The Discussion On The Nursing Regulatory Process

The Discussion On The Nursing Regulatory Process

I appreciate the discussion on the regulatory process. Based on your understanding of this process, how often should administrative rule be revised? Do you think every 10 years should be a sufficient time or should these be revised sooner? Also, what are your thoughts on the use of research and evidence in the development of administrative rules in your state of residence? What may be cons and pros to this approach? Thank you, The Discussion On The Nursing Regulatory Process

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Nursing is a specialty in healthcare that is essential in promoting patient health through involvement in primary care and preventive care. Various regulations have been imposed by the Boards of Nursing in multiple states to govern the scope of practice and prescriptive authority (Ladd et al., 2019)The Discussion On The Nursing Regulatory Process. However, the Boards of Nursing impose regulations only applicable within their states; hence, they are not universal in all states. This assignment will discuss the difference in regulations between the states of Texas and Virginia APRNs. It will also highlight how the regulations apply to APRNs.

Texas is among a few states allowing advanced practice registered nurses to practice within the full scope of their education and experience (Tran, 2020). As one of the states of the United States, Texas has consistently advocated for eliminating barriers to healthcare by allowing APRNs to practice in their full scope to enhance access to healthcare. One unique privilege among APRNs in Texas is that nurse practitioners can prescribe and administer some of the controlled substances even with a physician’s supervision. This freedom bestowed on APRNs in Texas is critical in alleviating some issues in nursing, such as poor access to healthcare and the nurse shortage experienced globally.

Unlike in the case of Texas, APRNs in Virginia must be licensed by two regulatory bodies, the Board of Nursing and the board of medicine (Code of Virginia)The Discussion On The Nursing Regulatory Process. This regulation aims to improve the quality of care within the state, but it is Associated with severe repercussions such as increasing the effects of the current global nurse shortage. Besides, APRNs in Virginia is restricted in prescribing controlled substances such as opioids. For instance, they can administer opioids for more than a week to manage pain.

References

Code of Virginia. Licensure and practice of nurse practitioners. https://law.lis.virginia.gov/vacode/title54.1/chapter29/section54.1-2957/

Ladd, E., Sweeney, C. F., Guarino, A., & Hoyt, A. (2019). Opioid prescribing by nurse practitioners in Medicare Part D: Impact of state scope of practice legislation. Medical Care Research and Review, 76(3), 337-353.

Tran, A. Q. (2020). Full practice authority for nurse practitioners: is it right for Texas? (Doctoral dissertation)The Discussion On The Nursing Regulatory Process.

Discussion Response

The dynamics of healthcare are regularly changing, thus requiring the need also to revise administrative rules regularly. The main reason for such revision can be viewed by the Texas efforts to ensure that nurses receive a permit for full practice. Initially, the main administrative rule that guided the nursing practice needed these nurses to work under physicians, limiting nurses’ roles as primary caregivers. That change has effectively ensured that patients receive. One way to explain the effectiveness of a full nurse practice permit is that the current medicare beneficiaries are approximately 64 million. Such beneficiaries pose as an overwhelming number to rely on physicians only where by 2022, America has 1,073,616 active physicians (Michas, 2022)The Discussion On The Nursing Regulatory Process. That means that if most states’ nursing boards do not revise their administrative rules, they will subject their physicians to burnout, thus affecting patients’ overall outcomes negatively. Hence, I believe these administrative rules should be revised every five years to enable these administrative boards to evaluate new rules or revisions that will improve the initial goal of providing patient-centered services in our healthcare facilities.

Just like the nursing practice engages evidence-based practice (EBP), the development of the administrative rules should also incorporate its use (Dang et al., 2021). One reason is that EBP will promote the induction of rules that will present efficacy and patient-centered quality rules. For instance, through EBP, most states realized that students with over 400 hours of supervised clinical experiences could provide efficient and quality healthcare services, thus requiring no need for further restrains after transitioning to practice ( Texas Board of Nursing, n.d)The Discussion On The Nursing Regulatory Process. The main limitation that may be experienced by researchers involving EBP to change administrative rules regards the excess workload, especially in data collection and analysis, since it will also consume a lot of time. However, the management will gain new knowledge of administrative rules through evidence-based research, making EBP more viable.

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References

Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: model and guidelines. Sigma Theta Tau.

Michas, F. (June 8, 2022). Total active physicians in the U.S. 2022, as of May 2022, by state. Statista. https://www.statista.com/statistics/186269/total-active-physicians-in-the-us/

Texas Board of Nursing (n.d). Requirements for Completion of Supervised Practice Hours for Advanced PracticeRegistered Nurses Who Have Practiced in the Role and Population Focus Area within the Last Four Years. https://www.bon.texas.gov/pdfs/aprn_pdfs/supervised_practice_more_than_2_less_than_4_yr.pdf The Discussion On The Nursing Regulatory Process