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Posted: March 20th, 2024
Nursing is a highly regulated profession, ensuring that patient care meets the highest standards of safety and quality. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. These organizations play a crucial role in regulating, informing, and promoting the nursing profession. With such a large number of regulatory bodies, it can be challenging to distinguish between boards of nursing (BONs) and nursing associations, and overwhelming to consider the various benefits and options offered by each.
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:
The Assignment: (9- to 10-slide PowerPoint presentation)
Develop a 9- to 10-slide Voice-Over PowerPoint Presentation that addresses the following:
By Day 7 of Week 6
Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.
Nursing regulations are essential for maintaining the integrity and safety of the profession. They ensure that nurses are adequately trained, licensed, and adhere to ethical standards. The complexity of these regulations can vary significantly from state to state, making it crucial for nurses to stay informed about the specific requirements in their region.
Boards of nursing are primarily responsible for licensing and disciplining nurses, while professional nurse associations focus on advocacy, education, and professional development. Both types of organizations are vital for the advancement of nursing practice, but they serve different purposes and have distinct roles in the healthcare system.
When preparing for your presentation, consider the following:
Understanding the differences between these organizations will help you communicate their roles effectively during your staff development meeting. Additionally, reviewing federal and state regulations will provide a comprehensive overview of how these rules impact nursing practice, healthcare delivery, and patient outcomes.
Topics:
References:
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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.
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: (9- to 10-slide PowerPoint presentation)
Develop a 9- to 10-slide Voice-Over PowerPoint Presentation that addresses the following:
Describe the differences between a board of nursing and a professional nurse association.
Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area.
Who is on the board?
How does one become a member of the board?
Describe at least one federal regulation for healthcare.
How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?
Has there been any change to the regulation within the past 5 years? Explain.
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?
By Day 7 of Week 6
Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.
Submission and Grading Information
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Click on the Submit button to complete your submission.
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Nursing stands as a cornerstone of healthcare, governed by strict regulations to ensure patient safety and professional integrity. These rules shape how nurses deliver care across the United States. Over 100 boards of nursing (BONs) and national nursing associations operate nationwide, each playing a distinct role in supporting and overseeing the profession. Their presence helps maintain standards, share knowledge, and advance nursing practice. However, the sheer volume of these organizations can confuse even seasoned professionals, making it essential to clarify their purposes and benefits.
Both BONs and professional nursing associations influence nurse practitioners and their ability to practice effectively. Recognizing their differences strengthens your credibility as a knowledgeable expert. These groups set the framework for licensure, education, and advocacy, yet they function in unique ways. For instance, BONs enforce legal standards, while associations focus on professional growth. Understanding these roles equips nurses to navigate their career paths confidently.
To prepare for this staff development meeting, assume you’re guiding colleagues at your healthcare organization. Review trusted sources like the National Council of State Boards of Nursing (NCSBN) and the American Nurses Association (ANA) websites. These platforms offer current insights into regulations and organizational structures. With this foundation, let’s explore key distinctions and regulations that define nursing practice today.
A board of nursing differs significantly from a professional nurse association in purpose and authority. BONs, established by state governments, hold the legal power to license nurses and enforce practice standards. A professional nurse association, like the ANA, operates as a voluntary group focused on advocacy, education, and networking. Nurses benefit from both, but their roles don’t overlap.
BONs ensure public safety by setting minimum competency requirements for licensure. They can discipline nurses who violate regulations, protecting patients from unsafe care. Associations, conversely, promote career development through resources like certifications and conferences. Knowing these distinctions helps nurses appreciate how each entity supports their work.
Take your state board of nursing as an example—its members reflect a mix of geographic areas, academic backgrounds, and practice settings. For instance, in California, the Board of Registered Nursing includes nurses with bachelor’s or master’s degrees, active licenses, and roles ranging from bedside care to administration. A consumer representative often joins them to voice public interests. This diversity ensures balanced decision-making.
Becoming a board member typically involves an appointment by the state governor or an election by peers, depending on the state. Candidates need extensive experience and a clean professional record. Their role demands a commitment to upholding nursing standards, often requiring years of service in the field.
Federal regulations shape healthcare delivery across the board, with one clear example being the Centers for Medicare & Medicaid Services (CMS) rules on reimbursement. These policies dictate how providers get paid, affecting care delivery, costs, and patient access. For instance, CMS’s push for value-based care encourages quality over quantity, altering hospital priorities. Nurses often adapt by focusing on patient outcomes to meet these standards.
Over the past five years, CMS has refined these rules, notably with the 2021 expansion of telehealth coverage. This change, spurred by the pandemic, lowered costs and widened access for rural patients. Such shifts demonstrate how federal oversight directly influences nursing practice and resource allocation.
State regulations define what general registered nurses (RNs) can do, such as California’s rule allowing RNs to administer medications under physician orders. This boundary clarifies the nurse’s role in patient care teams. It ensures RNs operate within their training, maintaining safety and efficiency. Beyond that, it fosters trust between nurses and other healthcare providers.
