Sample Answer for NURS 6050 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.
A Sample Answer For the Assignment: NURS 6050 Professional Nursing and State-Level Regulations
Title: NURS 6050 Professional Nursing and State-Level Regulations
APRN board of nursing regulations vary for each state in the United States of America. Given the differences between APRNs and the related state decrees, rules, and regulations, there is always the need for the APRNs to have a clear understanding on how the scope of healthcare practices are defined by such laws and regulations and any other opinion propagated by the regulation agencies for each state (Neff et al., 2018). In Georgia, the APRN Board of Nursing states that a nurse practitioner should be a registered professional nurse who is recognized by the board to get involved in the advanced practice registered nursing. Also, the board requires the nurse practitioner to practice in ways that are consistent with chapter 410-13 of the rule and regulations stipulated by the Georgia Board of Nursing (Phoenix & Chapman, 2020). For a professional nurse to be allowed to practice, they require the completion of a Georgia Board-approved advanced practice registered nurse reentry or the refresher program.
In California, there are differences in regulations compared to Georgia. While Georgia requires the completion of a Georgia Board-approved advanced practice registered nurse reentry or the refresher program, in California, federal certification or any other qualification from the recognized university is enough for nurses to practice in different healthcare institutions within the state (Phillips, 2015). Most regulations or the requirements between the two states are similar. For instance, for both the states, there is the need for healthcare professionals to acquire the certification for practice to be able to get involved in the healthcare processes.
The regulations selection can allow Advanced Practice Registered Nurses (APRNs) to operate within their scope of practice and exercise their educational achievements and experiences in enhancing the treatment processes (Sabo et al., 2017). APRNs may adhere to the two regulations through engaging in continuous training processes to gain insight into what is needed.
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References
Neff, D. F., Yoon, S. H., Steiner, R. L., Bejleri, I., 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. Retrieved from: https://doi.org/10.1016/j.outlook.2018.03.001
Phillips, S. J. (2015). 27th Annual APRN legislative update: advancements continue for APRN practice. The Nurse Practitioner, 40(1), 16-42. Retrieved from: 10.1097/01.NPR.0000457433.04789.ec
Phoenix, B. J., & Chapman, S. A. (2020). Effect of state regulatory environments on advanced psychiatric nursing practice. Archives of psychiatric nursing, 34(5), 370-376. Retrieved from: https://doi.org/10.1016/j.apnu.2020.07.001
Sabo, J. A., Chesney, M., Tracy, M. F., & Sendelbach, S. (2017). APRN consensus model implementation: The Minnesota experience. Journal of Nursing Regulation, 8(2), 10-16. Retrieved from: https://doi.org/10.1016/S2155-8256(17)30093-5
A Sample Answer 2 For the Assignment: NURS 6050 Professional Nursing and State-Level Regulations
Title: NURS 6050 Professional Nursing and State-Level Regulations
I compared two advanced practice registered nurse (APRN) boards of nursing regulations of Minnesota and Florida. I will begin by reviewing some similarities of the two states’ regulations and then delve right into the differences between the two states.
Florida and Minnesota both are regulated by their respective Boards of nursing (BON), and in addition, Florida is also regulated by the Board of Medicine American Association of Nurse Practitioners, [AANP], (2021). National Council of State Boards of Nursing, [NCSBN], (n.d.-b). indicates that Florida APRNs practice under a restricted license, under both the Board of Medicine (BOM) and Board of Nursing (BON). Both boards govern APRN practice and licensure in Florida, transferring the authority from the BON to the BOM Bosse et al. (2017). Likewise, in Minnesota, APRN’s practice under the most pliable scope of practice; a full, unrestricted practice regulatory structure AANP (2021).
