Nursing Is A Very Highly Regulated Profession There A 001033

Nursing Is A Very Highly Regulated Profession There Are Over 100 Boar

Nursing is a highly regulated profession with over 100 boards of nursing (BONs) and numerous national nursing associations across the United States and its territories. These organizations serve to regulate, inform, and promote the nursing profession. Understanding the differences between BONs and nursing associations is essential for nurses, especially those in advanced practice roles, as both influence scope of practice, ethical standards, and quality of care. For a healthcare organization, comprehending these distinctions aids in ensuring compliance, supporting professional development, and advocating for policies that enhance patient care.

This presentation compares the roles and structures of BONs and professional nurse associations, offers an overview of my specific state board, and examines relevant regulations affecting general nursing practice and Advanced Practice Registered Nurses (APRNs). It also discusses how these regulations impact nurses’ roles, healthcare delivery, costs, access, and cultural considerations. The goal is to equip healthcare professionals with a comprehensive understanding of regulatory influences on nursing practice.

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Differences Between a Board of Nursing and a Professional Nurse Association

Boards of Nursing (BONs) are state government agencies responsible for regulating nursing practice, licensing nurses, and enforcing standards of care. They establish licensing requirements, oversee disciplinary actions, and develop regulations to protect public health and safety. BONs are authoritative bodies that ensure nurses meet specific standards to practice legally within the state. In contrast, professional nursing associations are voluntary organizations that advocate for nurses' interests, provide continuing education, promote professionalism, and influence health policy. While BONs focus on regulation and enforcement, associations aim to advance the profession through education, advocacy, and networking.

Members of BONs typically include elected or appointed nursing professionals, healthcare administrators, and public representatives. Becoming a member or licensee involves meeting state-specific educational requirements, passing licensing exams, and maintaining ongoing licensure through continuing education. Membership on the BON itself often requires appointment or election by peers, often involving application processes and vetting to serve in governance roles.

Overview of My State Board of Nursing

In my state, the Board of Nursing is composed of registered nurses, licensed practical nurses, and public members. The board members are appointed by the governor and confirmed by the state legislature. They include licensed nurses with diverse practice backgrounds and public representatives to ensure patient interests are safeguarded. To become a board member, applicants submit a formal application and demonstrate expertise, experience, and commitment to public health. Typically, appointments are for specified terms with opportunities for reappointment.

State Regulation Related to General Nurse Scope of Practice

One key regulation in my state pertains to the scope of practice for registered nurses (RNs). This regulation defines the roles, responsibilities, and permissible activities for RNs, including patient assessments, care planning, medication administration, and documentation. It influences nurses’ roles by clarifying boundaries and responsibilities, ensuring safe and competent practice. It also impacts healthcare delivery by standardizing practices across settings, controlling costs through appropriate nurse utilization, and improving access by enabling nurses to perform essential functions efficiently.

For culturally diverse patients, this regulation ensures nurses deliver culturally competent care within legal boundaries. However, cultural differences may require additional education or advocacy to facilitate patient-centered care. Over the past five years, there have been updates expanding some RN functions, such as delegation guidelines, to enhance efficiency without compromising safety.

Regulation Related to Advanced Practice Registered Nurses (APRNs)

In my state, APRNs are regulated through specific statutes emphasizing full practice authority, allowing them to evaluate, diagnose, and manage patient care independently. Recent changes within the last five years have granted APRNs expanded prescribing rights and reduced supervision requirements. This regulation influences APRN roles by granting greater autonomy, fostering comprehensive primary care services, and reducing healthcare costs by decreasing reliance on physician oversight. It also improves healthcare access, especially in underserved areas, by allowing APRNs to operate more independently.

Impact of Regulations on Delivery, Cost, and Access to Healthcare

Legal regulations directly impact healthcare delivery by defining the scope of practice and permissible activities. Broad scope regulations enable more efficient care delivery, reduce wait times, and promote interprofessional collaboration. Cost savings are achieved via increased nurse-led initiatives and reduced reliance on physicians for routine care. Enhanced access, particularly in rural or underserved populations, results from policies allowing APRNs and RNs to practice to the full extent of their training.

Implications for Cultural Competency and Patient Education

For patients from diverse cultural backgrounds, these regulations influence how nurses adapt their education and care strategies. Nurses must be culturally sensitive while operating within legal boundaries, which may involve additional training in cultural competence. Regulations mandating patient education must be adaptable to respect cultural differences, ensuring effective communication. This fosters trust, improves health outcomes, and aligns care with patients’ cultural values.

Recent Changes in Regulations

Within the past five years, my state has expanded APRN practice authority, allowing independent prescriptive authority without prior physician oversight, aligning with national trends emphasizing full practice authority. Additional regulations now more clearly define delegation protocols for RNs, supporting safe team-based care. These changes aim to improve healthcare efficiency, provider autonomy, and patient access while maintaining safety standards.

Conclusion

Understanding the distinctions between BONs and nursing associations, as well as the specifics of state regulations affecting general and advanced nursing practice, is vital for healthcare professionals. These regulations shape nurses’ roles, influence healthcare delivery models, and impact economic factors and cultural competence. Staying informed of regulatory changes ensures nurses effectively advocate for their patients and contribute to a safe, accessible, and culturally sensitive healthcare environment.

References

• American Nurses Association. (n.d.). ANA enterprise. https://www.nursingworld.org/
• National Council of State Boards of Nursing (NCSBN). (n.d.). https://www.ncsbn.org/
• Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.
• 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
• 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.
• 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.
• Institute of Electrical and Electronics Engineers. (n.d.). https://www.ieee.org/
• System Administration, Networking, and Security Institute. (n.d.). https://www.sans.org/
• International Council of Electronic Commerce Consultants. (n.d.). https://www.eccouncil.org/