NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE
Walden University NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE
Whether one passes or fails an academic assignment such as the Walden University NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE
The introduction for the Walden University NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE
After the introduction, move into the main part of the NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE Included After Question
Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.
It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.
To Prepare:
- Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
- Consider how key regulations may impact nursing practice.
- Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion.NURS 6050 week 5 Discussion: Professional Nursing and State-Level Regulations.
By Day 3 of Week 5
Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.
By Day 6 of Week 5
Respond to at least two of your colleagues* on two different days and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples NURS 6050 week 5 Discussion: Professional Nursing and State-Level Regulations.
A Sample Answer For the Assignment: NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE
Title: NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE
Nursing is a highly structured profession. Many states have a Board of Nursing which helps organize, inform, educate, and publicize the nursing profession. Nursing is a profession that is regulated due to the risks involved in caring for and saving the lives of others. Regulatory bodies such as the NCSBN are specifically involved in licensure to encourage competent practice and public safety (National Council of State Boards of Nursing, n.d.). An APRN’S scope of practice is determined by the BON at the state level and it is the duty of the nurse to be mindful of the regulations that direct their practice based on the state they are practicing in. In this post, I will compare nursing regulations between the state of the Virgin Islands in which I graduated and the State of Georgia in which I am licensed.
APRN Nursing Regulations
In Georgia, the Georgia Board of Nursing as well as the Georgia Composite Medical Board have the authority to define rules and limitations to the practice of the APRN. APRN’s have limited access to practicing independently in the State of Georgia. State regulations in Georgia dictate that an APRN needs physician supervision to diagnose and treat patients. Georgia’s state board of Nursing also limits diagnostic testing that APRN’S can do such as ordering MRI’s or CT scans without physician authorization. APRN’s are also not allowed to prescribe schedule II medications, only physicians due to the risk of abuse and addiction. (Stephens, 2015). The lack of acknowledgment and full use of an APRN’s scope of practice has contributed to the decrease in patient access to healthcare. By utilizing an APRN’s full scope of practice and education, health care costs can be lowered (Stephens, 2015).
In comparison, the Virgin Islands is not a Nursing Licensure Compact Jurisdiction. Interested persons must apply to the Virgin Islands Board of Nursing (CGFNS International, n.d.). Like Georgia, a collaborative physician relationship must be established under Act 6736. A written agreement specifies procedures performed on patients requiring physician attendance. Regarding prescriptive authority, they may prescribe certain drugs, procedures, and IV-V schedule-controlled drugs. However, a physician must occasionally review orders (U.S. Virgin Islands Scope of Practice Policy: State Profile).
Adhering to Regulations
APRN’s can adhere to state regulations by visiting their respective state board website and familiarize themselves not only with the application process but the renewal process as well. It is important to be aware of the regulating board and changes that may be made. For prescriptive regulations APRN’s should ensure and be familiar with policies specific to the prescribed controlled drugs.
NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE References
CGFNS International. (n.d.). U.S. Virgin Islands Licensure & Registration Info. Retrieved from CGFNS: https://www.cgfns.org/licensure/us-virgin-islands/
National Council of State Boards of Nursing. (n.d.). Nursing Regulation. Retrieved from NCSBN: https://www.ncsbn.org/boards.htm
Stephens, B. (2015, January). Perspectives on Advanced Practice. Retrieved from Gerogia Watch: https://www.georgiawatch.org/wp-content/uploads/2015/01/APRN01072015WEB.pdf
U.S. Virgin Islands Scope of Practice Policy: State Profile. (n.d.). Retrieved December 2020, from Scope of Practive Policy: http://scopeofpracticepolicy.org/states/vi/
RE: Discussion – Week 5 Main Post
Comparison of Two Nursing Regulations in Oklahoma and Wisconsin
To practice, advanced practice registered nurses (APRNs) need a formal collaboration agreement with a physician and a valid Oklahoma license. APRNs need a formal collaboration agreement with a physician and a valid Wisconsin license to practice.
