NUR 513 Topic 2 DQ 1 Identify at least three regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty

NUR 513 Topic 2 DQ 1 Identify at least three regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty

NUR 513 Topic 2 DQ 1 Identify at least three regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty

NUR 513 Topic 2 DQ 1

Identify at least three regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty. Discuss the way these bodies or regulations influence the educational requirements and experiences for your specialty. Advanced practice registered nurses must incorporate the APRN consensus model in their response.

Re: Topic 2 DQ 1

The federal government does play a role in the regulation process for APRNs in terms of Medicare and Medicaid reimbursement, but much of the regulatory responsibility has been shifted to the states (DeNisco & Baker, 2016). In general licensing and regulations are done on a state level, upheld by the Boards of Nursing (BONs) which vary from state to state (DeNisco & Baker, 2016). The BONs act as decision making bodies that define the nursing scope of practice, educational requirements, licensure, licensure requirements, certifications, and deliver disciplinary action (DeNisco & Baker, 2016). The Nurse Practice Acts (NPAs) are the defined state laws that outline the scope of practice for nurses and nursing specialties within each state that the BON enforces (DeNisco & Baker, 2016).

I hope to work in Nursing Informatics in the future. Because informatics is a nontraditional APRN role, some certification and licensure requirements differ from those of the four traditional APRN roles. The APRN Consensus Model states that informatics is not considered direct patient care and thus does not require regulatory recognition beyond a Registered Nursing license (APRN Consensus Work Group & National Council of State Boards of Nursing APRN Advisory Committee, 2008). A board certification in Informatics Nursing is available from the ANCC. To be certified, you must have active BON RN licensure, a bachelor’s degree in nursing, at least two years of RN practice, 30 hours of informatics continuing education within three years, and meet practice hour requirements (ANCC, 2021). Completing this graduate level program will fulfill my practice hour requirements in my case.

Also Check Out: Assignment: Compare two different advanced registered nurse roles with regard to ethical guidelines.

NUR 513 Topic 2 DQ 1 Identify at least three regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty References

American Nurses Credentialing Center (ANCC). (2021, February 8). Informatics nursing certification (RN-BC).https://www.nursingworld.org/our-certifications/informatics-nurse/

APRN Consensus Work Group & the National Council of State Boards of Nursing APRN Advisory Committee. (2008). Consensus model for APRN regulation: Licensure, accreditation, certification & education. APRN Joint Dialogue Group Report. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning. ISBN-13: 9781284072570

RESPOND  HERE (150 WORDS, 2 REFERENCES)

Re: Topic 2 DQ 1

Denisco and Barker (2016) write, “Health professions regulation provides for ongoing monitoring and maintenance of an acceptable standard of practice for the professions, with the goal of protecting the interests of public welfare and safety.” Because of the complexities of the healthcare system, regulation is necessary as a safeguard for the public. One of the regulatory bodies is each state’s Board of Nursing (BON). There are sixty BONs in the National Council of State Boards of Nursing, all of which are members of the National Council of State Boards of Nursing (NCSBN). The Board of Nursing in each state establishes licensing criteria, approved nursing education courses, and licensure examinations (Denisco & Barker, 2016). All accredited nursing schools base their curriculum on what the BON has approved. Although each state’s BON establishes the passing criteria for the nursing licensure exam, it is the National League for Nursing (NLN) that ensures the licensing exam is standardized through its established State Board Test Pool Examination (SBPTE) (Denisco & Barker, 2016).

National specialty nursing organizations play a role in the regulation of advanced practice registered nurses. They do so by developing practice standards and examinations. I am currently working toward a career in health care management. I am hopeful that I can complete my MBA and MSN in Leadership in Health Care Systems. A regulatory body that will be relevant to my chosen career field is the American Organization for Nursing Leadership (AONL). Through their credentialing center, the AONL offers certifications for nurses depending on their level of management; the Certified Nurse Manager and Leader (CNML) for managers, and Certified in Executive Nursing Practice (CENP) administrators (American Organization for Nursing Leadership, 2021).

