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Discussion: Professional Nursing and State-Level Regulations

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

• Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the 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 and select at least two APRN regulations to focus on for this Discussion.

DISCUSSION RUBRIC

Lacks depth or superficially addresses criteria.Lacks reflection and critical analysis and synthesis.Does not represent knowledge gained from the course readings for the module.Contains only one or no credible sources.Not written clearly or concisely.Contains more than two spelling or grammatical errors.Does not adhere to current APA manual writing rules and style.

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 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?

  Boards of Nursing vs. Professional Nurse Associations

  Develop a 9- to 10-slide 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 the members of the board for your specific region/area.
  · Who is on the board?
  · How does one become a member of the board?
  · Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.—

  
  Excellent 23
  (23%) – 25
  (25%)

  The response accurately and thoroughly describes the differences between a board of nursing and a professional nurse association.

  Response provides a complete and accurate description of who is on a board of nursing, detailing geographic distribution, academic credentials, practice positions, and licensure status.

  The response provides a detailed and thorough explanation of how one becomes a member of the board of nursing.

  Presentation includes speaker notes that explain and elaborate the points of the presentation.

  
  Good 20
  (20%) – 22
  (22%)

  The response accurately describes the differences between a board of nursing and a professional nurse association.

  Responses provides an accurate description of who is on a board of nursing, and detailing geographic distribution, academic credentials, practice positions, and licensure status.

  The response provides an accurate explanation how one becomes a member of the board of nursing.

  Presentation includes speaker notes that explain the points of the presentation.

  
  Fair 18
  (18%) – 19
  (19%)

  Description of the differences between a board of nursing and a professional nurse association is inaccurate or incomplete.

  Description of who is on a board of nursing is incomplete or inaccurate in detailing geographic distribution, academic credentials, practice positions, and licensure status.

  Explanation of how one becomes a member of the board of nursing is vague or inaccurate.

  Presentation includes speaker notes that are incomplete or lack appropriate explanation.

  
  Poor 0
  (0%) – 17
  (17%)

  Description of the differences between a board of nursing and a professional nurse associations is inaccurate and incomplete, or is missing.

  Description of who is on a board of nursing detailing geographic distribution, academic credentials, practice positions, and licensure status is inaccurate and incomplete, or is missing.

  Explanation of how one becomes a member of the board is vague and inaccurate, or is missing.

  Speaker notes are incomplete or missing altogether.

  The Impact of Federal Regulation on Healthcare

  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.
  · Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.—

  
  Excellent 18
  (18%) – 20
  (20%)

  Response clearly and accurately explains one or more federal regulations for healthcare.

  Response clearly and accurately explains in detail how the regulation(s) influence delivery, cost, and access to healthcare.

  Response clearly and accurately explains in detail whether there has been any change to the regulation(s) within the past 5 years and specific, relevant examples are provided.

  Presentation includes speaker notes that explain and elaborate the points of the presentation.

  
  Good 16
  (16%) – 17
  (17%)

  Response accurately explains one federal regulation for healthcare.

  The response accurately explains how the regulation(s) influence delivery, cost, and access to healthcare.

  Response accurately explains whether there has been any change to the regulation(s) within the past 5 years and a relevant example may be provided.

  Presentation includes speaker notes that explain the points of the presentation.

  
  Fair 14
  (14%) – 15
  (15%)

  Explanation for one or more federal regulations for healthcare is vague or inaccurate.

  Explanation of how the regulation(s) influence delivery, cost, and access to healthcare is vague or incomplete.

  Explanation of whether there has been any change to the regulation(s) within the past 5 years is vague or inaccurate and/or examples are not relevant or are missing.

  Presentation includes speaker notes that are incomplete or lack appropriate explanation.

  
  Poor 0
  (0%) – 13
  (13%)

  Explanation of one or more federal regulations for healthcare is vague and inaccurate, or is missing.

  Explanation of how the regulation(s) influence delivery, cost, and access to healthcare is vague and inaccurate, or is missing.

  Explanation of whether there has been any change to the regulation(s) within the past 5 years and specific examples are vague and inaccurate, or is missing.

  Speaker notes are incomplete or missing altogether.

  The Impact of State Regulation on Nurse Practice

  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?
  · Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.—

  
  Excellent 18
  (18%) – 20
  (20%)

  Response includes a complete and accurate description that fully details how one or more state regulations are related to general nurse scope of practice.

  Response clearly and accurately explains in detail how the regulation(s) influences the nurse’s role.

  Response clearly and accurately explains in detail how the regulation(s) influences delivery, cost, and access to healthcare.

  Presentation includes speaker notes that explain and elaborate the points of the presentation.