APRN’s in Minnesota is one of the four specialists with master’s degrees including, “Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), Certified Nurse Midwife (CNM), and Certified Nurse Practitioner (CNP)” (Minnesota Board of Nursing, n.d.). The national certification exam appropriate to role and focus is required after education is completed. In addition, recognition and authority to practice are granted via licensure and registration National Council of State Boards of Nursing [NCSBN], (n.d.-a). Also, APRNs in Minnesota are authorized to prescribe schedule 2-5 medications and can diagnose NCSBN (n.d.-a). NSCBN (n.d.-a) further expresses continuing competence includes that the APRN must maintain national certification congruent with role and focus. Lastly, disciplinary records are in the same database that contains nurse registry data and held there indefinitely and available to the public NCSBN (n.d.-a).
Like Minnesota, APRNs in Florida include “Certified Nurse Practitioner (CNP), Certified Nurse Midwife (CNM), Clinical Nurse Specialist (CNS), and Certified Registered Nurse Anesthetist (CRNA)” (NCSBN, n.d.-b). Like that of Minnesota, the National Certification exam is required after education is completed to obtain the Nurse Practitioner degree. Dissimilar to Minnesota, recognition, and authority to practice is granted via licensure only NCSBN (n.d.-b). Also, according to NCSBN (n.d.-b) unlike Minnesota regulation, APRNs in Florida can only prescribe with full authorization within protocol under a supervising physician and can diagnose. Again, different from Minnesota, continuing competence includes that the APRN complete continuing education (CE) credits documented with a vendor or CE broker each biennial renewal NCSBN (n.d.-b).
According to the APRN Consensus Model by State scoring grid (NCSBN, n.d.), Minnesota scored “28 points – 100%” and Florida “21-27 points – 75-96%”. The difference is Florida APRNs must have a “written collaborative agreement under independent practice” and prescribing whereas Minnesota does not need the written collaborative agreement for independent practice and prescribing as a regulation (NCSBN, n.d.-b).
Apply regulations to Full-Scope of Practice
APRN’s in Minnesota have legal authority with an independent full scope of practice and prescription authority post achievement of RN license, graduate degree, and becoming nationally certified as an APRN. What that entails for Minnesota, is different for Florida in areas related to state legislation that outlines the scope of practice among nurse practitioners within each respective state. The regulations I have selected include medication prescription rights of nurse practitioners and continuing competence of the APRN degree. The BON is the ultimate source for any nurse practitioner for a strong and reliable resource for reviewing the scope of practice. The BON has the Nurse Practice Act that contains the scope of practice of APRN’s Milstead & Short (2019). It is in the APRN’s best interest to understand their scope of practice thoroughly and soundly. By doing so, it allows the provider to provide competent care, for regulations are present to protect the public, not oneself.
APRN’s must engage voluntarily and actively in self-regulation of their degrees to maintain obeying the blueprint of rights of being a trusted APRN including adhering to regulations. With each state being governed by its BON and or other organizations, each state has regulations that are specific to them Milstead & Short (2019). Nurses must look within at their values and standards that frame their ethical blueprint combined with legal regulations. Together these values provide guiding staples to provide safe and competent care Milstead & Short (2019). For example, when obtaining a specialty, a nurse needs to follow the set standards of that organization and use them within her/his scope of practice and application. And if working in another state, or within her state, staying up-to-date on current regulations, for some part of health care is always active in court attempting to be reformed. Laureate Education (2018) describes the very fact the regulations merit tracking for these very regulations apply to our practice. Furthermore, tracking regulations will keep APRNs informed of current regulations that may have been removed, altered, or simply by establishing parameters of how the law will be implemented Laureate Education (2018).
References
American Association of Nurse Practitioners. (2021). State Practice Environment. Retrieved June 25, 2021, from aanp.org
American Nurses Association. (n.d.). ANA enterprise. Retrieved from http://www.nursingworld.org
Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vnhook, 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.
Laureate Education (Producer). (2018). The Regulatory Process [Video file]. Baltimore, MD: Author.