How the regulations differ
APRNs in Oklahoma must have a collaborative contract with a physician, which implies a working relationship with a medical doctor who manages and supervises the APRN’s practice (ANA Enterprise | American Nurses Association, n.d.).On the contrary, in Wisconsin, advanced practice registered nurses need to have a collaborative agreement, but this agreement has to be in effect during the first three years of the registered nurse’s practice. After those three years, advanced practice registered nurses (APRNs) may extend the collaborative agreement or establish a “prescriptive relationship” with a health care provider, in which case there will be no on-site physician. So, the physician’s role is limited to providing on-call consultation. The limits of expertise for APRNs is another area where Oklahoman and Wisconsinan regulations might contrast. So, in Wisconsin, for example, APRNs may not need a collaborative agreement with some doctor to go through all the details of doing some duties, but this might be necessary in Oklahoma. For example, an APRN would require a doctor’s permission to write prescriptions in Oklahoma. However, in Wisconsin, after a certain time, an APRN may be given more leeway to prescribe drugs.
How may these regulations apply to Advanced Practice Registered Nurses (APRNs) who have the legal authority to practice within the full scope of their education and experience? According to Boss et al. (2017), these regulations stress the significance of an APRN license and a collaborative agreement with a physician for safe, efficient practice. The agreement acknowledges APRNs and physicians’ unique and complementary roles in healthcare delivery. According to Halm (2018), by mandating that APRNs maintain a current license and collaborate with physicians, licensure regulations guarantee that they are appropriately trained, knowledgeable, and qualified to care for patients. In more intricate situations, physicians who observe licensing rules can provide valuable guidance and assistance (Milstead & Short, 2019). Such a cooperative treatment method improves patient outcomes and healthcare accessibility. The regulations are meant to protect the public, specifying what APRNs should and should not do, ensuring these new nurses stick within their training and areas of expertise. For example, APRNs can follow these rules in Wisconsin and Oklahoma by periodically renewing their certification. Renewal of licensure keeps healthcare providers up to date with the state’s guidelines for APRNs and keeps their skills and knowledge high (Neff 2018). Furthermore, APRNs collaborate with doctors on daily changes and communication on patient cases. It also means that, if necessary and with a doctor’s help, the APRNs can apply their training and experience within strict limits.
Advanced practice registered nurses practice is distinct state by state and the APRN scope of practice and regulative criteria vary from nurses with same qualifications and titles in each state (Milstead & Short, 2019). In comparing APRNs in Texas and New Mexico, there are differences in regulations based on the respective nursing boards and the scope of practice authority. In Texas, the APRN board of nursing regulations mandates nurse practitioners to restricted practice. The NPs can only engage in one element of practice and should be on career-long supervision of a physician. APRNs should also have registered nurse license, graduate degree and have national certification. The Texas Board of Nursing also mandates APRNs to meet the Nurse Practice Act and all its requirements (Texas Board of Nursing, 2021). In New Mexico, Nurse practitioners are under the Nurse Practice Act and must register with the Prescription Monitoring Unit. The APRNs have full practice authority and can prescribe drugs and controlled substances. The APRNs are also regulated by the state Board of Nursing and should have national certification and graduate degree qualification (NMNPC, 2020). The implication is that certified family nurse practitioners (FNPs) as a specialty in APRN may also have variations based on states. In Texas, family nurse practitioners must have supervising physicians to provide patient care. However, in New Mexico FNPs are allowed to practice independently to the full extent of their training and education.
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The regulations impact APRNs who have legal authority to practice to the full level of their education and experience as they set guidelines for those practicing with the profession to protect their titles and the public (Laureate Education, 2018). APRNs comply with the regulations by ensuring that they update their licenses, meet the requirements for continuing education and training and enhancing patient safety and competence in their nursing practice.
A Sample Answer For the Assignment:
Title:
NURS 6050 Discussion Professional Nursing and State-Level Regulations SAMPLE References
Laureate Education (Producer). (2018). The Regulatory Process [Video file]. Baltimore, MD:
Author.
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.).
Burlington, MA: Jones & Bartlett Learning.
New Mexico Nurse Practitioner Council (2020). Practice Regulations.
Texas Board of Nursing. (2021) Practice-APRN Scope of Practice.
Hello, great post on the state of Kentucky. The state of Kentucky is in the reduced state category. Reduced practice means that state practice and licensure laws reduce the capacity of APRN practice in at least one aspect. In addition, the APRN must maintain a regulated collaborative agreement with another health provider. In Kentucky, APRNs must maintain a practice agreement with a provider to prescribe controlled medication (American Association of Nurse Practitioners, n.d.). Additionally, the Kentucky practice agreement states that the APRN may prescribe drugs independently after four years of practicing under the collaborative agreement (Brown et al., 2021).
