Resources: Milstead, J. A. Short N. M. 2019 Health Policy An

Resourcesmilstead J A Short N M 2019health Policy And Pol

Resources: Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning. Chapter 4, “Government Response: Regulation” (pp. 57–84) American Nurses Association (n.d.). ANA enterprise; 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. 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. Review the resources and reflect on the mission of state/regional boards of nursing as the protection of the public through 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. Select at least two APRN regulations to focus on for discussion. Post a comparison of these regulations between your state/region and another. Describe how they may differ, with specific examples. Explain how these regulations apply to APRNs with legal authority to practice fully within their education and experience. Provide at least one example of how APRNs may adhere to the selected regulations.

Paper For Above instruction

The mission of state and regional boards of nursing is fundamentally centered on safeguarding the public by regulating nursing practice to ensure safety, competence, and ethical standards among healthcare providers. These regulatory bodies establish guidelines that delineate the scope of nursing practice, enforce licensure requirements, and oversee disciplinary actions when standards are violated. Regulations have a significant impact on nursing practice by shaping what nurses, especially Advanced Practice Registered Nurses (APRNs), can legally do within their respective jurisdictions. The specific rules and regulations vary between states and regions, influencing the level of autonomy and responsibilities assigned to APRNs.

In the state of California, the Board of Registered Nursing (BRN) has evolved regulations that allow for considerable autonomy among nurse practitioners, aligning with the state's progressive approach to healthcare delivery. For instance, California allows nurse practitioners (NPs) to practice independently without physician supervision, provided they meet specific criteria. This regulatory stance empowers NPs to diagnose, treat, and prescribe independently in many contexts, enhancing access to primary care, especially in underserved areas (California Board of Registered Nursing, 2020). An example of adherence to this regulation involves APRNs managing patient care within their full scope, including ordering diagnostics, prescribing medications, and initiating treatment plans without oversight.

Conversely, in North Carolina, the regulations governing NPs are more restrictive. According to the North Carolina Board of Nursing, NPs operate under a scope of practice that generally requires collaborative agreements with physicians to prescribe medications and manage patient care. The regulations specify that APRNs must maintain a formal collaborative relationship, limiting their independence in practice (North Carolina Board of Nursing, 2019). For instance, an APRN in North Carolina must demonstrate collaboration with a physician to prescribe controlled substances, which may delay or complicate treatment initiation, particularly in urgent settings.

Comparing these two states, the key difference lies in the level of autonomy granted to APRNs. California's regulations exemplify full practice authority, enabling APRNs to deliver comprehensive care independently. In contrast, North Carolina's regulations impose collaborative or supervisory requirements, restricting their independent practices. Despite these variations, APRNs across states are expected to adhere strictly to scope-of-practice regulations to ensure compliance and promote safe, effective patient outcomes.

For APRNs practicing within full scope legislative frameworks, understanding and adhering to regulations is critical. For example, an APRN in California operating under full practice authority must ensure they follow all prescribing guidelines, record-keeping standards, and ongoing competency requirements established by the Board of Registered Nursing. They must also stay updated with any legislative amendments that could alter their scope. Adherence includes maintaining accurate documentation, submitting necessary reports, and participating in continuing education to uphold their licensure and practice rights.

In summary, the regulatory differences between California and North Carolina illustrate the spectrum of APRN practice authority within the United States. Full practice regulations enable APRNs to maximize their training and contribute effectively to healthcare delivery, particularly in primary care. Nonetheless, all APRNs must adhere rigorously to the regulations of their respective jurisdictions to ensure legal compliance and the highest standards of patient care. The evolving landscape of nurse practice regulations underscores the importance of ongoing advocacy and education to facilitate expanded APRN roles in diverse healthcare environments.

References

• California Board of Registered Nursing. (2020). Nurse Practitioner Practice Authority. https://www.rn.ca.gov
• Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.
• North Carolina Board of Nursing. (2019). Advanced Practice Registered Nurse Regulations. https://www.ncbon.com
• 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.
• 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.
• American Nurses Association. (n.d.). ANA enterprise. https://www.nursingworld.org
• Worldviews on Evidence-Based Nursing. (2018). Evaluating the impact of EBP education. https://doi.org/10.1111/wvn.12291
• Additional relevant legal and regulatory resources as needed for comprehensive understanding.