NUR 514 Topic 4 DQ 1 Explain how health care policy affects health care organizations, patient care, and cost-effective quality care
NUR 514 Topic 4 DQ 1 Explain how health care policy affects health care organizations, patient care, and cost-effective quality care
Topic 4 DQ 1
Oct 20-22, 2022
Explain how health care policy affects health care organizations, patient care, and cost-effective quality care. What measures can the nurse leader take as an advocate for patient care and addressing health care cost?
REPLY TO DISCUSSION
JB
Jamie Buchanan
Oct 25, 2022, 2:13 PM
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I came across this list recently. It outlines the NP practice environment for each state, classifying them as Full Practice, Reduced Practice and Restricted Practice. What is your states practice environment and what do you think about it? How do you think that you can impact legislation to favor your ideas on state practice environments?
http://www.aanp.org/legislation-regulation/state-legislation/state-practice-environment
Take care,
Dr. B
REPLY
- SW
Sara Wood
replied toJamie Buchanan
Oct 25, 2022, 4:13 PM
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According to the link listed, New York State (NYS) is a full practice state. I find this interesting because one current healthcare legislation issue that is being advocated for is expanding the scope of practice of nurse practitioners in NYS. The current proposed Nurse Practitioner Modernization Act (NPMA) proposes that nurse practitioners with more than 3,600 hours of experience can practice independently of physicians without practice agreements and protocols (New York State Nurses Association, n.d.). For nurse practitioners with less than 3,600 hours of experience practice agreements and protocols will still be required, but they can be with either a physician or experienced nurse practitioner providing the oversight. As far as I know, this legislation has not yet been passed, so the fact that the American Association of Nurse Practitioners views nurse practitioners as practicing to the fullest extent of their scope in NYS surprises me. One way I can impact legislation to favor expanding the practice of nurse practitioners is by supporting and voting for political leaders that will vote in favor of this act. I can also help to educate local politicians on the importance of nurse practitioners being allowed to work within their full scope of practice.
Reference
New York State Nurses Association. (n.d.). New! Nurse practitioner modernization act: Information/updates. https://www.nysna.org/new-nurse-practitioner-modernization-act-informationupdates
REPLY
- KS
Keli Selberis
replied toJamie Buchanan
Oct 26, 2022, 4:32 PM
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The American Association of Nurse Practitioners website lists Virginia as a restricted nurse practitioner (NP) practice state, however; as far back as the January 2021 legislative update Virginia nurse practitioners with 2 years or more of clinical experience were authorized under Executive Order #57 to practice in the role which they are certified, including prescriptive authority, without a practice agreement with a physician (Philips, 2021). Further, in Virginia as of July 1, 2022, APRN’s can submit an attestation stating they have completed 5 years of clinical experience in the area they are certified and licensed in (Virginia State Board of Nursing, 2022). After it is verified, the APRN no longer has to have a practice agreement with a physician. This essentially makes APRNs practice autonomous after a period of demonstrated skill in their practice area. It seems perhaps they are referring to outdated practice status information.
References
Phillips, S. J. (2021). 33rd Annual APRN Legislative Update: Unprecedented changes to APRN practice authority in unprecedented times. The Nurse Practitioner, 46(1), 27 55. https://doi.org/10.1097/01.NPR.0000724504.39836.69
Virginia State Board of Nursing. (2022, July 1). Retrieved from Virginia State Board of Nursing. Excerpts from the medical practice act of the code of Virginia relating to nurse practitioners. https://dhp.virginia.gov/media/dhpweb/docs/nursing/leg/Med_Nursing_NP.pdf
REPLY
JB
Jamie Buchanan
Oct 24, 2022, 5:32 AM
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Class:
With the rising global issues and the nursing profession being the largest segment of health care workforce with over 3 million members, we are definitely in a position to play a vital role in changing the landscape of the health care system (Institute of Medicine, 2010). With nurses achieving higher levels of education and training, it is only fair that nurses should practice to the full extent of their training and education through evidence-based research, as well as influence changes in legislation to advance health care. At the global level, the International Council of Nurses (ICN) allows nurses to come together as one voice to advance the profession and promote changes in health policy (Benton, 2012). According to Benton (2012), nurses should not take the back seat on issues and opinions that matter to the society but take leadership positions seriously. Imagine that you are on the ICN board, what important issues would you like to work on that impact global issues today?

Dr. B
References
Benton, D. (2012). Advocating globally to shape policy and strengthen nursing’s influence. The Online Journal of Issues in Nursing, 17 (1), 5.
Institute of Medicine. (2010). The future of nursing: Focus on scope of practice. http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Nursing%20Scope%20of%20Practice%202010%20Brief.pdf
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