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NURS 6050 Discussion Professional Nursing and State-Level Regulations
Sample Answer for NURS 6050 Discussion: Professional Nursing and State-Level Regulations 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.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
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.
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.
*Note: Throughout this program, your fellow students are referred to as colleagues.
A Sample Answer For the Assignment: NURS 6050 Discussion: Professional Nursing and State-Level Regulations
Title: NURS 6050 Discussion: Professional Nursing and State-Level Regulations
An Analysis of Advanced Practice Registered Nurse (APRN) Regulations in Massachusetts and New Jersey
State regulations about Advanced Practice Registered Nurses (APRNs) differ among jurisdictions.
Both states have similar prerequisites for attaining the designation of an Advanced Practice Registered Nurse (APRN). Both jurisdictions mandate that registered nurses possess an active license, have excellent moral character and standing, and hold an advanced academic degree in nursing with a focus on advanced pharmacology (Commonwealth of Massachusetts, 2014; State of New Jersey, 2015). While both states have requirements for pharmacology, the New Jersey Board of Nursing has more stringent academic restrictions. These regulations provide specific details regarding the minimum amount of course credits or continuing professional education hours that must be devoted to pharmacology (NursingLicensure.org, 2020).
Massachusetts, on the other hand, mandates that the subject must be covered in the advanced degree program and does not provide a specific number of hours required to meet the qualifications for the title (Commonwealth of Massachusetts, 2014). The academic rule is also interconnected with another state regulation for Advanced Practice Registered Nurses (APRNs). New Jersey has more stringent pharmacology standards because of their prescribing regulations. APRNs licensed in New Jersey can prescribe medications as long as they have a “collaboration” or agreement with a physician authorized in New Jersey (State of New Jersey, 2015). In Massachusetts, APRNs are allowed to have prescribing authority under the supervision of providers, but this does not include CNSs and CNMs (Commonwealth of Massachusetts, 2014). CNSs must possess knowledge of pharmacology due to their capacity to conduct intricate evaluations, provide consultation, educate fellow professionals, and make referrals to other healthcare teams. However, unlike their counterparts in New Jersey, they do not have the authority to prescribe medications (Commonwealth of Massachusetts, 2014; Nurse.org, 2020). In contrast, Certified Nurse Midwives (CNMs) are not obligated to have a supervising physician authorize prescriptions and have the autonomy to do so independently (Commonwealth of Massachusetts, 2014).
Given the collaborative nature of nursing, Advanced Practice Registered Nurses (APRNs) can comply with diverse requirements by relying on the assistance of their colleagues. As a clinical informatics specialist in Massachusetts, the supervision of project management will be carried out by an informatics director and an informatics physician to ensure patient safety. The demand for supervision was communicated to me through job postings for clinical specialist positions and my interactions with other specialists. Nevertheless, in New Jersey, Clinical Nurse Specialists (CNSs) may enjoy greater autonomy in prescription management within their professional endeavors as a result of state restrictions. As they must cooperate with a physician, they will be informed of this requirement while working. Nurses can consult their state’s nursing boards to ensure full compliance with these regulations.
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A Sample Answer 3 For the Assignment: NURS 6050 Discussion: Professional Nursing and State-Level Regulations
Title: NURS 6050 Discussion: Professional Nursing and State-Level Regulations
A video from Walden University (2018) featuring Joel Teitelbaum shares, “It is clear that politics is playing a vital role in the design at the outset and now the implementation of the ACA.” You mentioned that policymakers aren’t concerned by how the general population is affected but they care more about reelection. As this statement is partially true, I think research has shown that the general population votes are based on what the legislator is offering. The population is their voting pool and without them there would be no votes which leads to no re-election. I’m not sure that its common ground either, I think it’s all about popularity votes and how it directly affects the legislator. Elected officials generally want to make good policy. Many come to their respective legislative bodies because they want to make a difference and be part of good government. Many consider various things like: Do my constituents care about this issue? Is this good policy for the Nation and does this make sense? Is this press worthy (Ames, n.d.)? The representation of the specific legislators and what they support/represent will always be what sways votes. Taking each aspect into consideration and looking at the targeted population is what will keep legislators in office.
Grading Criteria
To access your rubric:
Week 5 Discussion Rubric
Post by Day 3 and Respond by Day 6 of Week 5
To participate in this Discussion:
Week 5 Discussion
Module 3: Regulation (Weeks 5-6)
Laureate Education (Producer). (2018). Regulation [Video file]. Baltimore, MD: Author.
Learning Objectives
Students will:
Compare state/regional board of nursing regulations
Compare boards of nursing and professional nurse associations
Analyze members of boards of nursing
Analyze state regulations for healthcare
Due By
Assignment
Week 5, Days 1–2
Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion post.
Week 5, Day 3
Post your initial Discussion post.
Begin to compose your Assignment.
Week 5, Days 4-5
Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
Week 5, Day 6
Post at least two peer Discussion responses on two different days (and not the same day as the initial post).
Week 5, Day 7
Wrap up Discussion.
Week 6, Days 1-6
Continue to compose your Assignment.
Week 6, Day 7
Deadline to submit your Assignment.
Learning Resources
Required Readings
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)
American Nurses Association. (n.d.). ANA enterprise. Retrieved September 20, 2018, from http://www.nursingworld.org
Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765.
Halm, M. A. (2018). Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing. Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291
National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.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
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.
Required Media
Laureate Education (Producer). (2018). The Regulatory Process [Video file]. Baltimore, MD: Author.
Laureate Education (Producer). (2018). Healthcare economics and financing [Video file]. Baltimore, MD: Author.
Laureate Education (Producer). (2018). Quality improvement and safety [Video file]. Baltimore, MD: Author.
Discussion: Professional Nursing and State-Level Regulations
To access your rubric:
Week 5 Discussion Rubric
Post by Day 3 and Respond by Day 6 of Week 5
To participate in this Discussion:
Week 5 Discussion