Professional Nursing and State-Level Regulations NRSE 6050
NURS 6050 Week 5 Discussion
Professional Nursing and State-Level Regulations NRSE 6050
https://www.onlinenursingpapers.net/professional-nursing-and-state-level-regulations-nrse-6050/
Comparing regulations from various state/regional boards of nursing can be a beneficial exercise. This can help to share insights that may be useful if a state/region changes in the future. Furthermore, nurses may be required to be licensed in multiple states or regions.
All 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands have boards of nursing (BONs). Similar entities may exist for different regions as well. BONs’ mission is to protect the public through the regulation of nursing practice. BONs implement state/region regulations for nurses, which include laying out the requirements for licensure and defining the scope of nursing practice in that state/region.
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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.
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. Professional Nursing and State-Level Regulations NRSE 6050
READINGS
1 Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
- Chapter 4, “Government Response: Regulation” (pp. 57–84)
2 http://www.nursingworld.org/
3Bosse, 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. doi:10.1016/j.outlook.2017.10.002
Note: You will access this article from the Walden Library databases.
5 https://www.ncsbn.org/index.htm
6 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
Note: You will access this article from the Walden Library databases.
7 Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4(2), e4. doi:10.2196/med20.4349
Note: You will access this article from the Walden Library databases.
Professional Nursing and State-Level Regulations NRSE 6050 SAMPLE
Different states tend to have unique regulations for the Advance Practice Registered Nurse but all aims at securing the interest of the public health safety by regulating the activities of the health care professionals (Milstead, 2019). The board of nursing of a state acts on the power derived from the Nurse Practice Act passage that allows them to set and regulate standard for safe nursing practice within its jurisdiction for nurses that have the qualification and for advanced practice including licensure requirements and license renewal as well as any necessary disciplinary actions (Milstead, 2019).
Comparing the State of Georgia, my home state APRN board of nursing regulation to that of the State of Nebraska; the first thing I noticed is that Georgia state regulatory body is the board of nursing while that of Nebraska is the Department of Health and Human Services. The credentialing criteria are similar, but there are some differences in the scope of practice. Georgia state practice regulation has a restrictive tendency; the practice authority allows limited actions for APRN practice requiring supervision by health care provider throughout the APRN’s practice or team management before an APRN such as an NP can provide care to patients (American Association of Nurse Practitioners (AANP), 2018). In the state of Georgia, the practice authority requires a written protocol between the NP and the overseeing physician which specifies medical acts delegated by the physician and demands an instant session with the physician (Scope of Practice Policy, 2019). No wonder at my practice setting an NP is not allowed to initiate care nor partake in a patient discharge process.
On the other hand, Nebraska state and licensure law permit all NPs to exercise autonomy in practice such that they can assess patients, diagnose, order diagnostic tests, initiate and manage treatments, prescribe all medications including control substances without a provider’s supervision after fulfilling the criteria for doing so (Nebraska legislature, n.d). Allowing APRNs to have full practice access will enable an increase in experience and expand the talents inherent in the nurse practitioners and encourage significant innovations in the nursing profession; also motivates other NPs to spring up in filling the gap created by the shortage of providers in America.
In Georgia, an NP can only prescribe a schedule III to V control substance if operating under the prescriptive authority of a supervising physician by submitting a written protocol to the supervising physician and permission is granted (American Medical Association (AMA), 2017). While in Nebraska, an NP may prescribe both legend drug and Schedules II-V controlled substances after the NP has put in first 2000 hours of practice under the supervision of a physician as well as completing 30 hours of education in pharmacotherapeutics and the board does not track the number of the NPs with DEA numbers (AMA, 2017). Both states require that providers should register in the prescription drug monitoring program (PDMP) for Benzodiazepines and opiates but the difference is that APRN in Georgia is practicing under the prescriptive authority of a physician and are not able to delegate access to PDMP unless a nurse who has prescriptive authority (Georgia Department of Public Health, 2018). While in Nebraska, APRN has prescriptive authority; thus, can delegate access to PDMP (Borcher, 2016).
