NURS 6051 Regulation for Nursing Practice Staff Development Meeting
Sample Answer for NURS 6051 Regulation for Nursing Practice Staff Development Meeting Included After Question
NURS 6051 Regulation for Nursing Practice Staff Development Meeting
- Difference Between Board of Nursing and Nursing Association
- The Board of Nursing controls the nursing practice aiming at protecting the public.
- Board members are appointed by the state authorities.
- The US has state boards and national boards, called the National Council of State Boards of Nursing (NCSBN) (“What is a State Board of Nursing?”, 2020).
- State boards regulate nursing practice
- NCSBN works together with the state boards to protect and advocate for well-being and the safety of all patients (“What is a State Board of Nursing?”, 2020) Assignment: Regulation for Nursing Practice Staff Development Meeting.
A Sample Answer For the Assignment: NURS 6051 Regulation for Nursing Practice Staff Development Meeting
Title: NURS 6051 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
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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.
REFERENCES
•Halstead, J. A. (2017). Professional nursing organizations. Issues and trends in nursing: Practice, policy, and leadership, 107-118.
•Spector, N., Hooper, J. I., Silvestre, J., & Qian, H. (2018). Board of nursing approval of registered nurse education programs. Journal of Nursing Regulation, 8(4), 22-31. https://www.sciencedirect.com/science/article/pii/S2155825617301783
•Woo, B. F. Y., Lee, J. X. Y., & San Tam, W. W. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review. Human resources for health, 15(1), 1-22. https://link.springer.com/article/10.1186/s12960-017-0237-9
•https://www.nursingworld.org/
•https://www.ncsbn.org/index.htm
Differences Between Boards of Nursing and Professional Associations
- Boards of Nursing
- State-based agencies
- Regulate the Nursing Practice
- Institute, Monitor & Review State Regulations
- Issues and Monitors Nurse Licenses
- Program’s Accreditation & Oversight of Training Process
- Enforcement of Nursing Practice Law
The Boards of Nursing (BONs) are state-based entities formed through existing state nursing acts to regulate the practice of nursing within their jurisdictions The Boards of Nursing protect and promote public’s health and welfare by oversighting and ensuring that licensed nurses from each level of practice offer safe and competence. There are 59 state BONs, and each comprise the National Council of State Boards of Nursing (NCSBN). These organizations are independent and not for profit entities that institute, monitor and review state regulations to guide the profession based on set state regulations (NCSBN, 2020). The boards of nursing issue and monitor nurse licenses, implying that they have the power to revoke them if one violates set regulations. BONs do not draft legislation, nor can they support or oppose a proposed bill before their respective legislatures. They do not participate in lobbying (Neff et al., 2018). The boards like NCSBN) accredit nursing programs, oversees training process for nursing licensure and enforce nursing practice laws.
Professional Nursing Associations
- Specific areas of Specialization and Fields
- Representation of nursing profession’s interests
- Promotion of Career Development and Advancing the Profession
- Lobbying at state and federal level on nursing matters
- Dissemination of professional knowledge
- Keeping Nurses Informed on New Trends and Issues
Professional nursing associations like the American Nurses Association (ANA) and American Association of Nurse Practitioners (AANP) are specific to their different areas of specialization. These entities represent the interests of the nursing profession and promote career development and advancement of their respective members. These entities set professional practice standards, values, and ethics to guide effective conduct of their members based on their specialty (ANA, 2021). The associations also lobby at state and federal levels on issues affecting nurses, the healthcare industry and health promotion. The associations disseminate professional knowledge through conferences, publication of journal articles and position statements on various issues affecting the profession. Through these practices, they keep nurse informed about new trends, evidence-based practice, and issues that impact care delivery
Boards of nursing (BONs) regulate the nursing practice based on the Nursing Practice Act at the state level. The National Council of State Boards of Nursing (NCSBN) regulates the BONs in all the 50 states and District of Columbia (D.C). These boards regulate uniform nursing practice standards and requirements for nurses. They also accredit nursing programs and enforce nursing practice laws. The boards of nursing protect the public safety through their regulations. On their part, professional nursing associations are national private membership organizations for nurses (Stucky et al., 2019). These entities like the American Nurses Association (ANA) focus on promotion of professional development and advancement of nurses based on their specialties (Department of Public Health, 2022). These organizations serve the interest of nurses like working conditions and terms of engagement. They also lobby state and federal legislatures and executives to develop policies that are friendly to the nursing professionals to address their issues and concerns.