Advanced practice registered nursing (APRN) was born out of the anticipated shortage of primary care providers following the birth of Medicare and Medicaid programs in the 1960s (Denisco & Barker, 2016). In an effort to make it easier for APRNs to practice across state lines, the NCSBN published the Consensus Model in 2008. “The Consensus Model provides guidance for states to adopt uniformity in the regulation of APRN roles, licensure, accreditation, certification and education (National Council of State Boards of Nursing, Inc., 2021).

American Organization for Nursing Leadership (AONL) (2021). AONL Credentialing Center Certification Programs. Retrieved from      https://www.aonl.org/initiatives/certification

Denisco, S.M. and Barker, A.M. (2016). Advanced Practice Nursing: Essential Knowledge for the Profession. Jones and Bartlett Learning.  https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php

National Council of State Boards of Nursing, Inc. (2021). APRN Consensus Model: The Consensus Model for APRN Regulation, Licensure, Accreditation, Certification, and Education. Retrieved from https://www.ncsbn.org/aprn-consensus.htm

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RESPOND  HERE (150 WORDS, 2 REFERENCES)

Re: Topic 2 DQ 1

The regulatory bodies that work together to specify certification, licensure requirements, and scope of practice for Public health nursing include, the National Council of State Board of Nursing (NCSBN). The American Nurses Association (ANA), American Nurses Credentialing Center (ANCC) and the National Board of Public health examiners (NBPHE) (American Association of College of Nursing, 2021). In many cases, the major and legal requirement for Public health nursing practice is the registered nurse (RN) licensing. Nurses with baccalaureate degree who are interested in receiving Advanced degree such as master’s degree or higher in public health nursing can seek additional voluntary certification through the American Nurses Credentialing Center (ANCC) to earn Advanced Public Health Nursing Board certified (PHN-BC) and the National Board of Public Health Examiners (NBPHE). Hence, they are awarded a Certified Public Health (CPH) certificate after the certification examination (Association of Public Health Nurses, 2019)

The National Council of State Boards of Nursing (NCSBN) is a non-profit organization that ensures licensed nurses provide competent care across the country. They accomplish this by ensuring that new nurses enter the workforce have the necessary skills and knowledge to provide safe patient care (National Council of State Board of Nursing, 2019). They created the NCLEX examination for nursing licensure.

The American Nurses Association (ANA) empowers nurses to use their full scope of practice for the benefit of public health. The ANA facilitates the review and revision of the scope and practice standards of public health nursing to ensure that nursing responsibilities evolve at the same rate as public health demands (American Nurses Association, 2021). In addition, the ANA supports policy, advocacy, and education to build on individual nurse contributions to public health in areas such as immunization, infection control, environmental health, and opioid crisis response (American Nurses Association, 2021).

NUR 513 Topic 2 DQ 1 Identify at least three regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty References

American Association of College of Nursing. (2021). Certification for Public Health Nursing. AACN. Retrieved March 4, 2021, from https://www.aacnnursing.org/Population-Health-Nursing/Certification-for-Public-Health-Nursing

American Nurses Association. (2021). Public Health Nursing. ANA. Retrieved 3 4, 2021, from https://www.nursingworld.org/practice-policy/workforce/public-health-nursing/

Association of Public Health Nurses. (2019). CPH Credential. APHN. Retrieved March 4, 2021, from https://www.phnurse.org/cph-credential

National Council of State Board of Nursing. 2019. History. Retrieved from https://www.ncsbn.org/history.htm

