NURS 6050 Discussion: Professional Nursing and State-Level Regulations
NURS 6050 Discussion Professional Nursing and State-Level Regulations
Regulations governing professional nursing and at the state level
Both the state and federal governments place a premium on providing high-quality clinical services. The government is responsible for planning and funding public health surveillance and protection initiatives. Equally, legislators are critical in developing pertinent policies and allocating resources to improve healthcare infrastructure in order to increase service reliability and effectiveness. Regulations governing the healthcare delivery system in the United States of America and promoting public safety (Milstead & Short, 2019). However, practice-specific regulatory agencies such as the New Jersey Board of Nursing and The Nurse Practitioner Association of New York State serve as executives responsible for enforcing a set of laws governing the Advanced Practice Registered Nurse’s professional practice (APRN).
Regulations for Advanced Practice Registered Nurses in New York
States have enacted legislation regulating the APRN’s professional activities. Additionally, the laws cover a broad range of educational requirements and certification procedures for APRNs. The New York State Board of Nursing, a division of the New York State Education Department, regulates and supervises practitioners in a variety of specialties, including palliative care, obstetrics and gynecology, psychiatry, and pediatrics. Similarly, the Nurse Practitioner Association of New York State (NPA) is a not-for-profit organization dedicated to advancing high standards of healthcare delivery. The organization enables nurse practitioners and other healthcare professionals to adhere to legal requirements (The Nurse Practitioner Association New York State, n.d). Additionally, the NPA contributes to policy formulation processes and facilitates networking among nurses.
New York’s Advanced Practice Registered Nurse Regulations
States have specific policies that regulate the professional activities of an APRN. Furthermore, the laws cover the broad areas of educational requirements and licensing procedures for the APRN. New York State Board of Nursing, a subdivision under the New York State Education Department, standardizes the certification and practice opportunities for practitioners in various specialties, including palliative care, obstetrics and gynecology, psychiatry, and pediatrics. Equally, the Nurse Practitioner Association New York State (NPA) is a non-profit organization with a mission of promoting high standards of healthcare delivery. The organization empowers nurse practitioners and professionals to comply with the legal requirements (The Nurse Practitioner Association New York State, n.d). Moreover, the NPA provides inputs into policy formulation processes and promotes networking among nurses.
New Jersey’s Advanced Practice Registered Nurse Regulations
The certification by the New Jersey Board of Nursing is a mandatory requirement to be an Advanced Practice Nurse in New Jersey. The agency also implements a joint protocol with the collaborating physicians and ensures adherence to the legal requirements for practice. Also, the Advanced Practice Nurses of New Jersey is a coalition of nurses, APRNs, and citizens with a shared objective of eradicating practice barriers (Advanced Practice Nurses of New Jersey APN-NJ, n.d). The group promotes awareness creation to improve access to care, foster professional collaboration, and good leadership (Advanced Practice Nurses of New Jersey APN-NJ, n.d). Besides, they ensure compliance with the federal government legislation on the provision of evidence-based practice and the well-being of the patients.
Differences Amongst New York and New Jersey
The respective board of nursing in New York and New Jersey provides elaborate measures on the registration and scope of work of the nurses. Both states have comprehensive agencies that play a fundamental role in the development and execution of regulations that define the rights and privileges of the nurses. The practitioners are expected to undertake disease diagnosis and participate in counseling and health education. In addition, the New York State Education Law offers guidelines on the relevant academic requirements for the APRN. However, the regulations differ based on the area of jurisdiction. The key proponents of the regulations in New Jersey encompass a group of healthcare professionals and communities, while in New York, the legislations are executed by the key state agencies.
Applications
APRNs have advanced clinical knowledge, education, and skills to provide specialized care to the community. Therefore, compliance with the regulations will enable them to identify the specific area of professional engagement and the boundary of their operations. Moreover, the regulations stipulate the years of experience and necessary certifications before enrolling for an advanced degree in nursing. For instance, every nurse practitioner must obtain certification by the New Jersey Board of Nursing before becoming an APRN. The nurses can adhere to the regulations by completing the mandatory education levels to become nurse specialists.