To get licensed as an APRN in Kentucky, one has to follow a specific process and meet certain criteria. This information is available on Kentucky’s state board website at aanp.org
Links to an external site.. One must apply through the Kentucky Board of Nursing with the following proof; a complete application, a federal and state criminal background check, an official transcript of advanced practice education with degree and date posted, national certification with current proof, along with reports of any criminal convictions (Brown et al., 2021). The KBN (Kentucky Board of Nursing) defines the scope of APRN practice as the boundaries that provide the legal authority and regulate professional practice (Brown et al., 2021).
Just like in Kentucky, the state of Texas restricts the abilities of the APRN to restricted practice that requires direct supervision of a physician for all scope of practice (nursejournal.org, 2022). Texas state APRNs have a limited amount of prescriptive power. A protocol or agreement with a doctor must be obtained by an APRN (Texas Board of Nursing, 2018). Courses on pathophysiology, pharmacology, assessment, and diagnosis and treatment of issues specific to the specialty are required for prescriptive authority (Texas Board of Nursing, 2018). APRNs must submit a separate application for controlled substance registration with the state Department of Public Safety in order to prescribe them (Texas Board of Nursing, 2018). The ability to have a full scope of practice without the direct supervision of a Physician would increase access and as you stated would likely decrease the amount of pressure on the APRN (Texas Board of Nursing, 2018). Thank you!
Thank you very much for your post and for taking the time to explain the different terms associated with APRNs and the responsibilities of regulators – including protecting the patient, protecting ARNPs, and clarifying the scope of practice of APRNs to ensure that they are fully operating within the parameters set forth by the legislature as authorized by the board of nursing in their respective states of practice. As a well-trained APRN, understanding the scope of practice is crucial in ensuring patient safety and achieving the best outcomes regardless of the state of practice. While researching the APRN requirement and restrictions in Virginia, I also realized that APRNs must collaborate with physicians in consultation and collaboration. As such, an electronic practice or written agreement is required in most cases (with few exceptions) to prove that an APRN is working with at least one patient care team physician. It is also new to me that in Virginia, APRNs must have a joint license from the Board of Nursing and Medicine – which prescribe the rules governing the licensure of APRNs and similar advanced degrees (law.lis.virginia.gov, n.d.).
Unlike Virginia, APRNS in Washington State (WA) has more autonomy and freedom and can practice fully and independently without looking for a collaborating physician. In addition, Washington does not have any joint licensure requirement by the Board of Nursing and Medicinewhichis is a requirement in Virginia. WA Board of Nursing (Nursing Care Quality Assurance Commission (NCQAC)) is a state regulatory authority responsible for protecting public health and safety. NCQAC ensures that the competency and quality of different healthcare professions within WA are current and compliant with the laws. This body also investigates accusations, takes disciplinary actions against licensed individuals if necessary, and could revoke an individual’s license in severe cases of gross infringements on patients’ rights and privacy and certain unprofessional behaviors unexpected of individuals held with very high ethical expectations and standards (NCQAC, n.d.).
References
Continuing competency. Nursing Care Quality Assurance Commission. (n.d.-a). https://nursing.wa.gov/licensing/maintain-license/continuing-competency
Title 54.1. professions and occupations. § 54.1-2957. Licensure and practice of nurse practitioners. (n.d.). https://law.lis.virginia.gov/vacode/title54.1/chapter29/section54.1-2957/
The APRN Regulatory Environment between New Jersey and California
In California, NP practice is governed by the State Nurse Practice Act. The Board of Registered Nursing has promulgated regulations that require the NP to work under standardized procedures for authorization to perform overlapping medical functions (CCR § 1485). Currently, NPs are in restricted practice in California. This regulation requires that NPs work under collaboration with a physician and adhere to standardized procedures developed through collaboration among administrators and health professionals, including physicians and surgeons. California NPs must obtain additional certification from the BRN to “furnish” (prescribe or order) drugs or devices under standardized procedures developed with the supervising physician and surgeon. As collaborators, physicians take legal responsibility for the NP’s practice and are expected to determine the appropriate level of supervision, communicate regularly with the NP, and oversee the NP’s practice and quality of care.
