Discussion: Professional Nursing and State-Level RegulationsBoards 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..By Day 3 of Week 5Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.Learning ResourcesNote: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.Required ReadingsMilstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.Chapter 4, “Government Response: Regulation” (pp. 57–84)American Nurses Association. (n.d.). ANA enterprise. Retrieved September 20, 2018, from 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.2017.10.002Note: You will access this article from the Walden Library databases.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. doi:10.1111/wvn.12291National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved September 20, 2018, from 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 Note: You will access this article from the Walden Library databases.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 Note: You will access this article from the Walden Library databases.Required MediaLaureate Education (Producer). (2018). The Regulatory Process [Video file]. Baltimore, MD: Author. Accessible player –Downloads–Download Video w/CCDownload AudioDownload TranscriptLaureate Education (Producer). (2018). Healthcare economics and financing [Video file]. Baltimore, MD: Author. Accessible player –Downloads–Download Video w/CCDownload AudioDownload TranscriptLaureate Education (Producer). (2018). Quality improvement and safety [Video file]. Baltimore, MD: Author.
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As a medical professor in charge of creating college assignments and evaluating student performance, I understand the importance of understanding and adhering to state-level regulations in nursing practice. Boards of Nursing (BONs) exist in all 50 states and are responsible for regulating nursing practice to protect the public. In this content, we will compare APRN board of nursing regulations in different states/regions and explore how these regulations apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience.
When comparing APRN board of nursing regulations in my state/region with those of at least one other state/region, there are several differences that can be identified. One key difference is the requirement for collaboration with physicians. In my state/regional regulation, APRNs are required to enter into a collaborative agreement with a physician in order to practice. This agreement outlines the parameters of the APRN’s practice and the level of supervision or collaboration required. However, in the other state/region, there is no requirement for such collaboration, and APRNs have full autonomy in their practice.
Another difference lies in the prescription authority of APRNs. In my state/regional regulation, APRNs have limited prescription authority and are required to have a physician co-sign their prescriptions. This is to ensure oversight and accountability in prescribing medications. On the other hand, in the other state/region, APRNs have full independent prescription authority and can prescribe medications without the need for physician co-signature.
These differences in regulations have implications for APRNs practicing within their full scope of education and experience. For example, in my state/region, APRNs need to establish and maintain a collaborative relationship with a physician, which can impact their practice. They may need to consult with or seek approval from the collaborating physician for certain aspects of patient care. In contrast, in the other state/region where collaboration is not required, APRNs have the freedom to make independent decisions and provide care without seeking approval from a collaborating physician.
In terms of prescription authority, APRNs in my state/region may face restrictions and limitations in their prescribing practices. They need to ensure that their prescriptions are co-signed by a physician, which may cause delays or additional administrative burden. On the other hand, APRNs in the other state/region have full prescribing authority, allowing them to independently prescribe medications to their patients without any restrictions.
In summary, the comparison of APRN board of nursing regulations in different states/regions highlights the variations in requirements for collaboration with physicians and prescription authority. These regulations directly impact the scope of practice and autonomy of APRNs. It is important for APRNs to be aware of and adhere to the specific regulations in their state/region to ensure legal and ethical practice within their professional role.