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NUR 513 Topic 2 Discussion Question 1 and 2

three regulatory bodies or industry regulations that specify certification, licensure requirements NUR 513

Re: Topic 2 DQ 1

The federal government does play a role in the regulation process for APRNs in terms of Medicare and Medicaid reimbursement, but much of the regulatory responsibility has been shifted to the states (DeNisco & Baker, 2016). In general licensing and regulations are done on a state level, upheld by the Boards of Nursing (BONs) which vary from state to state (DeNisco & Baker, 2016). The BONs act as decision making bodies that define the nursing scope of practice, educational requirements, licensure, licensure requirements, certifications, and deliver disciplinary action (DeNisco & Baker, 2016). The Nurse Practice Acts (NPAs) are the defined state laws that outline the scope of practice for nurses and nursing specialties within each state that the BON enforces (DeNisco & Baker, 2016).

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In the future I plan on pursing a career in Nursing Informatics. Informatics is a nontraditional advanced practice role so some of the certifications and licensure are not at regulated as the four traditional APRN roles. According to the Consensus Model for APRN regulation, informatics is not considered direct patient care and therefore does not require regulatory acknowledgement beyond a Registered Nursing license (APRN Consensus Work Group & National Council of State Boards of Nursing APRN Advisory Committee, 2008). There is an ANCC Informatics Nursing board certification that can be obtain. The eligibility to be certified requires active RN licensure from the BON, you must have at least a bachelor’s degree in nursing, a minimum of two years of practice as an RN, 30 hours of continuing education in Informatics withing 3 years, and you must meet practice hour requirements (ANCC, 2021). In my case, my practice hour requirements will be fulfilled by completing this graduate level program. three regulatory bodies or industry regulations that specify certification, licensure requirements NUR 513

three regulatory bodies or industry regulations that specify certification, licensure requirements NUR 513


American Nurses Credentialing Center (ANCC). (2021, February 8). Informatics nursing certification (RN-BC).https://www.nursingworld.org/our-certifications/informatics-nurse/

APRN Consensus Work Group & the National Council of State Boards of Nursing APRN Advisory Committee. (2008). Consensus model for APRN regulation: Licensure, accreditation, certification & education. APRN Joint Dialogue Group Report. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning. ISBN-13: 9781284072570


Hello Gina,

I agree with your findings that the role of the APRN is regulated by the states, however it is the board of nursing that is mandated to monitor the practice and the general practice of the APRN. The role of the APRN in the US healthcare systems has been growing in terms of the scope of practice and the level of training. It is believed to be the emerging force of the 21st century in the healthcare industry. In the US the consensus model calls upon the standardization and the unification of all the roles of the APRN in terms of the licensing, accrediting, certification and education of this special unit of nurses (APRN Consensus Model | NCSBN, 2015). The role of APRN is more advanced and one is allowed to offer primary care for the patients. One can only be registered as an NP after graduating with a bachelor of science degree in nursing. Therefore, the new role of APRN comes with responsibilities that should be followed according to the state regulations and guidelines (Barnes, 2015).


Barnes, H. (2015). Exploring the factors that influence nurse practitioner role transition. The Journal for Nurse Practitioners, 11(2), 178–183. https://doi.org/10.1016/j.nurpra.2014.11.004

APRN Consensus Model | NCSBN. (2015). NCSBN. https://www.ncsbn.org/aprn-consensus.htm

Re: Topic 2 DQ 1

According to Denisco and Barker (2016) “Health professions regulation provides for ongoing monitoring and maintenance of an acceptable standard of practice for the professions, with the goal of protecting the interests of public welfare and safety. Regulation is needed as a mechanism to protect the public because of the complexity of the healthcare system”. Regulatory bodies include the Board of Nursing (BON) for each state. There are sixty BON’s and they are all members of the National Council of State Boards of Nursing (NCSBN). Each states BON establishes licensing criteria, approved courses for nursing education, and licensure examination (Denisco & Barker, 2016). All nursing schools that are certified base their programs content on what is approved by the BON. When it comes to the nursing licensure exam, although each states BON sets the criteria for passing, it is the National League for Nursing (NLN) through its established State Board Test Pool Examination (SBPTE) that makes sure the licensing exam is standardized (Denisco & Barker, 2016). three regulatory bodies or industry regulations that specify certification, licensure requirements NUR 513

National specialty nursing organizations play a role in the regulation of advanced practice registered nurses. They do so by developing practice standards and examinations. I am currently working toward a career in health care management. I am hopeful that I can complete my MBA and MSN in Leadership in Health Care Systems. A regulatory body that will be relevant to my chosen career field is the American Organization for Nursing Leadership (AONL). Through their credentialing center, the AONL offers certifications for nurses depending on their level of management; the Certified Nurse Manager and Leader (CNML) for managers, and Certified in Executive Nursing Practice (CENP) administrators (American Organization for Nursing Leadership, 2021).

Advanced practice registered nursing (APRN) was born out of the anticipated shortage of primary care providers following the birth of Medicare and Medicaid programs in the 1960s (Denisco & Barker, 2016). In an effort to make it easier for APRNs to practice across state lines, the NCSBN published the Consensus Model in 2008. “The Consensus Model provides guidance for states to adopt uniformity in the regulation of APRN roles, licensure, accreditation, certification and education (National Council of State Boards of Nursing, Inc., 2021).


American Organization for Nursing Leadership (AONL) (2021). AONL Credentialing Center Certification Programs. Retrieved from      https://www.aonl.org/initiatives/certification

Denisco, S.M. and Barker, A.M. (2016). Advanced Practice Nursing: Essential Knowledge for the Profession. Jones and Bartlett Learning.  https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php

National Council of State Boards of Nursing, Inc. (2021). APRN Consensus Model: The Consensus Model for APRN Regulation, Licensure, Accreditation, Certification, and Education. Retrieved from https://www.ncsbn.org/aprn-consensus.htm



Hello Kelly,

I do agree with you that the regulation and licensure of the healthcare professionals is a crucial regulatory measure that is meant to standardize the nurse practice, promote quality care and improved safety of the patients. Each state in the US has a state mandated board of nursing which works as a regulatory authority. It is the one that governs the licensure, the accreditation, certification and educational courses for the nurses (The Nursing Licensure Compact and Its Disciplinary Provisions: What Nurses Should Know, n.d.). The current guideline by the Institute of Medicine (IOM) recommends the nurse practitioner to offer primary care, acute care and emergency care for the patients (Salmond & Echevarria, 2017). It is imperative for state legislature to carefully check in the APRN restrictions and allow these special unit of nurses to work with some level of autonomy given that the number of physicians. This is meant to reduce the acute shortage of primary care providers


Salmond, S. W., & Echevarria, M. (2017). Healthcare Transformation and Changing Roles for Nursing. Orthopaedic Nursing, 36(1), 12–25. https://doi.org/10.1097/nor.0000000000000308

The Nursing Licensure Compact and Its Disciplinary Provisions: What Nurses Should Know. (n.d.). Ojin.nursingworld.org. https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-24-2019/No2-May-2019/Articles-Previous-Topics/What-Nurses-Should-Know.html

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