Minnesota Board of Nursing. (n.d.). Advanced Practice Registered Nurse (APRN) Licensed General Information. Retrieved June 21, 2021, from https://www.mn.gov
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 (NCSBN). (n.d.-a). United States-Minnesota. Retrieved June 22, 2021 from https://www.regulatoryatlas.com/jurisdiction-detail?Jurisdiction=Minnesota
National Council of State Boards of Nursing (NCSBN). (n.d.-b). United States-Florida. Retrieved June 22, 2021 from https://www.regulatoryatlas.com/jurisdiction-detail?Jurisdiction=Florida
A Sample Answer 3 For the Assignment: NURS 6050 Professional Nursing and State-Level Regulations
Title: NURS 6050 Professional Nursing and State-Level Regulations
When the affordable care act was first introduced in (2010) it was absolute game changing policy for consumeres.Then congressional republicans tries to repeal and replace through AHCA but was not successful in doing so (Willson, C.,& Singer, P. M., 2017, Aug). Repealing and replacing ACA was one of the most important policy to revise in the list of President Trump. As revising this pilocy he can attrract voters and make his point that this is good for American economy. Though after the debates republicans were well aware that they will lose voters in the process of replacing the ACA (Willson, C.,& Singer, P. M., 2017, Aug).
“The House Republican plan, “A Better Way,” introduced by Speaker Ryan in June 2016, proposed to repeal some, but not all, of the ACA’s Medicare provisions” (Cubanski J., elt all, Dec 13, 2016). According to this new policy, payments to medicare providers will increase, approximately , $350 billion of the total $802 billion will increase expenses over 10 yeras. But, it will cut the out of pocket deductible to Medicare Advantage plus plan holder (Cubanski, J et all, Dec,13 2016). Addionally, it will covers the coot for preventive services by providing free services (Cubanski, J., et all, Dec13, 2016).
According to ACA repeal (Buettgens, M et all, 2016, June), “congress passed a bill for the firts time, without a replacement of ACA “. The purpose behind this bill was to cut the cost as they purposed it will cut cost by” 90.9 billion by 2021 and $927 billion between 2017 and 2026″ (Buettgens, M et all, 2016, June). And that way legislators will convince the voter that how economically sound their policies are and benefical for people.
But actually, people will pay its price in other ways. Like, number of uninsured peoble will be increased by 24 million by 2021 (81% increase), 14.5 million less people with Medicaid coverage in 2021, State has to inctrease as in terms of expenditure by $68.5 billion between 2017 and 2026 (Buettgens, M et all., 2016, June).
Any policies when introduced or something passed as bill it costs everyone in some way.. According to Short, N. M. (2016), “There is no such thing as a free lunch: for every opportunity taken and for evry option discarded there are trade offs”. So when we talk about the benefits of policies it can benefit the consumers and effects them most. Some get benefitted because of free sevices or cost cuting plans and some can pay more because of their income status. For example, Medical program is beneficial to low socio economic status and on other hand some people hab eto pay for the insurance. Addionally, policymakers also get benefitted in terms of getting more voytes beause of the people favourable policies. Like free money to the people in the Covid period but it cost the goverment and governement put this burden on the people by increasing taxes and prices on everything. So, its like you get something in one hand and either you or someone else for you pays with other hand.
References
Buettgens, M., Blumberg, L. J., & Ndwande, S. ( 2016, June). The cost of ACA repeal. Urban Institite. Retrieved Sept 13, 2022 from
https://www.urban.org/sites/default/files/publication/81296/2000806-The-Cost- of-the-ACA-Repeal.pdf
Cubanski, J., Neuman, T., Jacobson, G., & Boccuti, C. ( 2016, Dec 13). Health Reform. What are the implications of repealing the Affordable care act for medicare spending and beneficiaries. Retrieved Sept 13, 2022, from
Milstead J.A., (2016). Overview:The economics and finance of health care. In Short N. M (Ed), Health Policy and Politics: A nurse’s guide (pp 285-287). Jones and bartlett learning.
Willison, C. E. , & SINGER, P. M., (2017, Aug). Repealing the affordable care act essential health benefits: Threats and obstacles. Am J Public Health, 107 (8): 1225-1226. Retrieved Sept 13, 2022 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5508159/