One nursing regulatory body (NRB) in the state of Georgia is the Georgia Board of Nursing under the Georgia Secretary of State, Brad Raffensperger. The Georgia Board of Nursing is a member of the National Council of State Boards of Nursing (NCSBN), a not-for-profit organization made up of the NRBs from all 50 states, Washington D.C and four U.S. territories (National Council of State Boards of Nursing, n.d). Because nursing has such a key role in the health care system, it is vital that it is done in a safe, evidence-based, consistent manner. Each of the members of the NCSBN has a law called the Nurse Practice Act that explains in detail every aspect of nursing, including but not limited to what duties, responsibilities, educational requirements, licensing, and scope of practice are necessary to ensure that nursing is being practiced safely in their state or territory. Each nurse must function in a way that is in line with this law to maintain their license. Nursing regulatory bodies such as the Georgia Board of Nursing are responsible for enforcing the Georgia Registered Professional Nurse Practice Act. 

Another nursing regulatory body that enforces the requirements of the Georgia Nurse Practice Act is the Oncology Nursing Society (ONS). Although ONS is a nursing organization that focuses on the specialty of oncology, it builds its specialty scope of practice on the foundation of the Nurse Practice Act of each state or territory. The Oncology Nursing scope and standards set minimal standards as well as requirements to become Oncology Nurse Certified (OCN). The Oncology Nursing scope and standards also provide initial and annual competencies to individual oncology nurses so that they can gain and/or improve their knowledge in the field of oncology ((Lubejko & Wilson, 2019) 

The specialty of Public Health Nursing is regulated by the Georgia Department of Public Health Office of Nursing. The Georgia DPH Office of Nursing acts as a nursing regulatory body to ensuring that Public Health nurses practice in a way that is in line with the Georgia Nurse Practice Act, the Georgia Board of Nursing rules and regulations, and scope of practice by developing policies and procedures, and providing leadership, and assistance to public health nurses in their communities. (dph.georgia.gov, n.d) 

NUR 513 Topic 2 DQ 1 Identify at least three regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty References:

About NCSBN. NCSBN: Leading regulatory excellence. (n.d.). Retrieved August 13, 2022, from https://ncsbn.org/about.htm 

Lubejko, B. G., & Wilson, B. J. (2019). Oncology nursing: Scope and standards of Practice. Oncology Nursing Society. 

Office of Nursing. Georgia Department of Public Health. (n.d.). Retrieved August 13, 2022, from https://dph.georgia.gov/clinical-services/office-nursing 

All fifty states have individual boards of nursing which collectively comprise the National Council of State Boards of Nursing. The board of nursing protects the health and safety of the public by regulating nursing practice and defining the standards for safe nursing care. In California the Nurse Practice Act (NPA) describe the scope of practice and responsibilities for the registered nurse within the state. 

The California Board of Registered Nursing provides information and guidelines for the registered nurse. The scope of the advanced practice nurses continues to change and so does the information and guidelines of practice. The California Board of Registered nurses defines the scope of practice, education, and certification of advanced practice nursing. For example, a Nurse Practitioner “is a registered nurse who possesses additional preparation and skills in physical diagnosis, psycho-social assessment, and management of health-illness needs in primary health care, who has been prepared in a program that conforms to Board standards as specified in California Code of Regulations, CCR, 1484 Standards of Education” (CA.gov, p. 1). In California Nurse Practitioners can prescribe medications and work independently which is a difference in practice compared to other states within the United States. 

As stated earlier, the scope of advanced practice nursing continues to change and in turn the board of registered nursing and NPA continues to update. It is important as a nurse that we continue to strive to educate ourselves and keep up to date in changes in legislation and nursing practice. 

CA.Gov, (N.D.). California board of registered nursing: General information: Nurse practitioner practice. https://www.rn.ca.gov/pdfs/regulations/npr-b-23.pdf 

REPLY 

I liked you discussion on the California Board of Registered Nursing and agree with your statement that boards of nursing and the NPAs continue to change and update. I got my RN license in Arizona, but have been looking to move to California. Since California is not part of the Nursing Licensure Compact (NLC), like Arizona, I have had to apply for a California license via endorsement which is an expensive and time consuming process. In my research, I saw that it was proposed for California to join the NLC in the 2021-2022 legislative session (California Legislature, 2021). However, the proposal died and will have to be brought up again in a different legislative session (California Legislature, 2021). I think that the NLC is a very beneficial program and am surprised there are states, like California, that do not want to be a part of it. I think that the NLC helps RNs and APRNs practice in other states during emergencies, like the COVID-19 pandemic. Do you think that California and the other non-compact states will join the NLC in the near future? 