  
  Good 16
  (16%) – 17
  (17%)

  Response includes an accurate description of how one state regulation is related to general nurse scope of practice.

  Response accurately explains how the regulation influences the nurse’s role.

  Response accurately explains how the regulation(s) influences delivery, cost, and access to healthcare.

  Presentation includes speaker notes that explain the points of the presentation.

  
  Fair 14
  (14%) – 15
  (15%)

  Description of one or more state regulations that are related to general nurse scope of practice is incomplete or inaccurate.

  Explanation of how the regulation(s) influences the nurse’s role is vague or inaccurate.

  Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague or inaccurate.

  Presentation includes speaker notes that are incomplete or lack appropriate explanation.

  
  Poor 0
  (0%) – 13
  (13%)

  Description of one or more state regulations related to general nurse scope of practice is vague and inaccurate, or is missing.

  Explanation of how the regulation(s) influences the nurse’s role is vague and inaccurate, or is missing.

  Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague and inaccurate, or is missing.

  Speaker notes are incomplete or missing altogether.

  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?
  · Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.—

  
  Excellent 18
  (18%) – 20
  (20%)

  Response includes a complete and accurate description that fully details how one or more state regulations are related to Advanced Practice Registered Nurses (APRNs).

  Response clearly and accurately explains in detail how the regulation(s) influences the nurse’s role.

  Response clearly and accurately explains in detail how the regulation(s) influences delivery, cost, and access to healthcare.

  Presentation includes speaker notes that explain and elaborate the points of the presentation.

  
  Good 16
  (16%) – 17
  (17%)

  Response includes an accurate description of how one state regulation is related to Advanced Practice Registered Nurses (APRNs).

  Response accurately explains how the regulation influences the nurse’s role.

  Response accurately explains how the regulation(s) influences delivery, cost, and access to healthcare.

  Presentation includes speaker notes that explain the points of the presentation.

  
  Fair 14
  (14%) – 15
  (15%)

  Description of one or more state regulations that are related to Advanced Practice Registered Nurses (APRNs) is incomplete or inaccurate.

  Explanation of how the regulation(s) influences the nurse’s role is vague or inaccurate.

  Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague or inaccurate.

  Presentation includes speaker notes that are incomplete or lack appropriate explanation.

  
  Poor 0
  (0%) – 13
  (13%)

  Description of one or more state regulations related to Advanced Practice Registered Nurses (APRNs) is vague and inaccurate, or is missing.

  Explanation of how the regulation(s) influences the nurse’s role is vague and inaccurate, or is missing.

  Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague and inaccurate, or is missing.

  Speaker notes are incomplete or missing altogether.

  Written Expression and Formatting – Paragraph Development and Organization:

  Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.—

  
  Excellent 5
  (5%) – 5
  (5%)

  Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

  A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

  
  Good 4
  (4%) – 4
  (4%)

  Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

  Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

  
  Fair 3.5
  (3.5%) – 3.5
  (3.5%)

  Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

  Purpose, introduction, and conclusion of the assignment is vague or off topic.

  
  Poor 0
  (0%) – 3
  (3%)

  Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

  No purpose statement, introduction, or conclusion was provided.

  Written Expression and Formatting – English writing standards:

  Correct grammar, mechanics, and proper punctuation—

  
  Excellent 5
  (5%) – 5
  (5%)

  Uses correct grammar, spelling, and punctuation with no errors.

  
  Good 4
  (4%) – 4
  (4%)

  Contains a few (1-2) grammar, spelling, and punctuation errors.

  
  Fair 3.5
  (3.5%) – 3.5
  (3.5%)

  Contains several (3-4) grammar, spelling, and punctuation errors.

  
  Poor 0
  (0%) – 3
  (3%)

  Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

  Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.—

  
  Excellent 5
  (5%) – 5
  (5%)

  Uses correct APA format with no errors.

  
  Good 4
  (4%) – 4
  (4%)

  Contains a few (1-2) APA format errors.

  
  Fair 3.5
  (3.5%) – 3.5
  (3.5%)

  Contains several (3-4) APA format errors.

  
  Poor 0
  (0%) – 3
  (3%)

  Contains many (≥ 5) APA format errors.

• REQUIRED RESOURCES
• https://www.nursingworld.org/
• https://class.waldenu.edu/bbcswebdav/institution/USW1/202050_27/MS_NURS/NURS_6050/artifacts/USW1_NURS_6
• 050_Halm_2018.pdf
• https://www.ncsbn.org/index.htm
• 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. doi:10.1016/j.outlook.2018.03.001
• 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. doi:10.2196/med20.4349
• 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. doi:10.1016/j.outlook.2017.10.002

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