Assignment: Regulation for Nursing Practice Staff Development Meeting
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.
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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
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
Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
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 nurseâ€™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 nurseâ€™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.
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/
Nursing Licensure.org. (n.d. b). Advanced practice registered nurse license requirements in Ohio. https://www.nursinglicensure.org/np-state/ohio-nurse-practitioner/
Assignment: Regulation for Nursing Practice Staff Development Meeting
- Both national nursing associations and boards of nursing play significant roles in the nurse practitioner profession and the general scope of their practice. Therefore, understanding the differences between the two helps lend credence to the expertise of different healthcare professionals.
Nurses at all stages of their careers ought to commit to ongoing career growth and development. Therefore, national nursing associations provide unique opportunities for career advancement, opportunities for networking, as well as the provision and promotion of the best practice guidelines. National nursing associations offer access to leadership development as well as mentoring that are not always accessible to professionals within their organization of work. National nursing associations provide opportunities for general membership and can sometimes target specific roles, including critical care nurses and student nurses (Alotaibi, 2017). National nurses associations often gain strength through expansive collaboration and exchange of ideas. Members of national nurse associations often benefit from the foundation built on shared professional experiences. Boards of Nursing refers to the agencies that promote and protect the general public’s health and welfare by assuring and overseeing that licensed nurses are involved in the provision of competent and safe healthcare services. The Board of Nurses is led by the elected Board of Directors, who oversee different activities to ensure effective operational processes.
Differences between A Board Of Nursing and a Professional Nurse Association
- Private membership requiring potential members to pay dues to enjoy benefits
- Mainly involved in the protection of nursing professionals
- Involved in the protection of nurse’s interests and may assist in cases of disciplinary actions
- Members are elected, no payment of due
- Mainly involved in the protection of public interest
- Boards of Nursing supervise the licensure renewals, issuance, and applications; they also pursue disciplinary actions in case nurses violates the laws
Both national nurse associations and the Board of nursing are led by directors elected that mainly consist of nurses and other members. The Board of Nurses is not always involved in the drafting of legislation. Also, they cannot oppose or support the proposed bills during legislative processes. However, the Board of nurses often establishes measures that ensure the provision of quality healthcare services to the general public. They are also involved in the development of policies that ensure that nurses and other healthcare professionals are involved in the provision of quality healthcare services to different types of patients. Even though it can sometimes appear that the board of nursing restricts different nursing practices, they often try to have an uneven keel when it comes to the protection of the public from harm through setting minimum qualifications and competencies (Stanley et al., 2019). National nurse associations, on the other hand, are involved in the protection of nurse’s interests. They always act on behalf of nurses to ensure proper working conditions.
Board for a Specific Region/Area:
Alabama Board of Nursing
- The main objective of the Alabama Board of Nursing is to promote and safeguard the safety, health, as well as welfare of the general public through licensing and approvals of qualified persons as well as adopting and imposing the legal standards for nursing education and nursing practice.
The Alabama Board of Nursing is mainly involved in the promotion and safeguarding of health and safety of the members of the public through the formulation of policies aimed at ensuring the nurse and other healthcare professionals adhere to the best practices that lead to the delivery of high-quality care. The Alabama Board of Nursing endeavors to ensure the delivery of quality care through the provision of regulatory excellence. The Alabama Board of Nursing is often involved in the enforcement and implementation of the Nurse Practice Act as well as rules and regulations in line with the Alabama Administrative code to ensure maintenance of public safety. The Alabama Board of Nursing is often involved in state-specific licensing and sets standards for the provision of safe nursing care (Heale & Rieck Buckley, 2020). The board also set or decide on the scope of practice among the nurses within Alabama’s jurisdiction and issue licenses to qualified candidates. Alabama Board of Nursing ensures that nurses are involved in providing quality care to all the public members.
Board Members and How to Become a Member
The board members consists of:
- President- Cheryl Bailey
- Vice president- Valorie Dearmon
- Secretary- Janice Seip
- Advanced practice registered nurses
Members of the Alabama Board of Nursing are appointed by the governor and they serve a four-year term limits. Besides, members can be re-appointed for additional term.