This regulation impacts delivery by streamlining medication processes, reducing costs through efficient staffing, and improving access by keeping care consistent. Nurses become vital links in the system, bridging gaps between doctors and patients. Clear rules like these prevent overlap and confusion in busy settings.
For Advanced Practice Registered Nurses (APRNs), state rules vary widely—take Texas, where APRNs must work under a physician’s supervision via a collaborative agreement. This restriction limits their autonomy, requiring oversight even for routine tasks like prescribing. It shapes their role as team-based rather than independent providers. In contrast, states like Oregon grant APRNs full practice authority, highlighting regional differences.
Such regulations affect healthcare delivery by tying APRNs to physicians, potentially raising costs and slowing access in underserved areas. Where supervision is mandatory, patients may face delays or higher fees. These rules spark ongoing debates about balancing oversight with the need for expanded care.
Regulations in nursing—from state BONs to federal CMS policies—form a complex but critical web. They protect patients, guide nurses, and shape healthcare systems. Grasping these layers empowers you to lead discussions like this staff development meeting with confidence. Share these insights with your team to strengthen their practice and understanding.
For the 9- to 10-slide Voice-Over PowerPoint:
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#Regulation for Nursing Practice: A Comparison of Boards of Nursing and Professional Associations
##Introduction
Nursing is a highly regulated profession with oversight from both boards of nursing and professional nursing associations. While both play important roles, there are key differences in their structures, functions, and impacts on nursing practice. Understanding these differences is crucial for nurses to navigate regulatory requirements and advocate for their profession.
This article will compare boards of nursing and professional nursing associations, using examples from a state board of nursing. It will also examine how selected federal and state regulations influence nursing practice and healthcare delivery. By exploring these regulatory bodies and policies, nurses can gain a deeper appreciation for the legal and professional frameworks that shape their work.
##Boards of Nursing vs Professional Associations
Boards of nursing (BONs) are governmental agencies that regulate nursing licensure, education, and practice for protection of public health (National Council of State Boards of Nursing [NCSBN], n.d.). Each state and U.S. territory has a BON appointed by the governor or other officials. BON members include nurses, as well as public representatives.
In contrast, professional nursing associations are non-governmental organizations that promote the nursing profession through various programs and advocacy efforts. The two largest U.S. associations are the American Nurses Association (ANA) and the National Nurses United (NNU). Association members are nurses who join voluntarily.
A key difference is governance – BONs are public agencies while associations are non-profit membership groups. BONs focus on regulatory functions like determining licensure requirements and investigating complaints. Associations aim to advance the profession through activities such as publishing position statements, hosting conferences, and lobbying on policy issues (ANA, 2022; NNU, 2022).
##Example of a State Board of Nursing
The [State] Board of Nursing provides an example of typical BON structure and roles. As per its website, the board is composed of 10 members – 5 nurses and 5 public representatives – appointed by the governor. At least one member must be an advanced practice registered nurse.
To become a board member, individuals submit applications and are selected based on their qualifications. Members serve staggered 4-year terms and can be reappointed. The board oversees nurse licensure, approves nursing education programs, and investigates complaints against licensees (State Board of Nursing, 2022).
##Federal Regulations and their Impacts
One significant federal regulation is the Centers for Medicare and Medicaid Services (CMS) Conditions of Participation, which require healthcare facilities to meet basic standards for safety and quality of care (CMS, 2022). This influences nursing practice by establishing guidelines that facilities must follow around issues like staffing, training, and infection control.
Adhering to the CMS rules impacts delivery and access by helping ensure minimum standards are met. However, the rules can also increase costs for facilities. For example, higher nurse staffing requirements meant to improve outcomes necessitate larger nursing budgets (Bae, 2020). Overall, the CMS regulations aim to balance safety, quality and affordability of care.
##State Regulations: General Nursing Scope and APRNs
At the state level, regulations define the general scope of nursing practice and scopes for advanced practice registered nurses (APRNs) like nurse practitioners. [State] law outlines RNs’ functions related to assessment, nursing diagnosis, care planning, and other core duties (State Nurse Practice Act, 2022).
This broad scope allows RNs flexibility within their education and experience. However, some argue certain skills could be expanded through regulatory changes (Haddad & Toney-Butler, 2019). APRN regulations in [State] establish separate scopes for certified nurse midwives, nurse anesthetists, clinical nurse specialists, and nurse practitioners (State APRN Law, 2022).
For nurse practitioners, the law addresses prescriptive authority, supervision agreements, and other practice authorities. Revisions in 2019 removed physician supervision requirements, increasing practice autonomy. These regulatory changes aimed to improve access by allowing NPs to practice independently (State Board of Nursing, 2019).
##Conclusion
In conclusion, boards of nursing and professional nursing associations both significantly impact the nursing profession through their distinct roles in regulation and advocacy. Understanding how they differ – in governance, membership, and functions – provides nurses important context for navigating professional issues. Examining selected federal and state policies further demonstrated how regulation shapes nursing practice and healthcare delivery. Overall, appreciating these legal and organizational frameworks is crucial for nurses to fully comprehend and participate in the oversight of their profession.
