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Sample Answer for NRS 430 Topic 4 DQ 1 Included After Question
Outline the process for the development of nursing standards of practice for your state, including discussion of the entities involved in developing the standards of practice and how the standards of practice influence the nursing process for your areas of specialty.
A Sample Answer For the Assignment: NRS 430 Topic 4 DQ 1
Title: NRS 430 Topic 4 DQ 1
The healthcare system has had a continuous financial problem. This has ultimately compromised patient care and their outcomes. Presently, it is funded by insurance companies, federal programs, and out of pocket expenses paid by patients themselves. All Americans should have access to healthcare, but the debate is about who should pay for it. Most Americans work longer and harder for health care. Everyone should be treated equally and not judged by their income and be able to get insurance at the same quality as everyone else. The social determinants of health illustrate that there are many reasons why health is compromised. Many Americans have avoided addressing their health due to lack of insurance and expenses. The idea of universal healthcare is to have coverage for all eligible residents that covers medical, dental, and mental health care. Typically, costs are borne in the majority by publicly funded programs. Non inclusive, inequitable systems limit quality healthcare access to those who can afford it or have employer sponsored insurance. These policies exacerbate health disparities by failing to prioritize preventive measures at the environmental, policy, and individual level (Zieff et al., 2020). Universal healthcare will better facilitate and encourage sustainable, preventive health practices and be more advantageous for the long term public health and economy of the US.
Zieff G, Kerr ZY, Moore JB, Stoner L. (2020). Universal Healthcare in the United States of America: A Healthy Debate. Medicina. 56(11):580. doi: 10.3390/medicina56110580. \
A Sample Answer 2 For the Assignment: NRS 430 Topic 4 DQ 1
Title: NRS 430 Topic 4 DQ 1
CAT: COMPACT Licensure
The addition of compact licensure to the nurse licensure process allows nurses to practice in other compact partner states. In your opinion, would it be beneficial to have national professional practice standards versus state oversight? Why or why not?
I believe the compact licensure has been very helpful. It allows the holder to practice in all participating states in the US. Considering the recent pandemic, nurses were able to move from one locatiion to another to care for severely sick. This i believe was possible because of the compact license to practice.
Having a national professional practice standard or state specific standard has its cons and pros.
The advantage of a federal standard of practice is uniformity in practice and licensure. For instance, in my home country, there is just one board of nursing referred to as the nursing council and they help in maintaining standard of care in all states of the federation as well as issuance of liscenses. Hence, a professional nurse in one state can practice in all the 36 states of the country.
The downside of this system could be delay in processes and procedures such as registration, verification and issuing of liscenses.
Coming to the US, i think having a centralized system might be a bit cumbersome to maintain because of the ever growing population size and changing system in healthcare. Also, it would be easier to manage the ever growing population and nursing practice within the state level.
You bring up a valid point of a national council to regulate the practice. Larger numbers of nurses to oversee would be a challenge. Perhaps the national council could have state committees to oversee the practices using the national standards.
In my country, there is one board of nursing called the ‘Nursing council’, and they help in monitoring the standard of care in all states of the federation. The nursing council will verify where I studied and the state health authority will issue the license to practice nursing in any state. So a professional nurse can practice nursing in all states of the country. The Nursing council will register, verify and issue licenses. And it is renewed every five years. To practice outside the country, a special authorization is required. In the United states, each state allows nursing practice after verifying the nursing certificate and allowing to practice as an RN nurse.
If one can meet the competencies of the NCLEX, safe practice should be the same everywhere. In nursing, basic study is the same, but teaching methods can be different. Although the studies and practice are similar, tradition, culture and people are different. And one should have dedication and compassion to nursing job. Only then can one be sincere to their patients.
In my opinion I think absolutely it would be more stream line and beneficial to all those involved (patients, nurses, and the state legislators) to have national professional practice standards versus state oversight. For example, looking at the pandemic, different states needed nurses at different times through the waves of COVID, having a nursing license that had the same scope of practice and nationally standardized would help streamline nurses to work around the country at any given time.