It would be to the perfect interest of patients and the society as a whole for all the APRN in America to have equal full legal authority in all the states as in Nebraska to enable them to practice within the full scope of the education and experience they have earned through rigorous academic and clinical training. According to Doyle et al., (2017), NPs have all it takes to practice to the full scope of education gained; this prompted the IOM to call on states with unjustifiably restrictive regulations on the NPs like Georgia state to amend the law that will authorize NPs to practice to the full scope of their ability across the countries. Also as mentioned earlier, allowing NPs to have full practice authority that would enable them to practice and prescribe independently would assist in addressing the workforce shortage allowing underserved areas to have access to health care as well as all Americans in general (Doyle et al., 2017)
References
American Association of Nurse Practitioners. (2018). Retrieved from https://www.aanp.org/advocacy/state/state-practice-environment
American Medical Association. (2017). Retrieved from https://www.ama-assn.org/sites/ama-assn.org/files/corp/media-browser/specialty%20group/arc/ama-chart-np-prescriptive-authority.pdf
Borcher, K. C., & Houseman, R. (2016). Nebraska and Prescription Drug Monitoring Program. Retrieved from http://www.nebraskahospitals.org/file_download/inline/c0cd1c7d-0de6-477d-b92c-0cee2f87f23d
Doyle, J. M., Zangaro, G. A., Howie, B. A., & Bigley, M. B. (2017). Retrospective Evaluation of the Advanced Nursing Education Expansion Program. The Journal for Nurse Practitioners, 13 (97), 488-495 DOI:10.1016/j.nurpra.2017.04.019
Georgia Department of Public Health. (2018). Retrieved from https://dph.georgia.gov/pdmp
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning
Nebraska legislature (n.d). Retrieved from https://nebraskalegislature.gov/laws/statutes.php?statute=38-2315
Scope of practice policy. (2019). Georgia Scope of Practice Policy: State Profile. Retrieved from http://scopeofpracticepolicy.org/states/ga/#practitioner-nurse-practitioners
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Questions for Discussion (DQ)
Initial responses to the DQ should address all aspects of the questions, incorporate at least one scholarly source, and be at least 250 words in length.
Successful comments are substantive (i.e., they contribute something new to the conversation, they engage others in the discussion, and they contain at least one scholarly source).
One- or two-sentence comments, simple affirmations of agreement or “excellent post,” and off-topic responses will not be considered substantive. Responses should be at least 150 words in length.
I invite you to incorporate the week’s readings into your comments (where applicable).
Weekly Involvement
The obligatory DQ’s initial responses do not count toward participation and are scored separately.
Along with the DQ responses, you must post at least one response to peers (or to me) on three distinct days, for a total of three responses.
No scholarly source/citation is required for participation posts (unless you cite another author’s work).
As part of your weekly involvement, you must see the weekly announcement and confirm your viewing in the comments section. These notifications are provided to ensure that you are aware of all of the tasks that are due during the week.
APA Style and Writing Prowess
Familiarize yourself with the APA format and practice correctly applying it. It is used for the majority of writing assignments associated with your degree. For APA paper templates, citation examples, and recommendations, visit the Writing Center in the Student Success Center, accessible via the Resources option in LoudCloud. Points will be removed for ineffective use of the APA format or for the complete absence of the APA format (if required).
All sources of information must be cited! Cite the source whenever possible. Additionally, paraphrasing requires a citation.
I strongly advise you to use the sixth edition of the APA Publication Manual.
Utilization of Direct Quotes
At the Masters’ level, I discourage excessive use of direct quotes in DQs and assignments and deduct points accordingly.
It is crucial for you to be able to critically assess and comprehend information from journal articles and other sources as Masters’ level students. Simply restating another’s words does not demonstrate comprehension or critical analysis of the material.
It is preferable to paraphrase and cite your sources.
Policy LopesWrite
Please ensure that you have got your report and Similarity Index (SI) percentage BEFORE submitting your assignment to LopesWrite.
Please examine your report after you have got it. This report will highlight common grammar, punctuation, and spelling mistakes. Spend a few more minutes reviewing rather than being penalized for these errors.
Examine your parallels. Did you overlook a citation? Were you unable to adequately paraphrase? Is the majority of your paper composed of someone else’s opinions rather than your own?
For advice on how to improve your paper and SI score, visit the Writing Center in the Student Success Center, accessible via the Resources option in LoudCloud.
Policy on Late Arrivals
The university’s late assignment policy is a 10% penalty PER DAY LATE. This also holds true for late DQ responses.
Kindly contact me if you anticipate submitting an assignment late. I am happy to accommodate special requests with enough notice. We may be able to arrange you an extension if extenuating circumstances exist.
If you do not contact me prior to submitting an assignment late, G