Reference 

California Legislature. (2021). Licensed registered nurses and licensed vocational nurses: Nurse licensure compact. California Legislative Information. https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB410 

REPLY 

Great APA reference citation (both in-text and reference list), Shelia! I agree completely with you regarding how important it is for nurses to stay abreast of nursing legislation. As nursing leaders, we must stay updated with all healthcare legislation, especially the ones that affect our state. I found a good article (though old) that lists four main websites that nurses can go to regularly to read new legislation (ThriveAP, 2016). The sites are the Health Affairs blog, Kaiser Health News, the American Association of Nurse Practitioners, and the Health Care Blog. 

Reference 

ThriveAP (2016). 4 best sites for keeping up with healthcare legislation. https://www.thriveap.com/blog/4-best-sites-keeping-healthcare-legislation 

REPLY 

Nursing regulatory bodies are government agencies that ensure safe nursing practices (National Council of State Boards of Nursing [NCSBN], 2022a). These regulatory bodies help outline the rules and regulations of certification and licensure requirements, scope of practices, etc. Two regulatory bodies include the American Nurses Association (ANA) and the National Council of State Boards of Nursing (NCSBN). The ANA was founded in 1896 and has become one of the largest nursing organizations in the United States. (American Nurses Association [ANA], n.d.). The ANA advocates and lobbies for the interests of all specialties of nursing. One of the stated priorities of the ANA is to also expand the roles and responsibilities of Registered Nurses and Advanced Practice Nurses in providing primary care (ANA, n.d.). The NCSBN is an independent organization that represents interests of the states as opposed to nursing organizations (Loversidge, 2021). The NCBSN helps oversee the Nurse Licensure Compact (NLC), which allows nurses to practice and have a valid license in multiple states (NCSBN, 2022b). Just recently, in 2020, the NCBSN began the APRN Compact that will be enacted once seven states have accepted the legislation (NCSBN, 2022b). Additionally, the NCSBN created the APRN Consensus Model which is used by states to adopt APRN regulations and definitions that are the same which helps the standards of practice and education be uniform across the country (NCBSN, 2022c). 

On top of the ANA and NCSBN, each state has their own board of nursing and nurse practice acts. The Arizona Board of Nursing (AZBN) oversees any nurse in Arizona with a certificate or license to make sure they are safe and competent in their nursing practice (Arizona State Board of Nursing [AZBN], 2018). In addition, the AZBN oversees nursing education, licensure, and complaints/official discipline. There is no federal nurse practice act, so it is the responsibility of each state to have and maintain their own. The AZBN and other boards of nursing derive their mission from their nurse practice act since that is where all rules and regulations about scopes of practice, education/licensure requirements, titles, and more are laid out (AZBN, 2018). The Arizona nurse practice act also outlines that Arizona is part of the NLC. I think that the NLC is a very beneficial legislation and I hope that the APRN Compact is enacted soon. Having registered nurses be able to practice in multiple states helps relieve overwhelmed health systems, especially during states of emergencies, like natural disasters and the COVID-19 pandemic. It is important for APRNs to have the same opportunities since their practices have proven essential during the recent pandemic. 

References 

American Nurses Association. (n.d.). About ANA. ANA. https://www.nursingworld.org/ana/about-ana/ 

Arizona State Board of Nursing. (2018). About the organization. Arizona State Board of Nursing. https://www.azbn.gov/ 

Loversidge, J. M. (2021). Government response: Regulation. In S. M. DeNisco (Eds.), Advanced practice nursing: Essential knowledge for the profession (4th ed., pp. 211-236). Jones & Bartlett Learning. 

