Approximately 100 years ago a Board of Nursing (BON) was established to help ensure the protection of society through rules and regulations of proper nursing practice. The goal of the BON is to provide “regulatory excellence for public health, safety and welfare” (National Council of State Board of Nursing [NCSBN], n.d., para. 1). The duties of the board is to implement the Nurses Practice Act, handle licensures, accredit nursing programs, develop policies, rules, and regulations and develop standard practice (NCSBN, n.d.). As we continue throughout this paper we will be looking specifically at the Mississippi Board of Nursing (MSBN) and how it is governed.
The goal of the MSBN is to protect “the public through the regulation of the practice of nursing within the state” (MSBN, n.d., para. 1). Along with the duties listed above, the MSBN “provides minimum qualifications for licensure, define fundamentals for scope of practice, and provides disciplinary processes all in the interest of public protection” (MSBN, n.d., para. 1). The board is governed by the legislature and ran by a ...
Even so, physicians and nurses debated the best way and extent to which the NP role should be integrated into care, as well as how far NPs could extend their scope of practice. The National Joint Practice Commission (NJPC), funded by the Kellogg foundation in 1972 was one attempt to bring nurses, physicians, and broader professional organizations together to model the collaborative behavior that made nurse-physician teams so effective at the practice level. The NJPC funded nurse Virginia Hall to investigate legal issues related to expanding nursing roles related to nurse practitioner practice. In 1974, she published Statutory Regulation of the Scope of Nursing Practice – A Critical Survey. Hall’s work was one of few nationally unifying positions to guide physicians, nurse practitioners, and state boards (Hall, 1975). The Commission also published Together, as series of exemplars that highlighted effective NP-physician collaborations (Hidgen, Offan, & Starr, 1977). Still, the American Medical Association and other physician organizations could not accept the broader scope of practice recommended by the NJPC, and it folded in 1981 after only 9 years of existence. (Fairman, 2008,
The Nevada State Board of Nursing is an organization dedicated to ensuring that people receive safe and competent nursing care. NSBON’s mission is to “protect the public’s health, safety and welfare through effective nursing regulation.” The NSBON is able to achieve this mission through a variety of standards and rules.
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
The Mississippi Constitution and the U.S. Constitution are both similar and different at the same time. For example, both of the preambles are similar and focused on the people that live there. However, the Mississippi Constitution has some limitations that the U.S. Constitution does not hold its people accountable for.
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.
National Council of State Boards of Nursing. (2014). Nurse licensure compact. Retrieved February 9, 2014, from National council of state boards of nursing: https://www.ncsbn.org/nlc.htm
A strong and independent minded man named James H. Meredith applied for acceptance into the University of Mississippi. Meredith "anticipated on encountering some type of difficulty" with his attempt to enter the University of Mississippi, also known as the Ole Miss, but 'difficulty' would not describe his journey. The day after John F. Kennedy was inaugurated in early January of 1961, Meredith requested for application into the Ole Miss. On January 26, the registrar of Ole Miss, Robert B. Ellis, sent him an application along with a letter indicating that the university was "very pleased to know of [Meredith's] interest in becoming a member of our student body" (JFK Library). Meredith applied on January 31, enclosing a letter indicting he was an "American-Mississippi-Negro citizen." On February 4 the registrar sent Meredith a telegram stating that the Ole Miss "found [it] necessary to discontinue consideration of all applications for registration . . . received after January 25, 1961" (JFK Library). Hearing of his status to the Ole Miss, Meredith seemed to have felt angry and annoyed. His application was neither accepted nor rejected, but rather delayed upon hearing that he was a Negro. Meredith immediately wrote to Thurgood Marshall then to the U.S. Justice Department describing his situation. Meredith had been consciously aware since he was fifteen that he was a Negro and "until I was fifteen I did not know that my group was supposed to be the inferior one. Since then I have felt a personal responsibility to change the status of my group" (JFK Library). Meredith applied to the Ole Miss not just to get an education, but he did it for the people of his race. Since realizing that he was supposed to be inf...
This paper focuses on providing a summary of the efforts of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research which influenced the IOM report, “Future of Nursing: Leading Change, Advancing Health.” The importance of the IOM “Future of Nursing” report related to the nursing practice, nursing education and nursing workforce development will be stated. The role of state-based action coalitions and how they advance goals of the Future of Nursing: Campaign for Action will be described. A summary on will be provided of two (2) initiatives that are spearheaded by Florida state’s Action Coalition with an explanation of ways in which the initiatives advance the nursing profession. Existing barriers to advancement currently in Florida and ways in which nursing advocates may overcome these barriers will be discussed.
National Council for the State Boards of Nursing, APRN background, (2012). Report of the nursing policy and legislative efforts. Retrieved from https://www.ncsbn.org/428.htm#Nurse_Practitioner_Certification
According to American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the heath, safety and right of the patient” (p. 6). Nursing responsibilities should be acted at the highest standard and must be based on legal and ethical obligations.
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
Michigan is the only state in the union composed to two separated peninsulas. At the closest point, the upper and lower peninsulas are a mere five miles apart. In the early twentieth century, the only way to make the trip across the five miles of Lake Michigan and Lake Huron was to take a boat ride from one side to the other. As businesses expanded and industry grew, the demand to cross the lakes for travel and commerce purposes grew. The only way to cross the lake was by means of a ferry service, which was unable to keep up with consumer demand. Michigan residents were unable to get convenient and frequent transport between the peninsulas. They needed a consistent, fast, and safe way to travel freely from the mainland to the upper-peninsula. In response, the construction of a five-mile-long suspension bridge to link the peninsulas was set into action. The construction of the Mackinac Bridge was greatly significant to the national economy, the field of engineering, the efficiency of travel, and the historic symbolism of the state of Michigan.
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 ...
An issue that seems to have always been of concern, yet never fully settled for APNs is that of full practice authority. Full practice authority has been an issue for a long time. APNs have been restricted and held back by legislation for too long. In restricted states APNs are under supervision by both the Board of Nursing and Board of Medical Examiners for their corresponding state (Myers, 2013). This causes friction between the two factions for the reason that there is still a great deal of physicians out there that do not truly understand the role of an APN. Due to their inadequate knowledge on the matter of APNs and their role in practice, APNs’ role are being discounted to the general public by having to be under the Board of Medical Examiners supervision and not practice to their autonomous full extent. APNs are subject to minimum of a Masters degree, with option of Doctoral and PhD. With extensive academic education and closely regulated minimum clinical and didactic training hours, APNs are more than qualified to retain full practice authority. Any rule, regulation, or legislature preventing full practice authority is outdated and the author responsible is
To briefly summarize, the report identifies nurses as an important factor in enabling access to high quality, affordable health care. This was supported by the development of four fundamental recommendations. The first suggests that nurses be allowed to practice within the scope of their degree. This becomes evident in the differences in state laws that pertain to nurse’s who have acquired advanced degrees, such as the nurse practitioner.... ...