The board of nursing in Connecticut is called the Board of Examiners and comprises of at least fourteen members from different specialties and appointed by the state Governor. The current members of the board include Patricia Bouffard who is a registered nurse and the chair, Cynthia Arpin also a registered nurse and member. Members representing registered nurses also include Mary Dietman, Geraldine Marrocco and Gina Reiners. Members of the board representing advanced practice registered nurses (APRNs) and licensed practice nurses (LPNs) include Jennifer Long and Rebecca Martinez. Jason Blando and Lisa Freeman represent the public. Currently, the board has three vacancies; one for LPN and two for public interests.The General statute provides the criteria for one to become a member of the Board of Examiners. The statute asserts that the board shall consist of 12 members based on different aspects of parameters. Five members should be registered nurses (RNs) with two of them having master’s degree or qualifications. Four members should represent the public while two are licensed practical nurses. One member represents APRNs. The governor appoints all the board members to serve in the state.
The state regulation in Connecticut that is related to Advanced Practice Registered Nurses (APRNs) is the full practice authority. This regulation allows nurses, especially APRNs, to practice to the full extent of their training and education. The regulation defines the scope of APRNs that include working under the supervision of licensed physician for the first three years upon licensure. Under this regulation, APRNs can prescribe certain categories of drugs as permitted by the respective bodies and agencies like the Drug Enforcement Agency (DEA) when prescribing controlled substances (AANP, 2022). The regulation also means that APRNs can order diagnostic tests and interpret them to offer treatment to patients.
The regulation on full practice authority implies an increment in the roles of advanced practice registered nurses (APRNs) as they are allowed to practice based on their level of education, certification and professional development. As primary care providers, these nurses specialize and offer care to a host of patient populations and groups implying that they have expanded roles. Full practice authority improves the delivery of quality care services as nurses provide best services based on their expertise and experience as well as licensure (AANP, 2022). Full practice authority reduces the cost of care as APRNs become primary care providers to diverse populations and patients such that they spend less for quality care. Increased accessibility occurs as more people can now have access to care because of the availability of providers.
References
Cherry, B., Caramanica, L., Everett, L. Q., Fennimore, L., & Scott, E. (2019).
Leveraging the power of board leadership in professional nursing
organizations. JONA: The Journal of Nursing Administration, 49(11), 517-
519. DOI: 10.1097/nna.0000000000000805
Stucky, C. H., Brown, W. J., & Stucky, M. G. (2021, January). COVID 19: An
unprecedented opportunity for nurse practitioners to reform healthcare
and advocate for permanent full practice authority. In Nursing Forum (Vol.
56, No. 1, pp. 222-227).
American Association of Nurse Practitioners (AANP) (2022). State Practice
Environment. https://www.aanp.org/advocacy/state/state-practice–
environment
Connecticut Government (n.d). CHAPTER 378. NURSING
Department of Public Health (2022). Board of Examiners for Nursing.
https://portal.ct.gov/DPH/Public-Health-Hearing-Office/Board-of-Examiners- for-
Nursing/Board-of-Examiners-for-Nursing
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide
(6th ed.). Burlington, MA: Jones & Bartlett Learning
National Council of State Boards of Nursing. (2019). About U.S. boards of
nursing. https://www.ncsbn.org/about-boards-of-nursing.htm
Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, 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.2018.03.001
Board of Nursing Requirements: Michigan and Indiana
When I began my pursuit of graduate studies, it was shortly after undergraduate graduation. It was clear that I wanted to continue learning, but unsure of the scope I would seek or what specialty area to focus on. A Masters in Nurse Education was my initial pathway through Indiana University. However, as I progressed in my career, the ICU and transplant became my focus and mentors advised me to pursue an APRN role where I could also teach. This led me to my current course of study at Walden University. Since my previous education was in Indiana and I reside in Michigan, those are the two states compared and contrasted.
Title: Both Michigan and Indiana have the same definition of APRN: nurse midwifery, nurse practitioner, and nurse anesthetist. Michigan does acknowledge clinicial nurse specialists as nurse practitioners. though the CNS is usually more specialized in an area of nursing (oncology, wounds, etc).
Authority: Both states require oversight of a physician to diagnose, prescribe and render other advanced levels of patient care.
Prescriptive privilege: Indiana requires a $60 Prescription Authority registration fee, which differs from the Michigan process.
