Due In The Next 16 Hours Time-Advanced Registered Nursing
Due In The Next 16 Hours Timeadvanced Registered Nursing Graduates Ar
Due In The Next 16 Hours Timeadvanced Registered Nursing Graduates Ar
Advanced registered nursing graduates are entering the profession at a critical time when roles and scope of practice are evolving due to legislative and policy developments tied to the changing healthcare landscape. Professional nursing organizations play an essential role in advocating for the interests of advanced registered nurses (ARNs), supporting their efforts to expand scope of practice, and facilitating their participation across various healthcare settings. This paper explores the scope of practice for future ARNs, analyzes influential nursing organizations, evaluates one organization's alignment with personal professional values, and discusses an emerging issue impacting the scope of practice.
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As aspiring advanced registered nurses, understanding the scope of practice, regulatory frameworks, and professional support systems is fundamental to navigating and shaping one’s career within the complex healthcare environment. The scope of practice for ARNs is delineated by regulatory agencies, accreditation bodies, and certification organizations, which collectively define and uphold standards that ensure safe, competent, and ethical care delivery. In the United States, the scope of practice for ARNs such as nurse practitioners (NPs) varies by state legislation, but generally encompasses comprehensive assessment, diagnosis, management of health conditions, and prescribing medications within their specialty areas (American Association of Nurse Practitioners [AANP], 2021). The American Nurses Credentialing Center (ANCC) is a primary certification body that establishes eligibility criteria, conducts certification examinations, and enforces compliance standards to validate clinical expertise (ANCC, 2022). Additionally, state nursing boards enforce licensure requirements, scope boundaries, and discipline standards, serving as regulatory guardians of nursing practice.
Three influential professional nursing organizations greatly contribute to advancing the scope and influence of ARNs. The first is the American Nurses Association (ANA), which advocates for nurses' rights, promotes standards of practice, and influences health policy at the national level (ANA, 2022). The second is the American Association of Nurse Practitioners (AANP), dedicated to representing NPs specifically, fostering leadership, and expanding prescriptive authority and autonomy (AANP, 2021). The third is the International Council of Nurses (ICN), which offers a global perspective, emphasizing nursing education, ethics, and workforce policies across countries (ICN, 2020). Of these, I am particularly interested in joining the AANP because its mission aligns closely with my professional goals of healthcare advocacy and advanced clinical practice. The AANP's dedication to expanding the role of NPs and influencing healthcare legislation complements my desire to impact patient outcomes and healthcare policies directly (AANP, 2021).
Membership in the AANP would enhance my practice by providing access to ongoing education, leadership development opportunities, and a platform for advocacy. The organization’s focus on policy initiatives, such as promoting full practice authority for NPs, aligns with my commitment to providing comprehensive, autonomous care. It would also facilitate networking with peers and mentors, sharing evidence-based practices, and staying updated on legislative changes that affect scope of practice (AANP, 2021). Such involvement would empower me to be an effective advocate for patients and the nursing profession, fostering continuous professional growth.
One emerging issue likely to influence the scope of practice for ARNs in the coming years is the debate over full practice authority (FPA) for NPs. Currently, FPA policies vary by state, with some states granting independent practice and others imposing restrictions requiring collaborative agreements with physicians (Hayn, 2022). The movement toward FPA is driven by evidence demonstrating that NPs provide safe, high-quality care comparable to physicians, especially in primary care settings facing provider shortages (Barnes et al., 2021). Advocates argue that expanding scope through FPA can improve healthcare access, reduce costs, and address gaps in underserved communities (American Association of Nurse Practitioners [AANP], 2021). Conversely, opponents raise concerns about maintaining quality standards and the potential for overlapping roles, which might impact physician practice and healthcare complexity.
The outcome of this debate will significantly impact the profession by clarifying ARNs' legal authority, expanding opportunities for autonomous decision-making, and influencing healthcare delivery models. For stakeholders such as patients, policymakers, and healthcare institutions, embracing FPA can lead to improved access, efficiency, and cost-effectiveness. For ARNs, especially those in primary care, gaining full practice authority is vital to practicing to the full extent of their training, reducing barriers to care, and enhancing professional recognition (Hayn, 2022). As the healthcare system continues to evolve, ARNs must advocate for policies that support their role in providing holistic, patient-centered care.
References
- American Association of Nurse Practitioners (AANP). (2021). State Practice Environment. https://www.aanp.org/advocacy/state-practice-environment
- American Nurses Association (ANA). (2022). Nursing Practice and Standards. https://www.nursingworld.org/practice-policy/nursing-excellence/
- American Nurses Credentialing Center (ANCC). (2022). Certification Programs. https://www.nursingworld.org/our-certifications/
- Barnes, H., Albright, B., & Raymond, M. (2021). Nurse Practitioner Scope of Practice: Are Independent Practice and Full Practice Authority Transforming Our Profession? Journal of Advanced Nursing, 77(9), 3662–3664.
- Hayn, M. (2022). Policy Perspectives on Nurse Practitioner Practice Authority. Nursing Economics, 40(2), 55–60.
- International Council of Nurses (ICN). (2020). The State of the World's Nursing Report. https://www.icn.ch/