References
Advanced Practice Nurses of New Jersey APN-NJ. (n.d). State Legislative and Regulatory Information. Retrieved from http://enp-network.s3.amazonaws.com/APNNJ/students/New%20Jersey%20APNs.pdf
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.The Nurse Practitioner Association New York State. (n.d). About Us. Retrieved from https://apnnj.enpnetwork.com/page/30121-about-us
The Nurse Practitioner Association New York State. (n.d). About Us. Retrieved from https://apnnj.enpnetwork.com/page/30121-about-us
The RNs and APRNs have current opportunities which enable them to participate actively in policy review:
Policy planning and policy review work hand in hand : That is, policy review starts at the same time when a policy is being planned, while the stakeholders are only concerned on evaluating their ability to buy -in and develop the proposed policy. (Mil stead & Short, 2019). Now, with the current opportunities RNs and APRNs to actively participate in policy evaluation and review process in our health facilities, we need to improve and upgrade ourselves to the positions that can enable us to start having meetings with the stakeholders of the facilities, which will enable us to be involved in policy analysis process. Good example was during the campaign for patient education for enrollment in subsidized health insurance plans, for design and implementation phases of Affordable health care Act (ACA): It was only the professional nurses that were allowed to evaluate the process, and advocate for cost transparency, and this was done through the professional nurses organisations. (Milstead & Short, 2019). With the current opportunities that is available for professional nurses, if RNs and APRNs can be active members of professional nurses organizations like- American Nurses Association (ANA), The National League of Nursing (NLN), the American Association of Nurse Practitioners (AANP), and the American Association of College of Nurses (AACN), nurses will be more knowledgeable and well informed with new trends, then relating with ACA to the lawmakers and public, will be easy with the report they are able to provide.
NURS 6050 Discussion Professional Nursing and State-Level Regulations
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In addition, active involvement and participation of RNs and APRNs during the introduction of new policies and policy review in the
unit developmental meetings is another opportunity nurses have to evaluate and regulate policies. For example, when there is noticeable increase in patients fall in a unit, new policy on patient bed and -chair alarm system may be introduced for high risks for falls patients in the unit. So, before the unit developmental meeting, where the bed and chair alarm system will be discussed for approval, The RNs should be able to review the policy and write down their expections for the policy, its effectiveness and its measurable goals. For the policy makers to make a decision on whether they need to support a policy or not , they have to be notified at the beginning of the policy review, and at the same time with the plan to implement the new policy.(Laureate Education, 2018). NURS 6050 Discussion Professional Nursing and State-Level Regulations
The challenges these opportunities may present and how to overcome the challenges:
Policy review, involves other professionals and lawmakers who have various disciplines and from different backgrounds with different opinions. so, this imposes lots of challenges to the RNs and APRNs, even though nursing profession is highly respected in the society. Depending on their level of understanding and views of patients and health care system, some of them may or may not buy the ideas and suggestions of the nurses, because of their poor perception on nursing profession. It is unfortunate that, in this day and age, during my private discussions with some people, I found out that , there are people who still do not value or appreciate the work nurses do, because they believe that after giving the patients their medications, nurses do nothing else, but play around for hours, and earn big money at the end of the day. This is very annoying to hear it from anyone, knowing the type of challenges and stress the nurses go through. In order to overcome this perception, Nurses with our leaders have to continue to focus on doing the right thing per evidence-based practice and also, to organize health education for the public, whereby, they could be thought or made aware, of what nurses do, which will in turn boost their trust on nurses. NURS 6050 Discussion Professional Nursing and State-Level Regulations
Fear of change: During the introduction of a new policy, some of the staff including nurses may challenge the policy just for fear of a change. To overcome this challenges, nurse leaders should create early awareness of the new policy to the staff, including – the analysis, cost, and the expected outcomes, in other to gain their interest and support, if they may need to vote for the new policy.
Strategies to communicate the existence of these opportunities:
Two main strategies to better advocate for or communicate the existence of these opportunities are through:
-Social media.
-Seminars.
Using social media like Face book, network groups, and discussion posting in the network groups will create a faster awareness of the opportunities to people far and near in the profession.
My ability to constantly attend professional seminars, local and national nursing meetings, and binging back home all that I learnt, will be a good strategy for me to communicate and advocate the existence of RN’s and APRNs opportunities for policy evaluation, and I will create visible posters to create the awareness to every nurse.
References
Laureate Education (Producer). (2018). The Importance of Program Evaluation [Video file].
Baltimore, MD: Author.
Mil stead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.).
Burlington, MA: Jones & Bartlett Learning. Retrieved March 11th 2020.