Both states require graduate education in an advanced specialty with at least two hours of pharmacology education. The application process is also very similar. According to www.micnp.org ,
Links to an external site. nurse practitioners can perform certain procedures, diagnose patient conditions, order and evaluate diagnostic tests but Michigan is still considered one of the most restrictive states for the profession in the US.
Michigan SB 279 was proposed this spring to increase the roles for advanced practice nurses to eliminate the requirement of physician oversight and allow prescriptive authority. It was met with significant opposition from physicians groups but does have bipartisan support. The family practitioner shortage in Michigan and throughout the US will likely affect the passage of the bill, or one similar to it, in the near future.
Resources
Michigan nurse practitioner requirements: Become a nurse practitioner in mi. NursingLicensure.org – A more efficient way to find nursing license requirements in your state. (2021, September 21). https://www.nursinglicensure.org/np-state/michigan-nurse-practitioner/
Pla. (2023, June 15). Nursing licensing information. PLA. https://www.in.gov/pla/professions/nursing-home/nursing-licensing-information/
Ipla. (2023a, June 15). Nursing licensing information. Indiana Professional Licensing Agency. https://www.in.gov/pla/professions/nursing-home/nursing-licensing-information/#APRN
[email protected], D. S. |. (2022, March 22). Michigan primary care doctors push for more state investment to address worsening shortage. mlive. https://www.mlive.com/public-interest/2022/03/michigan-primary-care-doctors-push-for-more-state-investment-to-address-worsening-shortage.html
Michigan legislature. Michigan Legislature – Senate Bill 0279 (2023). (n.d.). http://www.legislature.mi.gov/(S(4wfifpordb5nwqgids1twv2m))/mileg.aspx?page=GetObject&objectname=2023-SB-0279
Aprns in the U.S. NCSBN. (n.d.). https://www.ncsbn.org/nursing-regulation/practice/aprn.page
APRNs in Missouri must adhere to strict supervision laws. A regulation Missouri APRNs are to follow is that an APRN and their collaborating physician are still required to work within a specific geographic proximity, even after the first initial thirty days (Sommer et al., n.d.). An APRN must be within a 30-mile radius in a non-Health professional shortage area (non-HPSA) or a 50-mile radius in a HPSA of their collaborating physician to practice legally (ThriveAPb, 2013). An APRN can only practice outside of those 30 miles if they are utilizing telehealthcare but must obtain consent from patients before telehealth services are initiated. Although APRNs must have a practice agreement in place with a physician, they are not required to meet. Another regulation APRNs in Missouri are to follow are that they are not allowed to sign death certificates or declare someone deceased. Like Missouri, Illinois APRNs have practice agreement sent in place with a collaborating physician, but how they differ is that Illinois APRNs must meet monthly with their collaborating physician (ThriveAPa, 2013). Illinois APRNs also cannot sign death certificates or pronounce someone deceased.
To adhere to these regulations, APRNs must find a collaborating physician and have a collaborative practice agreement set in place. Collaborative practice agreements is a written agreement that must establish guidelines for consultation and referral to collaborating physician or health facility, agreement of protocols and standing orders, must be signed and dated by both APRN and collaborating physician before the APRN can start practicing, there must be a subsequent notice of termination and must identify the process for review and management of abnormal test results, the scope of practice, physician’s number of collaborative practice arrangement limitations, distance from a physician (30 non-HPSA or 50 HPSA miles), other physician designated to collaborative practice arrangement, physician two-week provisions, process and documentation of review, prescription pad requirements, controlled substance limitations, dispensing logs and 72-hour dispensing boundaries, diagnosis and initiation of treatment, self-limited or well-defined problem parameters, population-based public health services, review and revision of collaborative practice arrangements as needed, and physician accountability for delegated medical acts (Missouri Division of Professional Registration, n.d.). Having a professional and respected relationship with your collaborated physicians will help APRNs adhere to their regulations.
APRNs who have full practice authority allow APRNs the full ability to utilize knowledge, skills, and judgment to practice to the full extent of their education and training (American Nurses Association, n.d.). APRNs allowed to full practice authority have advantages such as reduction in health care costs, expansion of care to rural or underserved areas, and efficient and effective care as they do not have to wait for directions from their collaborating physician (Bradley University, n.d.). APRNs who are allowed full authority practice would function as a primary care physician. They would be allowed to make decisions as a physician and practice to their full extent. They would be unaffected by the regulations I selected; they would be allowed to make these decisions without breaking the law.