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This can also help nurses when moving states or location if they decide to relocate they don’t have to go through the hoops of getting an RN license that permits them to practice in whatever state they are going to. I think overall its better to have one golden standard across the country versus having different scopes of practices, rules and regulations for RN’s in different states. Having a national professional practice standard would make for safer better regulated conditions and overall better patient outcomes across the country. yes I do believe it would be beneficial to have a national standardization in certain instances. Especially in times like we have seen with the pandemic. So maybe an emergency compact licensure would be more ideal. This would still give each state oversight ability and responsibility, not to mention autonomy.
In my opinion, I think that it would be benficial for there to be a national licensure for nurses. I think this could be both helpful for the nurse and patient. Quality of standards being universal across the states will allow the nurse flexibility to travel or move states without delay in work. Being able to move from state to state working with the same scope of practice and standard of care can also be beneficial in a state of emergency or even in a pandemic. This also insures and equally in care nation wide through the nursing profession, so patients can expect the same great care wherever they are in the country. On the other hand, I do feel that it is important to have nurses and health care professionals from various fields to have input on the nursing scope of practice and standard of care.
The practice of nursing is in a constant state of motion and in an effort to create guidelines for standards of practice, a “list of competencies to help nurses better understand the expectations…these include assessment, diagnosis, planning, coordination of care, health teaching consultation, prescriptive authority, and evaluation” (Dean, 2018). The National Council of State Boards of Nursing (NCSBN) assists all fifty states, including Oklahoma, in developing guidelines for standards of care for its Board of Nursing (BON) (ncsbn.org). These guidelines set forth by the NCSBN encourage the state of Oklahoma to use evidence-based practice in its Nurse Practice Act (NPA) which promotes patient safety and outcomes (Huynh, 2021).
With all states using the NCABN, a sense of continuity and standardization can be felt in the profession of nursing. With developments in medicine and other interventions, it is vital in the nurse role to understand what his/her role is in regards to patient safety and outcomes. By using the standards of practice put forth by the state of Oklahoma’s BON, the safety of patients is in the forefront of the care that is provided.
In the post-anesthesia care unit (PACU), the five components of the nursing process are utilized (Dean, 2018). An example of this would be a patient who presents to the PACU after a shoulder arthroscopy.
A Sample Answer 3 For the Assignment: NRS 430 Topic 4 DQ 1
Title: NRS 430 Topic 4 DQ 1
In the state of Texas, the process of the development of nursing practice standards is conducted periodically and governed by the Nurse Practice Act (NPA), which is regulated by the Texas Board of Nursing. The NPA is a body that mandates the Texas Board of Nursing to establish the responsibilities and scope of practice for Registered Nurses. The process of developing the nursing practice standards begins by creation of a task force by the Texas Board of Nursing that either creates new practice standards or amends the existing ones. The task force often constitutes registered nurses, advanced practice registered nurses, and specialized nurses with particular responsibilities and functions. The primary tool used by the task is a Nursing Scope and standards of Practice, which is a template to guide the development process (Texas Board of Nursing, 2019).
The entities involved in the development of standards of practice include the (NPA), which mandates the Board to establish the scope of practice and responsibilities. The Texas Nursing Association is also involved in fostering high standards of practice and facilitates professional and educational development of registered nurses. The American Nurses Association (ANA) also plays a part of creating general nursing standards and scope that is universal to all nurses. On the other hand, the standards of practice influence the nursing process by helping to describe the competent level of care in every stage of nursing process, help in sustaining safe and clinically proficient nursing practice, and also play an important role of guiding and promoting clinical practice (Harper & Maloney, 2017).
Harper, M., & Maloney, P. (2017). The updated nursing professional development scope and standards of practice. The Journal of Continuing Education in Nursing, 48(1), 5-7. https://doi.org/10.3928/00220124-20170110-02
Texas Board of Nursing. (2019). Rules and Regulations Relating to Nurse Education, Licensure, and Practice. Bon.texas.gov. Retrieved from https://www.bon.texas.gov/pdfs/law_rules_pdfs/rules_regulations_pdfs/August2019BONRulesandRegulations.pdf.
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