National Council of State Boards of Nursing. (2022a). About U.S. nursing regulatory bodies. NCSBN. https://www.ncsbn.org/about-nursing-regulatory-bodies.htm 

National Council of State Boards of Nursing. (2022b). Licensure compacts. NCSBN. https://www.ncsbn.org/compacts.htm 

National Council of State Boards of Nursing. (2022c). APRN consensus model. NCBSN. https://www.ncsbn.org/aprn-consensus.htm 

REPLY 

The regulatory bodies for the field of nursing are vast with varying state and national levels. The organizations work both together and independently to oversee the healthcare of our nation. The field of nursing is enormous and growing rapidly.  We need education and guidance to ensure that nurses remain competent and safe along with providing safety measures for our patients. This is no simple task.  

The South Carolina Board of Nursing (South Carolina License Labor Regulation (SCLLR) is the body that governs Advanced Practice Registered Nurses in addition to the subspecific roles of CNM, CRNA, CNS, as well as others. The SCBON also governs nursing programs to ensure they are meeting minimum standards as a basis for evaluating safe and effective nursing practice. The SCBON has a department, the Office of Investigations and Enforcement (OIE), that is responsible for investigating complaints and possible violations of a professional or occupational practice act. Certain professional or occupational licensing boards also require routine or follow up inspections by statute or regulation.  

The National Council of State Boards of Nursing (NCSBN) is a large nationwide governing body that also works to ensure that the nurse has met predetermined standards and relays that information to the public. The purpose of a certificate or license is to protect the public by ensuring the nurse is competent and qualified. We have governing bodies to oversee competencies and qualifications because nursing poses a risk of harm to the public. The general public may not be able to identify an unqualified health care provider. Boards of Nursing were established over 100 years ago to protect the public’s health. 

The Nurse Practice Act (NPA) define how nursing is regulated. The NPA sets forth the requirements for license and defines the scope of nursing practice. It is the Boards of Nursing that establish rules that define the qualifications for licensure. These two entities work hand in hand.  

Nursing is an occupation that requires competency and obtaining a license by passing the NCLEX but this is not all that is required of our profession, the BONs make licensure decisions based on more than just the passing of this exam. Some states have requirements such as no felony conviction or criminal behavior. From all that I have read in this research and observed in my time working as an RN, I feel like it’s not only education and a commitment to caring for people that is important, but that nursing is an honorable profession.  

National Council of State Boards of Nursing. (2022). APRN Consensus model.        NCSBN. Retrieved August 12, 2022, from https://www.ncsbn.org/aprn-consensus.htm 

National Council of State Boards of Nursing. (n.d.). National Council of State Boards Web site. Retrieved from https://www.ncsbn.org/about-nursing-regulatory-bodies.htm 

REPLY 

this a very informative post and simple to understand. When you wrote about the National Council of State Boards of Nursing and how they are installed to watch over and protect the public from incompetent nursing, it made me think how blessed we are in this country to have a system like this in place. You said it so correctly when mentioning the fact that not all the public knows how to identify an incompetent nurse, especially the vulnerable. I can think of times in which having functioned in the role of a Certified Nurses Aid (CNA) and witnessed incompetency or danger to the patient by a nurse. 

According to Kansas Administrative Regulations (2022), the role of Advanced Practice Registered Nurse (APRN) has been expanded as of July 2022, to include the authority to determine independent judgements for patient care and medical decisions. Nurse practitioners have now obtained full authority to supervise treatments, order diagnostic tests, and authorize the prescribing of medications without the oversight of the physician. Kansas has now been aligned with the District of Colombia and 25 other States in a recent bill signed by Governor Kelly, in achieving full practice authority legislation. The bill removes previous regulatory restrictions which limited the nurse practitioner’s scope of practice (Patient Engagement HIT, 2022). This change can enhance patient accessibility to care. I can see the advantage to this expansion and update in my workplace when working alongside of the APRN’s onsite. They have the freedom of being able to make medical decisions and conclusions regarding our patient needs. Primary, secondary, and tertiary care is evident in their practice. 