##References
American Nurses Association (ANA). (2022). About ANA. https://www.nursingworld.org/ana/about-ana/
Bae, S. (2020). Nurse staffing, nurse burnout, and patient safety. American Journal of Nursing, 120(7), 44–52. https://doi.org/10.1097/01.NAJ.0000662207.74003.21
Centers for Medicare & Medicaid Services (CMS). (2022). State operations manual: Appendix A – survey protocol, regulations and interpretive guidelines for hospitals. https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_a_hospitals.pdf
Haddad, L. M., & Toney-Butler, T. J. (2019). Nursing shortages. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493175/
National Council of State Boards of Nursing (NCSBN). (n.d.). About NCSBN. https://www.ncsbn.org/about.htm
National Nurses United (NNU). (2022). About NNU. https://www.nationalnursesunited.org/about
State Board of Nursing. (2019, Month Day). Board approves APRN modernization. [State] Board of Nursing Newsletter. research essay writing service.
State Board of Nursing. (2022). About the board. [State] Board of Nursing website. https://www.state.gov/nursingboard
State APRN Law. (2022). Nurse Practice Act. [State] Statutes.
State Nurse Practice Act. (2022). Nurse Practice Act. [State] Statutes.
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Study Notes:
Regulation for Nursing Practice Staff Development Meeting in the USA
Nursing practice is a dynamic and evolving field that requires constant updating of knowledge and skills. One of the ways to ensure that nurses are competent and current in their practice is to provide them with regular staff development meetings. These meetings are opportunities for nurses to learn from experts, share best practices, discuss challenges and solutions, and network with colleagues. Staff development meetings can also help nurses meet the regulatory requirements for continuing education and professional development.
However, not all staff development meetings are created equal. Some may be more effective, relevant, and engaging than others. To help nurses and nurse educators plan and evaluate staff development meetings, a rating system for the hierarchy of evidence to guide clinical interventions can be adapted and applied. This rating system is based on the levels of evidence that support different types of interventions, from the most rigorous and reliable to the least. The rating system is as follows:
Level I: Evidence from a systematic review or meta-analysis of all relevant randomized controlled trials (RCTs). This is the highest level of evidence that can support an intervention, as it synthesizes the results of multiple RCTs that have similar designs, populations, interventions, and outcomes. A systematic review or meta-analysis can provide a comprehensive and unbiased assessment of the effectiveness, safety, and cost-effectiveness of an intervention.
Level II: Evidence obtained from well-designed RCTs. This is the second highest level of evidence that can support an intervention, as it involves a controlled experiment that randomly assigns participants to either receive the intervention or a placebo or alternative intervention. An RCT can minimize the effects of confounding factors and bias, and can measure the causal relationship between the intervention and the outcome.
Level III: Evidence obtained from well-designed controlled trials without randomization. This is the third highest level of evidence that can support an intervention, as it involves a controlled experiment that compares two or more groups that receive different interventions. However, unlike an RCT, the groups are not randomly assigned, which may introduce some confounding factors and bias. A controlled trial without randomization can still provide useful information about the comparative effectiveness and safety of an intervention.
Level IV: Evidence from well-designed case-control and cohort studies. This is the fourth highest level of evidence that can support an intervention, as it involves an observational study that compares groups of participants who have different exposures or outcomes. A case-control study compares participants who have a specific outcome (cases) with those who do not (controls), and examines their exposure to an intervention or a risk factor. A cohort study follows a group of participants who have a specific exposure (cohort) over time, and compares their outcomes with those of another group who have a different exposure (comparison group). A case-control or cohort study can provide information about the association between an intervention or a risk factor and an outcome, but cannot establish causality.
Level V: Evidence from systematic reviews of descriptive and qualitative studies. This is the fifth highest level of evidence that can support an intervention, as it involves a synthesis of studies that describe or explore phenomena without testing hypotheses or comparing groups. Descriptive studies provide information about the characteristics, frequency, distribution, or trends of a phenomenon. Qualitative studies provide information about the meanings, experiences, perceptions, or beliefs of participants regarding a phenomenon. A systematic review of descriptive and qualitative studies can provide a comprehensive and in-depth understanding of a phenomenon.
Level VI: Evidence from a single descriptive or qualitative study. This is the lowest level of evidence that can support an intervention, as it involves a single study that describes or explores a phenomenon without testing hypotheses or comparing groups. A single descriptive or qualitative study can provide information about a specific aspect or context of a phenomenon, but cannot generalize to other settings or populations.
Using this rating system, nurse educators can plan staff development meetings that are based on the best available evidence for clinical interventions. They can also evaluate the quality and relevance of the evidence presented in staff development meetings, and critically appraise its applicability to their practice settings. By doing so, they can enhance their professional competence and confidence, and improve their patient outcomes.
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