Apa Format Within Text Citation And Scholarly References

Apa Format Within Text Citation2 Scholarly References With In The Last

APA format within text citation 2 scholarly references with in the last 5 years Minimal 250-word count 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, focusing on at least two APRN regulations for comparison. Post a comparison of these APRN board of nursing regulations, describing how they may differ. Be specific, provide examples, and explain how these regulations may impact APRNs practicing within the full scope of their education and experience. Include examples of how APRNs may adhere to these regulations.

Paper For Above instruction

The regulation of advanced practice registered nurses (APRNs) is critical in ensuring high-quality, safe, and effective patient care. In the United States, the Boards of Nursing (BONs) in each state and territory establish specific regulations that govern APRN practice, including licensure requirements, scope of practice, and prescriptive authority. Comparing regulations across states reveals significant differences that influence how APRNs deliver care, especially regarding their full scope of practice (Buppert, 2020).

In Georgia, the BON permits APRNs, including nurse practitioners like the Family Nurse Practitioner (FNP) and Psychiatric-Mental Health Nurse Practitioner (PMHNP), to practice with a degree of autonomy, including the ability to prescribe medications under a protocol agreement. Georgia's regulations emphasize physician supervision only for prescribing, allowing APRNs to evaluate, diagnose, and manage patient care independently within their scope (Georgia Board of Nursing, 2021). For instance, Georgia mandates that APRNs collaborating with physicians adhere to written protocols that specify prescribing limitations and collaborative agreements, but these do not restrict the overall scope of autonomous practice for FNPs or PMHNPs.

By contrast, in California, the Board of Registered Nursing (BRN) restricts APRN authority more tightly, especially regarding prescriptive authority. California requires APRNs to operate under a formal standardized procedure agreement with a supervising physician, limiting the degree of independence granted, particularly in prescribing Schedule II medications. Furthermore, California mandates additional continuing education specific to prescribing and mental health for PMHNPs (California Board of Registered Nursing, 2022). This creates a regulatory environment where APRNs, despite their full educational preparation, must adhere to tighter supervision requirements, which can impact the efficiency and autonomy of mental health services provided by PMHNPs.

These regulatory differences directly influence APRNs' ability to practice independently and prioritize patient care. For example, Georgia APRNs can independently diagnose and prescribe within their scope, fostering timely access to mental health services, especially important in underserved areas. Conversely, California's supervision requirements for PMHNPs may introduce delays in service delivery, potentially impacting patient outcomes. To adhere to these regulations, Georgia APRNs must maintain verified protocols with collaborating physicians but can independently manage patient care, aligning with the state's emphasis on autonomy. Conversely, California APRNs must ensure compliance with supervision agreements and additional continuing education, reinforcing the importance of understanding and adhering to state-specific legislation for safe practice (American Association of Nurse Practitioners, 2023).

In summary, state-specific regulations significantly influence the scope and autonomy of APRNs. Georgia promotes broader independence, supporting increased access to primary and mental health care, while California maintains more restrictive supervision requirements, emphasizing oversight. As APRNs operate across states, understanding these regulatory nuances ensures compliance and optimal patient care delivery.

References

• American Association of Nurse Practitioners. (2023). State practice environment. https://www.aanp.org/advocacy/state-practice-environment
• California Board of Registered Nursing. (2022). Nurse practitioner regulations. https://www.rn.ca.gov/
• Georgia Board of Nursing. (2021). Advanced Practice Nurse Regulations. https://sos.ga.gov/
• Buppert, C. (2020). Nurse Practitioners: The Definitive Guide to Practice and Legislation. Jones & Bartlett Learning.