References 

PatientEngagementHIT. 

(2022, April 19). Kansas Nurse Practitioners Gain Full Practice 

Authority. PatientEngagementHIT. Retrieved August 13, 2022, from https://patientengagementhit.com/news/kansas-nurse-practitioners-gain-full-practice-authority  

Kansas 

Administrative Regulations. Kansas Secretary of State – KAR Regulations. (n.d.). Retrieved August 

13, 2022, from https://sos.ks.gov/publications/pubs_kar_Regs.aspx?KAR=60-11-104  

REPLY 

For Registered Nurse License renewal, The Texas Board of Nursing requires twenty contact hours of continuing education (CNE) in the practice area of nursing. However, if the Registered Nurse can demonstrate that they have initiated, completed, or maintained a Board – approved national nursing certification in their area of practice, this would be sufficient for license renewal. In my practice I am required to renew the Certification of Wound Ostomy and Continence certification every 5 years. Since the Wound Ostomy Continence Certification Board is a national nursing certification board, this requirement of having the twenty contact hours is waived. 

Reference  

Accreditation Board for Specialty Nursing certification. (ABSNC). Retrieved from   

https://absnc.org/certification/accredited-programs

Texas Board of Nursing. (2013). Retrieved from 

https://www.bon.texas.gov/education_continuing_education.asp.html#A

REPLY 

Two regulatory bodies that shape the education and practice of nurse educators are the National League for Nursing (NLN) and the National Council of State Boards of Nursing (NCSBN). The NLN provides the Certified Nurse Educator (CNE) certification in addition to professional development and education for nurse educators (National League for Nursing, n.d.). By providing a CNE certification that is available to nurses across the country, this helps to standardize the profession and education of nurse educators. While the CNE certification is not required for nurse educators, it provides a benchmark that is recognized nationwide for nursing educators.The ongoing educational resources provided by the NLN also help to elevate the profession by providing up to date information on relevant topics or changes in nursing practice that nurse educators need to be aware of. 

The NCSBN is a worldwide organization of nursing regulatory bodies that dictate nursing licensure and practice in specific areas. The NCSBN provides research and programs that help to regulate nursing education programs, in addition to providing relevant educational resources for nurse educators (National Council of State Boards of Nursing, Inc., n.d.). The NCSBN recently conducted a study to evaluate how much simulation should be used in nursing programs and what the best practices are for this type of educational environment. There is also now a searchable tool on the NCSBN website that has compiled distance education requirements across the nation. Both of these resources are helpful in standardizing and guiding the practice of nurse educators. One of the first steps to standardizing nursing practice across the nation is to standardize nursing education, and the NCSBN provides excellent resources to assist with this. The NCSBN also encourages collaboration among all of the nursing regulatory bodies in the United States, which allows nurse educators to learn from one another and advance the profession by working together.  

The New York State (NYS) nurse practice act states the scope of practice for the registered professional nurse, licensed practical nurse, nurse practitioner, and clinical nurse specialist in NYS (New York State Education Department, 2018).  I find it interesting that the nurse practice act does not address the scope of other advanced practice nurses including certified nurse-midwives and certified registered nurse anesthetists in NYS. These areas are addressed in different articles of education law in NYS. As a future nursing educator in NYS, it is important to know the scope of practice for the nurses that I will be teaching. Nursing education programs in NYS have to be based around the educational requirements for each profession as defined in the NYS nurse practice act, so being familiar with this will be essential to my success as a nurse educator. 

References 

National Council of State Boards of Nursing, Inc. (n.d.). Education. https://www.ncsbn.org/education.htm 

National League for Nursing. (n.d.). Education & assessment. https://www.nln.org/education 

New York State Education Department. (2018). Education law: Article 139, nursing. https://www.op.nysed.gov/prof/nurse/article139.htm