NURS 6050 Policy and Advocacy For Improving Health Assignment

NURS 6050 Policy and Advocacy For Improving Health Assignment

Assignment: Regulation for Nursing Practice Staff Development Meeting
Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

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Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
Review the NCSBN and ANA websites to prepare for your presentation.
The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

Describe the differences between a board of nursing and a professional nurse association.
Describe the board for your specific region/area. My area is Delaware
Who is on the board?
How does one become a member of the board?
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?
Has there been any change to the regulation within the past 5 years? Explain
Include Speaker Notes on Each Slide (except on the title page and reference page)

Boards of Nursing (BONs) refer to the state governmental agencies whose mandate is to protect the public’s health by ensuring and overseeing safe nursing practice. All the fifty states in the United States have their individual boards of nursing. Collectively, the state BONs make up the National Council of State Boards of Nursing (NCSBN), which administers the National Council Licensure Examination for Registered Nurses (NCLEX-RN), and all the prospective registered nurses must pass it to practice professionally (NCSBN, 2022). Additionally, the Boards of Nursing also issue nursing licenses and maintain a list of all the registered nurses, renews the licenses, ensure nurses are in a continually good state and continuing their professional education, and take disciplinary actions on nurses who violate the nursing regulations or laws (Nurse Journal Staff, 2021).

Unlike in the Boards of Nursing, membership in nursing associations is voluntary and not a requirement for licensure. The American Nurses Association (ANA) has a respected and influential voice, and the state boards of nursing usually consider ANA’s suggestions. However, the ANA does not have the legal authorities given by the state BONs (Nurse Journal Staff, 2021). The nursing associations also differ from the BONs in that the former are private professional membership organizations, and members must pay an annual subscription fee. Additionally, nursing associations can be state-based, national-based (such as the ANA), or international-based such as the International Council of Nurses. ANA advances the nursing profession by promoting a safe and ethical working environment, advocating on health care issues affecting the nurses, bolstering wellness and health of nurses, and fostering high standards of nursing practice (American Nurses Association, 2021). Furthermore, nursing associations can be specialty-focused or specific depending on the type of nursing. For instance, advanced nursing specialties ethnic, age specific, and education-specific (such as the National League of Nurses) (American Association of Colleges of Nursing (AACN), 2022).

• The Delaware Board of Nursing is responsible for most decisions on the nursing and medical programs decisions in the state. The Board is composed of 5 registered nurses, 1 licensed practical nurse, 1 nurse at-large which shall be either a registered nurse or licensed practical nurse, 2 advanced practice registered nurses representing different practice roles, 1 registered nurse educator, and 5 public members. These are Kimberly Hopkins, RN Nurse Educator Member, President, Kenyette Walters, LPN Member, Vice President, Stephanie Evans-Mitchell, FNP, PMH NP, APRN Member, Jacqueline Mainwaring, CRNA, APRN Member, Marlo Metz, RN Member, Pamela James, RN Member, Danielle Gomez, RN Member, Carol Abdill, RN Member, Sandra Glenn-Vernon, RN Member, Christina Hushen, RN Member, Gayle Melvin, Public Member, Tiarra Davis, Public Member, William Hare, Public Member, Prameela Kaza, Public Member, Michael Brothers, Public Member (Delaware Board of Nursing, 2022). The Delaware BON is responsible for issuing licensure and certifying the various RN, MSN, LPN, APN, and PhD in the state. Additionally, the board reviews nursing training programs and provide practice information, checking the performance and license of various training schools, enforces rules and regulations, and renewal and of licenses NURS 6050 Policy and Advocacy For Improving Health Assignment.

To become a member of the board, one is appointed. Registered nurse appointees shall have a diploma or an earned degree in nursing, nursing education or education, and at least 3 years’ active practice as a registered nurse in nursing service, administration or teaching. Each practical nurse appointee shall be a licensed practical nurse, who is a graduate of an approved school of practical nursing, with at least 3 years’ active practice as a practical nurse. The public members shall be residents of Delaware for a minimum of 3 years, shall be knowledgeable about the health needs of Delaware, but shall not be licensees of any health occupation board, employees of a health-care occupational board, employees of a health-care facility or agency, or engaged in governance or administration of a health-care facility or agency.

