Assignment Regulation For Nursing Practice Staff Development
Assignment Regulation For Nursing Practice Staff Development Meetingn
Develop a 9- to 10-slide PowerPoint presentation that addresses the following: Describe the differences between a board of nursing and a professional nurse association. Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area. Who is on the board? How does one become a member of the board? Describe at least one federal regulation for healthcare. How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)? Has there been any change to the regulation within the past 5 years? Explain. Describe at least one state regulation related to general nurse scope of practice. How does this regulation influence the nurse’s role? How does this regulation influence delivery, cost, and access to healthcare? Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs). How does this regulation influence the nurse’s role? How does this regulation influence delivery, cost, and access to healthcare? Include Speaker Notes on Each Slide (except on the title page and reference page)
Paper For Above instruction
The regulation of nursing practice is a complex and multifaceted area that involves various governing bodies and regulations at both federal and state levels. The distinctions between Boards of Nursing (BONs) and professional nurse associations are foundational in understanding how nursing practice is regulated, promoted, and evolved within the United States.
Boards of Nursing (BONs) are governmental regulatory agencies responsible for overseeing the licensure, discipline, and standards of nursing practice within their jurisdiction. They exist at the state level and are charged with protecting public health by ensuring that nurses meet necessary qualifications and adhere to established standards. BONs are typically composed of licensed nurses and public members, with members selected through appointment processes that vary by state. Members often require a mix of clinical experience, academic credentials, and sometimes public or consumer representation. In most cases, board members are appointed by the governor or a health authority, and their roles include policy development, licensure regulation, and complaint investigation.
In contrast, professional nurse associations, such as the American Nurses Association (ANA), serve as advocacy, educational, and professional development organizations rather than regulatory agencies. They represent nurses' interests, promote professional standards, and influence health policy and legislation. Membership is voluntary and open to practicing nurses who pay dues and align with the association’s mission and values. These associations advocate for the nursing profession by lobbying for policy changes, providing continuing education, and setting standards for ethical practice.
Geographically, BONs are distributed across all states and territories, each with their specific regulations and requirements, whereas national nursing associations operate across state lines, advocating on a broader scale. Academic credentials required for board members typically include licensure as a Registered Nurse (RN) and often additional leadership or health policy experience.
The makeup of BONs varies by state, but generally, members include experienced clinicians, legal and regulatory experts, and consumer representatives. To become a board member, one must usually be nominated or appointed, often after demonstrating significant clinical experience, leadership skills, and a commitment to public service. Appointment processes involve applications, nominations, and confirmation by state authorities.
Federal regulations significantly influence healthcare delivery, cost, and access. One key regulation is the Affordable Care Act (ACA), which expanded insurance coverage and aimed to reduce healthcare costs while improving quality. The Centers for Medicare & Medicaid Services (CMS) administers many federal programs and regulations that influence reimbursement and healthcare access. OSHA and EPA regulations also impact healthcare environments by setting standards for workplace safety and environmental protection, respectively. Recently, changes in regulations such as revisions to OSHA’s standards for infectious disease control have been implemented to address emerging health threats, including COVID-19.
At the state level, regulations concerning the scope of practice for registered nurses (RNs) and Advanced Practice Registered Nurses (APRNs) are critical. For RNs, scope of practice regulations define the roles, responsibilities, and limitations, directly influencing their capacities, autonomy, and the delivery of care. For example, some states have more restrictive regulations, limiting RNs to specific tasks, while others have Expanded Practice regulations allowing for independent decision-making and increased autonomy, which can improve access to healthcare especially in underserved areas.
For APRNs, state-specific regulations determine prescriptive authority, the ability to diagnose and treat, and collaborate with physicians or practice independently. States granting full practice authority to APRNs enable them to manage patient care independently, which can reduce healthcare costs and improve access, particularly in rural or underserved populations where physicians are scarce. Conversely, restrictive regulations limit their roles and can increase healthcare costs due to reliance on physician-led care.
In conclusion, understanding the distinctions between regulatory bodies and the influence of federal and state regulations is essential for nurses and healthcare administrators. These regulations shape the scope of practice, influence healthcare delivery, cost, and access, and ensure that nursing practice aligns with evolving healthcare needs. As policies continue to evolve, staying informed and engaged with regulatory changes remains vital for advancing nursing practice and improving healthcare outcomes.
References
- American Nurses Association. (n.d.). ANA enterprise. Retrieved from https://www.nursingworld.org/
- Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
- National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved from https://www.ncsbn.org/
- Neff, D. F., et al. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. https://doi.org/10.1016/j.outlook.2018.03.001
- Bosse, J., et al. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765. https://doi.org/10.1016/j.outlook.2017.10.002
- 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. https://doi.org/10.1111/wvn.12291
- Peterson, C., et al. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4(2), e4. https://doi.org/10.2196/med20.4349