Alabama Board of Nursing consists of the president who is in charge of all the activities undertaken. The president is always elected by the members; the election process is often done after the determination of the qualification of the potential candidates. The president is assisted by the vice president, who is also elected. The main role of the board members is to make policies and decide on different practices that ought to be followed to ensure successful operational processes. The current president of the Alabama Board of Nursing, Cheryl Bailey, is serving her second four-year term, she was re-elected as the Board president in the year 2019, and she is mainly interested in assisting team members in promoting and safeguarding the safety, health as well as the welfare of the public. The board members have well-defined objectives that are expected to enhance the operation of the entire organization. Board members are always elected based on their level of competency.
Regulation Related to General Nurse Scope of Practice and How the Regulation Influence The Nurse’s Role
- One of the regulation related to the general nurse scope of practice is the licensing processes.
- All nursing practice licenses are only given to the qualified nurses after successfully undergoing the required training
- The above regulation impact’s the nurses roles in different ways including:
- Improved development of competency in the nursing practice
- Improved quality of healthcare delivered to patients
- Advocate for the well-being of the patients
Alabama State has stiff regulations that ensure the delivery of quality healthcare services to patients. These regulations impact nursing practice in different ways. The regulations also ensure that patients are given quality healthcare services from different healthcare institutions. Alabama State has strict regulations on the licensing processes. In other words, licenses are only given to qualified healthcare professionals or nurses; the reason is to ensure that only qualified and competent nurses are given the opportunity to manage patients and to provide effective healthcare services. The regulations are meant to enhance effective patient outcomes and ensure that proper treatment guidelines are followed. Every state often has unique regulations that ensure that healthcare professionals adhere to the required practices. Also, these regulations are meant to facilitate the delivery of quality healthcare to all patients. The state government of Alabama is committed to providing quality healthcare services to all the patients and ensuring general improvement in public health; thus, they are often engaged in the formulation of effective strategies.
How the Regulation Influence Delivery, Cost, and Access to Healthcare
Strict licensing process for nurses ensures that only qualified nurses are recruited in different healthcare facilities; thus the impacts are observed:
- In the improved delivery of quality care
- Reduction the costs of healthcare delivery due to quality procedures and research-based approaches
- The general improvement access to different types of healthcare services
Strict licensing procedures ensure that only highly qualified healthcare professionals are recruited to serve patients in different healthcare institutions. Highly qualified nurses are able to apply evidence-based practices and other research processes in ensuring that healthcare services are delivered in line with the required standards and within the ethical regulations. Also, with the effective licensing processes, healthcare institutions are able to acquire enough nurses, a scenario that can lead to the delivery of different healthcare processes at different levels of care. In most cases, the cost of medication often arises as a result of a lack of enough facilities in different healthcare institutions. Thus, with the flexibility yet, strict licensing process, healthcare institutions can significantly reduce the cost of medication and other healthcare services. Additionally, the cost rising cost of healthcare is normally attributed to inadequate research processes and qualified healthcare professionals. However, with the effective licensing processes, there are always opportunities for the management to receive qualified healthcare professionals capable of providing evidence-based practice healthcare services.
State Regulation Related to Advanced Practice Registered Nurses (APRNS)
- The state of Alabama has specific regulations for the Advanced Practice Registered Nurses (APRNs).
- One of the regulation is: APRN ought to have Master’s degree in nursing as well as the certification from the national certifying agency recognized by the board of nursing.
Advanced practice registered nurses is always required to have advanced educational achievement, preferably Master’s level. At this level, they are supposed to have research skills as well as knowledge of evidence-based practices. Thus, they are the main agents when it comes to the provision or delivery of quality care to different patients. Advanced Practice Registered Nurses include clinical nurse specialists, nurse practitioners, nurse anesthetists, as well as nurse-midwives. All these professionals play significant roles in the provision of quality healthcare services. The APRN is regarded as the primary care provider; they are always at the forefront of engaging in the provision of preventive care services to the public members. Advanced Practice Registered Nurses ought to have a Master’s degree from a recognized university in the state of Alabama. With this qualification, it is believed that they have research skills as well as evidence-based practices surrounding the provision of quality care. The state of Alabama has specific regulations for the Advanced Practice Registered Nurses (APRNs).