The governor appoints all members of the board.

According to the regulations of the Delaware Board of Nursing, practicing professional nursing entails the performance of various activities by the registered nurses with a valid practicing license. These activities include making an assessment of the human responses to the potential and actual health conditions. Additionally, it also entails identifying the needs of individuals and families, making the correct nursing diagnoses for them. Based on the developed nursing diagnosis, the regulations expect the nurses to implement the correct nursing interventions on their clients. Furthermore, the nurse should offer health education to their clients about the health care interventions and practices. Nurses should also collaborate with other health care practitioners and personnel to advocate for the provision of health care services. Moreover, the registered nurse should execute the regimens prescribed by registered physicians, dentists, and advanced practice registered nurses, including administering medications and treatments (The Delaware Code Online, 2021)NURS 6050 Policy and Advocacy For Improving Health Assignment.

This regulation ensures that nurses provide safe and cost-effective care to patients. This is essential in ensuring the safety and quality of healthcare practice, which is beneficial to the members of the public. Nurses must demonstrate expertise in the highlighted areas. Failure to act in accordance with the regulations can have several repercussions to the nurses. These include disciplinary actions and withdrawal of licensure.

The prescriptions and orders (whether electronic, verbal, or written) made by the advanced practice registered nurses must comply to the applicable federal and state laws. The boards states that APRNs should clearly write or type the prescriptions, which must contain some pertinent information. This includes the name, title, registration number, and address of the prescriber, the name of the patient, and the date of prescription. Additionally, it must also include the full name of the drug, exact dosage, the route of administration, the amount to be dispensed, and special instructions or guidelines for use. Moreover, the APRN must state the number of refills to be done. The prescribing APRN must sign all written prescriptions. If the prescriber has ordered scheduled drugs, then he or she must include their DEA (Drug Enforcement Act) number (The Delaware Code Online, 2021)NURS 6050 Policy and Advocacy For Improving Health Assignment.

The American Association of Nurse Practitioners (AANP) recognize that in the scope of nurse practitioners, they are allowed to prescribe medications in their practice. AANP holds that state boards of nursing should solely regulate the prescriptive authority for the advanced practice registered nurses according to the education, certification, and roles of the nurse practitioners. Stokowski (2021) posits that prescriptive authority by APRNs to prescribe without limitation (drugs, durable medical goods, medical services, and other supplies) significantly contribute to the provision of quality, cost-effective, and timely health services and care. Consequently, this translates into better patient outcomes, increased access to quality health services, and reduced burden of diseases among patient populations.

Different states in the United States have various provisions regulating the scope of practice for advanced practice nurse practitioners, including privileges of independent prescriptive authorities (Zhang & Patel, 2021)NURS 6050 Policy and Advocacy For Improving Health Assignment. In some states, APRNs will be granted prescriptive authority upon their licensure, while in other states, APRNs will be required to apply for these privileges. These disparities exist depending on the type and how much pharmacotherapeutics and advanced pharmacology education are needed, the level of supervision required before one can be granted independent prescriptive authority, and the laid down requirements for collaborating with physicians.

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Quinn (2021) states that Delaware becomes the 24th state to recognize full practice authority for the advanced practice registered nurses (APRNs). The first bill (HB 141) signed into law by Governor John Carney on August 4, 2021, allows APRNs to practice to the full extent of their training and educational preparation. This bills removes the requirement of APRNs to have an oversight contract with physicians. The bill also issues the Delaware with an exclusive licensure authority, removing unnecessary barriers from the board. The law will improve access and bridge gaps to primary care providers. The Delaware Nurses Association closely championed for the legislation, arguing that decades of extensive research have demonstrated that APRNs are highly educated, competent, and qualified clinicians who provide quality and safe care. The law will provide the citizens with more healthcare choices even as they age NURS 6050 Policy and Advocacy For Improving Health Assignment