Whereas in New Jersey, NPs are in reduced practice. Certification by the New Jersey Board of Nursing is required to be an Advance Practice Nurse in New Jersey (N.J.A.C. 13:37-7.1 (a)). Any nurse who wishes to practice as a nurse practitioner/clinical nurse specialist, or present, call or represent himself or herself as a nurse practitioner/clinical nurse specialist must be certified by the Board. Each applicant for certification shall be required to successfully pass the highest-level practice examination in the area of specialization approved by the Board. Written verification that the applicant has successfully passed the exam is to be submitted directly by the national certifying agency to the Board.
An A.P.N. in New Jersey has prescriptive authority and is required to have a joint protocol with a collaborating physician who is licensed in New Jersey, prior to prescribing any medication or medical device. Joint Protocol means an agreement or contract between an advanced practice nurse and a collaborating physician which conforms to the standards established by the Director of the Division of Consumer Affairs.
New Jersey and California differs in scope of practice however both states’ nurse leaders are advocating for increase consumer access to health care by eliminating barriers such as removal of the joint agreement between an APN and a physician. This agreement restricts an APN’s ability to practice to the full extent of their education and licensure, known as full practice authority.
The signing of AB 890 (Wood) in September 2020 opened the pathway for nurse practitioners (NPs) in California to treat patients without physician supervision. This change has the potential to improve access to health care for millions of state residents, particularly those most impacted by health care provider shortages.NPs will be authorized to practice to the fullest extent of their education and training following a transition-to-practice (TTP) period of no less than three full-time equivalent years or 4,600 hours in specified settings. Additionally, NPs will be authorized to practice to the fullest extent of their education and training following an additional three years of practice beyond the TTP in all other settings.California’s Board of Registered Nursing (BRN) is in the process of promulgating regulations that will further specify details of the TTP period. This regulatory process is a critical next step on the path to the implementation of AB 890.
References
R. P. Newhouse et al., “Advanced Practice Nurse Outcomes 1990-2008: A Systematic Review,” Nursing Economics 29, no. 5 (Sept.–Oct. 2011): 230–50.
J. Stanik-Hutt et al., “The Quality and Effectiveness of Care Provided by Nurse Practitioners,” Journal for Nurse Practitioners 9, no. 8 (2013): 492–500.
C. M. Everett, P. Morgan, and G. L. Jackson, “Primary Care Physician Assistant and Advance Practice Nurses Roles: Patient Healthcare Utilization, Unmet Need, and Satisfaction,” Healthcare (Amsterdam) 4, no. 4 (Dec. 2016): 327–33, doi:10.1016/j.hjdsi.2016.03.005.
Sample Answer for PROFESSIONAL NURSING AND STATE-LEVEL REGULATIONS NURS 6050
Mission of California Board of Registered Nurses to Protect the Public.
The California Board of Registered Nursing (BRN) is responsible for ensuring that nurses in California meet the standards of practice and are competent to provide safe and effective care to patients. The mission of the California Boards of Nursing is to protect the people through the regulation of nursing practice. The BRN achieves its mission by setting standard for nursing, education, licensure, and practice. They investigate complaints made against nurses and take disciplinary action when necessary to protect the public from unsafe nursing practices. The boards work closely with schools, employers and other stakeholders to promote high-quality nursing care and to make sure the nurses are up to date with new policies and procedures license (California Board of Registered Nursing, n.d).
California Key Regulations
Key regulations can have significant impact on nursing practice in California. One example of a key regulation that has impact on nursing practice is the requirement for nurses to maintain a valid license. The board requires nurses to renew their licenses every two years and o complete continuing education requirements to ensure that they are up to date with the latest developments in the fields. Failure to maintain a valid license can result in disciplinary actions, including revocation of the license (California Board of Registered Nursing, 2021). Another key regulation that impacts nursing practice in California is the Nurse Practice Act (NPA). This act outlines the scope of practice for registered nurses and licensed vocational nurses in the state. It defines the legal and ethical responsibly for the nurses and sets standard for nursing education, licensure and practice (NCSBN, n.d). Nurses must adhere to the NPA to ensure that they are providing safe and effective care to patients.
Key Regulations for Nursing Practice in California and Montana
Two key regulations that are in important to focus on by BRN and Montana Board of Nursing (MBON) in this discussion are the scope of practice and prescriptive authority:
-In California, the scope of practice for APRN’s they are authorized to diagnose and treat illnesses, order in interpret diagnosis test, and prescribe medications. However, APRN’S must worked under the supervision of a physician (California Board of Registered Nursing, 2021).
