NURS 6565: Main Question Post -- Week 6 – Discussion – Understanding Scope of Practice in Relation to Certification and Licensure
Nurse practitioners (NP) are healthcare providers that are licensed and practice in an arrays of healthcare locales. According to the Association of Nurse Practitioners (2015), nurse practitioners can practice as autonomous practitioners in acute, ambulatory, and long-term facilities as either a primary providers or specialty providers. Each nurse practitioners’ state board of nursing plays a considerable role in their scope of practice with focal point on the community at large fortification and healthcare safety. Furthermore, the ability of the nurse practitioners to practice to fullest extent of their knowledge are structured, or governed and regulated by state law and the individual’s state Board of Nursing scope of practice (Xue, Ye,
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Scope of practice for nurse practitioners. Retrieved March 31, 2018, from https://www.aanp.org/images/documents/publications/scopeofpractice.pdf
Billings, D. M., & Halstead, J. A. (2015). Teaching in nursing: A guide for faculty. (5th.). Elsevier Health Sciences.
Blais, K., Hayes, J. S. (2015). Professional nursing practice: Concepts and perspectives (7th.). Pearson.
Jalloh, F., Tadlock, M. D., Cantwell, S., Rausch, T., Aksoy, H., & Frankel, H. (2016). Credentialing and privileging of acute care nurse practitioners to do invasive procedures: A statewide survey. American Journal of Critical Care, 25(4), 357-361. doi:10.4037/ajcc2016118
McNeely, H. L., Shonka, N. M., Pardee, C., & Nicol, N. H. (2015). The value of certification: What do pediatric nurses think? Nursing Management, 46(2), 34-42. Retrieved March 31, 2018, from http://ovidsp.tx.ovid.com.ezp.waldenulibrary.org/sp-3.28.0a/ovidweb.cgi?
Stephens, B. (2015). Perspectives on Advanced Practice Registered Nursing in Georgia: Health access program. Retrieved March 31, 2018,
Association, A. N. (2010). Nursing Scope and Standards of Practice. (2nd ed.) Maryland: American Nurses Association. Retrieved January 20, 2014 from http://media.wix.com/ugd/8c99f2_4fde86431966e34f2e03bbb137edfee3.pdf
In 2011, Barbara Safriet published an article “Federal options for maximizing the value of Advanced Practice Nurses in providing quality, cost-effective health care” from a legal perspective. The article focused on the benefits of utilizing Advance Practice Nurses to the full extent of their abilities as well as the current barriers that APNs encounter in their practice. The aim of this paper is to discuss two regulatory provisions to full deployment of APNs in current health care system, as well as three principle causes of current barriers to removal of the restrictive provisions for the APN. Furthermore, I will discuss the critical knowledge presented in the article and how it relates the APN practice. This article was incorporated into a two-year initiative was launched Institute of Medicine (IOM) and by the Robert Wood Johnson Foundation (RWJF) in 2008 which addressed the urgency to assess and transform the nursing profession.
The model discusses the impact of new regulations on education for APRN, Licensure Accreditation, Certification & Education Document, certification and practice. The model is implemented to grasp the general understanding and definition of advance practice registered nurse APRN role, inconsistencies with state by state recognition of APRN roles, and determining eligibility for APRN licensure (Consensus Model for APRN Regulation, 2015). The consensus model definition of APRN is a nurse who is educationally rounded to assume the responsibility of assessing, diagnosis, treating, teaching health promotion and disease maintenance, acquired advanced clinical knowledge and skills to provide direct patient care, has passed a national certification examination, and licensed to practice in one of the four roles (Consensus Model for APRN Regulation, 2015).