How the State Regulation Related to Advanced Practice Registered Nurses (APRNS) Influence The Nurse’s Role
- The regulation allow nurses to engage in the provision of quality healthcare services
- The regulation also allow nurses to adhere to the evidence-based practices which are critical in the effective patient outcomes
- Also, the regulation allow nurses to develop collaborative skills in the delivery of quality healthcare services to all the patients.
One of the major roles of APRNs is to ensure the provision of quality healthcare services to all patients. They can achieve this through engagement in research-based healthcare services. Advanced practice registered nurses also play critical roles in the provision of effective leadership in the nursing processes. They guide other professionals in ensuring that patients are given healthcare services in line with their consent. In Alabama, for nurses to be become APRNs, they ought to have a Master’s degree from a recognized university. They also need to have research skills and the knowledge of evidence-based practices to ensure that there is the delivery of quality care. The state government of Alabama has advanced nursing training processes meant to produce more APRN nurses to meet the demands of the growing healthcare needs. However, the training processes offered differ significantly from the areas of specialties. Over the years, the state has been able to enhance the provision of quality care through the recruitment of more APRNs.
How the APRN Regulation Influence Delivery, Cost, and Access to Healthcare
- Recruiting APRNs with Master’s degree has enabled delivery of quality healthcare services. Improved delivery of healthcare processes has open the door for treatment of various complications and management of different patients within the healthcare institutions.
- With the recruitment of more APRN nurses, healthcare institutions have been able to undertake training processes aimed at increasing the number of nurses (Partin, 2019). The increase in the number of nurses has significantly reduced the cost of healthcare delivery. Also, with the increase in nurses, there have been an increase in the access of different healthcare services.
The recruitment of highly qualified professionals to be part of the APRN has led to the delivery of quality services. Alabama State has stiff regulations that ensure the delivery of quality healthcare services to patients (National Council of State Boards of Nursing, 2018). These regulations impact nursing practice in different ways. The regulations also ensure that patients are given quality healthcare services from different healthcare institutions. Alabama State has strict regulations on the educational qualification has allowed for the increased research processes and adherences to the evidence based practices. In other words, licenses are only given to qualified healthcare professionals or nurses; the reason is to ensure that only qualified and competent nurses are given the opportunity to manage patients and to provide effective healthcare services. The regulations are meant to enhance effective patient outcomes and ensure that proper treatment guidelines are followed. Every state often has unique regulations that ensure that healthcare professionals adhere to the required practices. Also, these regulations are meant to facilitate the delivery of quality healthcare to all patients. The state government of Alabama is committed to providing quality healthcare services to all the patients and ensuring general improvement in public health; thus, they are often engaged in the formulation of effective strategies.
- Both national nurse associations and the Board of nursing are led by directors elected that mainly consist of nurses and other members. The Board of Nurses is not always involved in the drafting of legislation. Also, they cannot oppose or support the proposed bills during legislative processes.
National nursing associations provide opportunities for general membership and can sometimes target specific roles, including critical care nurses and student nurses. National nurses associations often gain strength through expansive collaboration and exchange of ideas. Advanced practice registered nurses is always required to have advanced educational achievement, preferably Master’s level. At this level, they are supposed to have research skills as well as knowledge of evidence-based practices. Thus, they are the main agents when it comes to the provision or delivery of quality care to different patients. The Alabama Board of Nursing is mainly involved in the promotion and safeguarding of health and safety of the members of the public through the formulation of policies aimed at ensuring the nurse and other healthcare professionals adhere to the best practices that lead to the delivery of high-quality care.