-In Montana, the scope of practice for APRNs is defined by the MBON. APRNs in Montana are authorized to diagnose and treat illness, order and interpret diagnostic test and prescribe medications However, APRNs in Montana have full practice authority, which means that do not need to work under the supervision of a physician (Montana Board of Nursing,2021).
-Another important APRN regulation to fucus is on prescriptive authority. In California, APRNs are authorized to prescribe medications, but they must have standardized procedure in place that outlines their prescriptive authority. The must also registers with the Drug Enforcement Administration (DEA) (California Board of Registered Nursing, 2021).
– In Montana, APRNs also have prescriptions authority, but they must obtain a separate license from the MBON in order to prescribe medications. APRNs must also register with the DEA. This regulation is design to ensure that prescribing medications is safe and appropriate (Montana Board of Nursing,2021).
References
California Board of Registered Nursing . (nd). About us. Retrieved from https://www.rn.ca.gov/about_us/
California Board of Registered Nursing . (2021). Laws and regulations. Retrieved from https://www.rn.ca.gov/about_us/
California Board of Registered Nursing. (2021). Scope of practice for advance practice registered nurses. https://www.rn.ca.gov/scope-of-practice-for-advanced-praxctice-registaered -nurses/
Montana Board of Nursing. (2021). Advanced practice registered nurse (APRN) scope of practice. https://boards.bsd.dli.mt.gov/nur/aprn-scope-of-practice
NCSBN. (n.d.). Find your nurse practice act. https://www.ncsbn.org/policy-gov/npa
Sample Response for PROFESSIONAL NURSING AND STATE-LEVEL REGULATIONS NURS 6050
Hi Megan,
Great post and insight. In California, the NPs have been lobbying for autonomous practice, but they have encountered significant resistance from the physicians, according to a recent story I read. It was a legal dispute because the California Medical Association claimed that NPs had less training than doctors and that permitting NPs to practice independently could lower the quality of care and put patients at danger (Ibarra, 2022).
According to the report, the NP law falls into two categories because it essentially established two new subcategories of nurse practitioners. Beginning in January, nurse practitioners who have worked a minimum of 4,600 hours or three full years in clinical practice in California are eligible to qualify for the first category (Ibarra, 2022). They will be able to start working without contractually required medical supervision, but only at specific hospitals where at least one physician or surgeon already practices. The idea is that nurse practitioners would still have access to doctors for consultation as necessary (Ibarra, 2022).
Nurse practitioners will have complete practice authority under this second classification, free from any setting constraints. In addition, nurse practitioners should have the option of starting their own medical office. As a result of the progressive implementation, qualified nurse practitioners will most likely achieve full independence by January 2026(Ibarra, 2022).
References:
Ibarra, A. B. (2022, November 16). Nurse practitioner requirements are changing, allowing them to practice without physician supervision. CalMatters. https://calmatters.org/health/2022/11/nurse-practitioner-requirements/
Sample Response for PROFESSIONAL NURSING AND STATE-LEVEL REGULATIONS NURS 6050
Hey Megan,
This was a very thorough explanation and beautifully detailed. Every state has different APRN regulations which guides on how nurses are supposed to undertake their roles. It can be described as disappointing and at the same time somewhat fascinating considering that there still exist a lot of limitations that the NP practice in various states such as California has imposed (Vincent et al., 2019). California is a full practice state. “All nurses are permitted to evaluate patients, interpret diagnostic tests, and offer all manner of services including prescribing medications. Also, they can help with controlled services which are done under the exclusive licensure authority and the nursing board of the state. The national academy of medicine recommended this model. It was initially referred to us the Institute of Medicine and also the national council of state boards of nursing” (AANP, 2019).For example, nurses in California do their work with minimal or close to no supervision. However, in New Mexico nurses have to operate based on doctor’s recommendations.
References
California Board of Registered Nursing. (2021). Scope of practice for advance practice registered nurses. https://www.rn.ca.gov/scope-of-practice-for-advanced-praxctice-registaered -nurses/Links to an external site.
Vincent, F. Y., Jewpanya, P., Lin, S. W., & Redi, A. P. (2019). Team orienteering problem with time windows and time-dependent scores. Computers & Industrial Engineering, 127, 213-224.
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