References
American Nurses Association. (n.d.). Advanced Practice Registration Nurses (APRN). https://www.nursingworld.org/practice-policy/aprn/
Bradley University. (n.d.). What is Full Practice Authority for Nurse Practitioners? https://onlinedegrees.bradley.edu/nursing/msn-fnp/resources/understanding-regulations-what-is-full-practice-authority/#:~:text=According%20to%20the%20American%20Association%20of%20Nurse%20Practitioners,nursing%20board%20%28a%20definition%20last%20updated%20in%202015%29.
Missouri Division of Professional Registration. (n.d.). Nursing & Collaborative Practice. https://pr.mo.gov/nursing-advanced-practice-nursing-collaborative.asp
ThriveAP. (2013). Nurse Practitioner Scope of Practice: Illinois. https://thriveap.com/blog/nurse-practitioner-scope-practice-illinois
ThriveAP. (2013). Nurse Practitioner Scope of Practice: Missouri. https://thriveap.com/blog/nurse-practitioner-scope-practice-missouri
Sommer, C., Franklin, D., Kelly, H., Neely, J., Peters, J., and Smith, C. (n.d.). Current Practice of Advanced Practice Registered Nurses. https://house.mo.gov/Billtracking/bills171/commit/rpt1510/Scope%20of%20Practice%20Report.pdf#:~:text=To%20be%20recognized%20as%20an%20APRN%20in%20Missouri,obtained%20in%20the%20advanced%20practice%20nursing%20education%20program.
Each state is tasked to establish APRN regulations. In some states, Nurse practitioners can work under a physician or surgeon’s supervision, while other states permit nurse practitioners to have full independence (Clarke, 2023). In California, nurse practitioners can furnish or order drugs and devices with physician or surgeon supervision. A nurse practitioner licensed in California can perform physical exams, order lab tests, diagnose ailments, and create or update a plan of care with physician consultation. An example would be, upon performing a cervical biopsy at the clinic, a physician must be present physically in the facility, in case of emergency. For other standardized procedures, the physician just needs to be available by phone (California Board of Nursing, n.d).
In Arizona, an advanced practice registered nurse (APRN) can order, interpret, and perform laboratory, radiographic, and other diagnostic tests that they are qualified and educationally prepared to perform; It does not require physician supervision. NP can prescribe, order, administer, and dispense therapeutic measures including pharmacologic agents and devices and non-pharmacological interventions including, but not limited to, durable medical equipment, nutrition, home health care, hospice, physical therapy, and occupational therapy (Arizona Board of Nursing n.d).
It goes without saying, that broadening the reach of health care and doing it cost-effectively, especially in rural areas, would not be hastened if nurse practitioners were held hostage by a paper to contract with a physician to validate their work. In rural counties, where more than 80% of the population live without quality health care and the care they can find is most often provided by nurse practitioners acquiring quality health care would only be delayed if obtaining a prescription or a home health referral still required a physician’s approval (Ibarra, 2022).
Contracting and partnering with a physician who has the same goals in health care as you makes the effort to provide quality care more efficiently. Establishing a good working relationship through the years allows more respect and trust thus more autonomy. In 2020, a law was introduced in California Assembly Bill No. 890 (California Legislative Information, 2020), that a nurse practitioner who has completed 3 years of full-time clinical practice in California can be allowed to work without contractual physician supervision in certain facilities where at least one doctor practices. Then after they have worked in that group setting with a physician or surgeon for three years they can be allowed to have full practice authority, without any setting restrictions (Ibarra, 2022).
References
Arizona Board of Nursing. (2021). https://www.azbn.gov/sites/default/files/2021-07/APRN%20Scope%20of%20Practice%20Q%26A%20FINAL.pdf
California Board of Nursing. (2023). https://govt.westlaw.com/calregs/Browse/Home/California/CaliforniaCodeofRegulations?guid=I680C9A50882411ED9DCDC96565D7339A&originationContext=documenttoc&transitionType=Default&contextData=(sc.Default)
California Legislative Information. AB-80 Nurse practitioners: scope of practice: practice without standardized procedures. Assembly Bill No 890. https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200AB890
Ibarra, A. (2022). Nurse practitioner requirements are changing, allowing them to practice without physician supervision (8-12). https://calmatters.org/health/2022/11/nurse-practitioner-requirements/
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