- Alotaibi, M. (2017). Factors affecting nurses’ decisions to join their professional association. International Nursing Review, 54(2), 160-165. https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1466-7657.2007.00555.x
- National Council of State Boards of Nursing. (2018). National guidelines for nursing delegation. Journal of Nursing Regulation, 7(1), 5-14. https://www.sciencedirect.com/science/article/abs/pii/S2155825616310353
- Stanley, J. M., Werner, K. E., & Apple, K. (2019). Positioning advanced practice registered nurses for health care reform: Consensus on APRN regulation. Journal of Professional Nursing, 25(6), 340-348. https://www.sciencedirect.com/science/article/abs/pii/S875572230900146X
- Heale, R., & Rieck Buckley, C. (2020). An international perspective of advanced practice nursing regulation. International nursing review, 62(3), 421-429. https://onlinelibrary.wiley.com/doi/abs/10.1111/inr.12193
- Partin, B. (2019). Consensus model for APRN regulation. The Nurse Practitioner, 34(6), 8. https://journals.lww.com/tnpj/Citation/2009/06000/Consensus_model_for_APRN_regulation.3.aspx
The cost-benefit analysis made quite the impact on legislatures and their reelection. This has been a political debate for years, and it’s now being used selfishly to win votes. The law and healthcare tie into each other and can significantly impact votes for representatives. For many years republicans used the ACA repeal for votes and attention. The ACA was part of their success, and it was the star of their campaigns at times. People voted specifically on the promise of the ACA being repealed. This didn’t just affect republicans either; this affected all legislation. According to Johnathan Cohn (2020), “Democrats lost 64 seats in the House of Representatives, relinquishing a majority they had won just four years before. And although the results reflected a variety of factors, they had a lot to do with anger over the Affordable Care Act (ACA)”.
For years republicans struck the ACA and tried tearing it apart piece by piece. A lot of people thought that it would ruin the entirety of the healthcare system and make insurance pricier. A cost-benefit analysis by the legislators, Republicans included, soon showed them that they risked not getting re-elected because of the far-reaching negative aspects of ‘repeal and replace. The new policy would deprive many Americans of access to affordable healthcare (Daniel, 2017). Everyone quickly realized that The AHCA would be a financial disaster for millions.
The cost-benefit analysis put all the tiny puzzle pieces together, showing everyone the bigger picture that would change millions of lives. Repealing the ACA would cost roughly $350 billion through 2027 under conventional scoring and $150 billion using dynamic scoring. Repealing ACA would increase the number of uninsured people by 23 million (Daniel, 2017). Figuring out the numbers changed the legislature’s minds and forced them to change how they would win the public votes. The CBA showed the nitty gritty details that people weren’t considering. It showed the actual cost, the time it would take, and the advantages and the disadvantages.
A video from Walden University (2018) featuring Joel Teitelbaum shares, “It is clear that politics is playing a vital role in the design at the outset and now the implementation of the ACA.” I think the cost-benefit analysis greatly impacted whether specific people would earn votes. The most recent KFF Tracking Poll conducted in March 2022 found slightly more than half of the public (55%) hold a favorable opinion of the ACA, while about four in ten (42%) hold a negative view of the law (Montero,2022). The ACA has brought division to the political parties and in several communities.
Legislators’ goals are to remain in office, so at this point, they would do anything for support to be re-elected. As their agendas changed, so did their views. Now they had to change the message to attract different people. The public view changed, and legislatures soon realized they must be careful about what policies they allow to represent them and what procedures they chose to support. Many opinions on government involvement in the health care system impact voters’ choice of the presidential candidate. Blendon and Benson (2014) state, “Polling results have highlighted that voters do not see health care as a single issue. In one poll, 73% of respondents said health care was an important issue in their voting decision. When asked from a list what they meant by this statement, the ACA or Obamacare was the dominant health care issue (48%). Medicare was mentioned by 25%, and Medicaid by 14%”.
As Americans, we want to keep moving forward, working towards coverage that suits everyone. The debates over healthcare and the ACA, in general, will not cease, as we will continually have to work to come to the same solution. Though the answer seems far away, hopefully, one day, we can find a middle ground that suits everyone, even if it looks a little different through political representation. The representation of the specific legislators and what they support/represent will always be what sways votes. Taking each aspect into consideration and looking at the targeted population is what will keep legislators in office.
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.
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