthcare. … Changes fully explained. …Presentation includes speaker notes that explain and elaborate on the significant points of the presentation. 26 to >23.0 pts GoodUsing sufficient evidence, response includes an accurate description of how one state regulation is related to Advanced Practice Registered Nurses (APRNs). …Response accurately explains how the regulation influences the nurse’s role. …Response accurately explains how the regulation(s) influences delivery, cost, and access to healthcare. …Changes partially explained. …Presentation includes speaker notes that explain the points of the presentation. 23 to >20.0 pts FairDescription of one or more state regulations that are related to Advanced Practice Registered Nurses (APRNs) is incomplete or inaccurate. …Explanation of how the regulation(s) influences the nurse’s role is vague or inaccurate. …Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague or inaccurate. …Change is vague. …Presentation includes speaker notes that are incomplete or lack appropriate explanation. 20 to >0 pts PoorDescription of one or more state regulations related to Advanced Practice Registered Nurses (APRNs) is vague and inaccurate or is missing. …Explanation of how the regulation(s) influences the nurse’s role is vague and inaccurate or is missing. …Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague and inaccurate, or is missing. …Change was not discussed. …Speaker notes are missing.	30 pts
This criterion is linked to a Learning Outcome Written Expression and Formatting—Paragraph Development and OrganizationSpeaker notes make clear points that support well developed ideas, low logically, and demonstrate continuity of ideas.Sentences are carefully focused– neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction and conclusion are provided which delineate all required criteria.	5 to >4.0 pts ExcellentSpeaker notes and sentences follow writing standards for flow, continuity, and clarity. …A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria. 4 to >3.0 pts GoodSpeaker notes and sentences follow writing standards for flow, continuity, and clarity 80% of the time. …Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive. 3 to >2.0 pts FairSpeaker notes and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. …Purpose, introduction, and conclusion of the assignment is vague or off topic. 2 to >0 pts PoorSpeaker notes and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. …Purpose, introduction, and conclusion of the assignment is incomplete or missing.	5 pts
This criterion is linked to a Learning Outcome Written Expression and Formatting: English Writing StandardsCorrect grammar, mechanics, and proper punctuation.	5 to >4.0 pts ExcellentUses correct grammar, spelling, and punctuation with no errors. 4 to >3.0 pts GoodContains a few (1-2) grammar, spelling, and punctuation errors. 3 to >2.0 pts FairContains several (3-4) grammar, spelling, and punctuation errors. 2 to >0 pts PoorContains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.	5 pts
This criterion is linked to a Learning Outcome Written Expression and Formatting: The presentation follows correct APA format for parenthetical/in-text citations, and reference list.	5 to >4.0 pts ExcellentUses correct APA format with no errors. 4 to >3.0 pts GoodContains a few (1-2) APA format errors. 3 to >2.0 pts FairContains several (3-4) APA format errors. 2 to >0 pts PoorContains many (≥5) APA format errors.	5 pts
Total Points: 100

State laws significantly influence how Advanced Practice Registered Nurses (APRNs) conduct their business. Considering the distinctions in individual states can give important information about how these medical professionals can comply with legal obligations while providing their customers with the best treatment possible (Bosse et al., 2017). In this examination, two different APRN legislations from Michigan and California will be explored highlighting their key differences and analyzing how they impact practice in each state.

One significant point of divergence lies in the supervision requirements for APRNs. In Michigan, Specialists in nursing certification (CNSs) and Certified Nurse Practitioners (CNPs) generally require physician supervision for ordering and interpreting diagnostic tests, prescribing certain medications, and performing some invasive procedures as per the National Council of State Boards of Nursing (2023). Conversely, California grants full practice authority to CNSs, allowing them independent practice without physician oversight. The current national discussion on the ideal ratio to strike between APRN privacy and transparency is reflected in this discrepancy.

Another critical area of contrast involves the scope of practice for APRNs. Within their particular specializations, APRNs are authorized to conduct specified procedures and services as defined by Michigan regulations (Neff et al., 2018). California, however, adopts a more open-ended approach, allowing CNSs to provide any service within their specialty for which they are qualified as long as it is consistent with nationally recognized standards and falls within the legal definition of nursing practice. This flexibility in California empowers CNSs to tailor their services to each patient’s unique need.

These varying regulatory strategies impact the way APRNs practice in each state. In Michigan, according to the National Council of State Boards of Nursing (2023), a CNP may collaborate with a physician to manage a patient’s chronic condition, with the physician overseeing key aspects of care. In California, a CNS might independently lead a patient’s complex case utilizing their expertise and judgment to make treatment decisions. Such structures show APRNs’ versatility in various requirements and offer multiple advantages.

Comparing and contrasting these rules clarifies how important it is to keep talking about APRN practice. While Michigan’s approach ensures a safety net through physician supervision, California’s model empowers CNSs to contribute more autonomously to healthcare delivery (Neff et al., 2018). To maximize APRN practice and guarantee high-quality patient care in every state, it will be essential to strike the correct balance between regulation and autonomy as healthcare landscapes change.