Hi If…,
Thank you for your post. I thought it was interesting when you spoke about only professional nurses’ being involvemed in policymaking, review, and evaluation during the implementation of the Affordable Care Act. I think it is part of our job as nurses with advanced education to educate nurses on how important it is to be part of a professional organization. Professional organizations offer so many opportunities for nurses, that most do not realize. For example, the American Nurses Association works on a national level to represent nurses on issues that are important to nursing and health care (Member Benefits, n.d.).
One Board of Nursing regulation that I chose to speak about in my discussion post was the requirement of Advanced Practice Registered Nurses (APRNs) to maintain a collaborative practice agreement with a supervising physician. In the state of Maine, there is no requirement for a collaborative agreement. Maine requires its newly graduated APRNs to work with a supervision MD or APRN for 24 months to gain experience; then, they can apply to practice independently (“Laws and Rules/Chapters,” n.d.). I am an advocate of APRN independent practice; however, I believe these 24 months to be a great idea until the APRN gains a little experience. Everyone needs someone to collaborate with from time to time. In my state, North Carolina, APRNs continue to have restrictions related to this collaborative agreement. This restriction hinders access to care for many. Therefore, again we need to be part of our professional organizations to advocate for full practice authority.
Reference
Laws and Rules/Chapters. (n.d.). Retrieved March 21, 2020, from https://www.maine.gov/boardofnursing/laws-rules/index.html
Member Benefits. (n.d.). Retrieved March 23, 2020, from https://www.nursingworld.org/membership/member-benefits/
Hi If..
You did great work in this post. You explain all the information very accurately. In this post, you stated that RNs and APRNs. Act together on policy preparation and policy reform. That is, policy revision begins with a prepared policy, whereas stakeholders are just worried about evaluating their purchasing ability and implementing the new policy. Policy revision is a collaborative operation. In Texas, drug recognition by the Ministry for Public Protection, a pharmacy clinic approved with the Texas Health Board, and a successful permit with the Federal Law Enforcement Agency are necessary for the maintenance of valid licenses. In reference, Oklahoma laws bar APRNs from recommending drugs in Schedule II. The legislative analysis involves other specialists and lawmakers of various deceptions and histories. Thus, this provides the RNs and APRNs with several obstacles, while in culture, the nursing practice is widely regarded. Any patients can or may not believe the ideas and recommendations of the nurses based on their poor knowledge of the health care field, depending on their interpretation and perceptions of the patient and health system (Wofford, 2019).
References
Wofford, P. (2019). Texas Nurse Practitioners Fight for Full Practice Authority. Retrieved from Nurse: https://nurse.org/articles/texas-nurse-practitioners-fight-for-practice/
NURS 6050 Discussion: Professional Nursing and State-Level Regulations
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.
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.
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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.
Submission and Grading Information
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
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.
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.
Submission and Grading Information
Grading Criteria
Rubric Detail
Select Grid View or List View to change the rubric’s layout.
Content
Name: NURS_6050_Module03_Week05_Discussion_Rubric
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List View
Excellent Good Fair Poor
Main Posting
Points Range: 45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.
Supported by at least three current, credible sources.
Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
Points Range: 40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.
At least 75% of post has exceptional depth and breadth.
Supported by at least three credible sources.
Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
Points Range: 35 (35%) – 39 (39%)
Responds to some of the discussion question(s).
One or two criteria are not addressed or are superficially addressed.
Is somewhat lacking reflection and critical analysis and synthesis.
Somewhat represents knowledge gained from the course readings for the module.
Post is cited with two credible sources.
Written somewhat concisely; may contain more than two spelling or grammatical errors.
Contains some APA formatting errors.
Points Range: 0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately.
Lacks depth or superficially addresses criteria.
Lacks reflection and critical analysis and synthesis.
Does not represent knowledge gained from the course readings for the module.
Contains only one or no credible sources.
Not written clearly or concisely.
Contains more than two spelling or grammatical errors.
Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness
Points Range: 10 (10%) – 10 (10%)
Posts main post by day 3.
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Does not post by day 3.
First Response
Points Range: 17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Response is effectively written in standard, edited English.
Points Range: 15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English.
Points Range: 13 (13%) – 14 (14%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
Points Range: 0 (0%) – 12 (12%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited.
Second Response
Points Range: 16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Response is effectively written in standard, edited English.
Points Range: 14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English.
Points Range: 12 (12%) – 13 (13%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
Points Range: 0 (0%) – 11 (11%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited.
Participation
Points Range: 5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100
Name: NURS_6050_Module03_Week05_Discussion_Rubric