This discussion board is about the nurse’s scope of practice. The purpose of this posting is to discuss the definition and standards of the nurse’s scope of practice as defined by the American Nurses Association (ANA) and by the Ohio Board of Nursing with an example of how to use the standards of practice. Per the ANA, when determining the nurse’s scope of practice there is no one specific explanation that can be provided due to the fact that registered nurses can have a general practice or a practice that is very specialized. The limits that are placed on a RN’s scope of practice will depend on a registered nurse’s education, type of nursing, years as a nurse, and the patients receiving care. At the basic level, every nurse’s practice
Dimension of Nursing Practice: Practice- Provides leadership in the application of the nursing process to patient care, organizational processes and/or system, improving outcomes at the program or service level.
As a nurse it is our primary job to protect and promote the well being of patients throughout the health care industry. Each nurse has the responsibility to practice faithfully and to uphold all ethical values. These values are outlined and regulated by two very important entities, The Nursing Practice Acts and the Texas Board of Nursing. Nursing Practice Acts, are specific laws in each state that define a nurse’s scope of practice. These acts were first established in 1909 with the purpose of protecting public health, safety, and welfare. Their purpose is to provide rules and regulations that will protect society from unsafe and unqualified nurses. Nursing professionalism is rooted in the ethics and ...
Implementing care plans within legal, ethical, and regulatory parameters is a competency that all registered nurses but abide by. As stated before as a baccalaureate nurse you must include not only patients and their families but also the community and population (The Texas Board of Nursing, 2011). Following the nursing process the next competency include evaluate the results of the implementations that have occurred. Once again the biggest difference between the two degree plans is baccalaureate nurses will also include the community and population as well as the patient and their family (The Texas Board of Nursing, 2011). Education is a vital piece of nursing and must be completed at every possible opportunity. Educated patients and their families on promoting health and marinating health is a very important concept. Expanding this education to the community and population is a vital step in helping reduce risk for our patients (The Texas Board of Nursing, 2011). The last competency is the nurse’s role in coordinating human information and material management resources for patients and their families as well as the expansion to include communities and populations as ones transition to a baccalaureate nurse (The Texas Board of Nursing, 2011).
The primary barrier to nurses being able to practice at their full potential is the states varied legislation (Fairman, Rowe, Hassmiller, & Shalala, 2011). The IOM (2011) report suggests that state scope of practice regulations should model the National Council of State Boards of Nursing Model Nursing Practice act and Administrative rules to provide legal authority to practice to the accomplished level of training. The IOM (2011) report also requested a review of states laws to identify potentially anticompetitive effects that do not protect the health and safety of the public. The new recommendations are to build a common ground with interdisciplinary groups and to include a diverse coalition for the Future of Nursing: Campaign for action (IOM,
Mundinger, M., (1994). Advanced-Practice nursing—good medicine for physicians? New England Journal of Medicine, 33(3), 211-214. Retrieved from http://www.nejm.org/doi/pdf/10.1056/NEJM199401203300314
Both Nurse Practitioners and Nurse Practitioner-students work closely with patients to monitor their health and provide care for acute and chronic illnesses. However, in the academic-clinical setting, the NP-student may only perform this function at the discretion of the supervising NP. Although work environments and responsibilities bestowed upon these distinctive nurses can be quite different, Nurse Practitioners, Registered Nurses and students is bound to the same laws and regulations governed by all states and territories that have enacted a nurse practice act (NPA). The NPA itself is insufficient to provide the necessary guidance for the nursing profession, therefore each NPA establishes a state board of nursing (BON) that has the authority to develop administrative rules or regulations to clarify or make the governing practice law(s) more specific (NCSBN
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
...sa, H. Cashin, A. Buckley, T. Donoghue, J. (2014). Advancing advanced practice — clarifying the conceptual confusion. Nurse Education Today 34 (2014) pp. 356–361
Zerwekh, J., Claborn, J. (2006). Nursing today: Transitions and trends (pp. 343-346). St. Louis, Missouri:
Again the committee requested the CCNE and NLNAC to mandate all nurses to exhibit their competencies in clinical performance. Also academic administrators, health care organizations and nursing schools should promote continuing competency program, which will assist the nurses to illustrate competency in their lifelong practice, teaching and research. In addition to it, they should evaluate and update their continuing competency programs
Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.