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Evolution in nursing
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Massachusetts nurses have been regulated by the state since the beginning of the 20th century. Nursing has changed. With the use of technology in healthcare and the growth of multi-state healthcare corporations, the need for nurses to practice in multiple states has increased. In response to this change in nursing, multiple states have adopted the Nurse Licensure Compact. The Nurse Licensure Compact (NLC) allows for nurses to practice across state lines in states that have adopted the NLC. Massachusetts should pass the NLC so that MA nurses could have more job opportunities, ability to utilize more nurses during a disaster, and creating an easier and safer way to process disciplinary actions concerning nurses who practice in multiple states. Nurses in Massachusetts would greatly benefit if the NLC were to be passed in their state.
Regulation of nursing has been controlled by the state. Every state has their own Nurse Standard of Practice Act that regulates nurse practice and licensing. When nurses want to practice in another state, the nurse would have to contact that specific state board of nursing reapply for a license and pay another fee. The single state license system infers that nurses are somewhat incompetent to practice across state lines (Poe, 2008). The single license system has placed barriers in front of nurses. It makes it harder for nurses to practice in other states and more difficult for multi-state hospitals to utilize their nursing staff. The Nurse Licensure Compact (NLC) was conceived by the National Council of State Boards of Nursing (Hellquist and Spector, 2004). The NLC “allows a nurse to have on license (in the nurses’ sates of residency) and to practice in other states as long as that nurse ackno...
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.... American Association of Occupational Health Nurses, 52(2), 52-53. Retrieved from CINAHL database.
Hellquist, K. (2006). What nurse case managers need to know about the nurse licensure compact. Case Manager, 17(2), 47-50. doi:10.1016/j.casemgr.2005.11.001
Hellquist, K. & Spector, N.(2004). A primer: National council of state boards of nursing licensure compact. Journal of Healthcare Administration Healthcare law, ethics and regulation, 6 (4), 86-89. Retrieved from CINAHL database
Poe,L. (2008). Nursing regulation, the nurse licensure compact, and nurse administrations: working together for patient safety. Nurse Administration Quarterly, 32(4), 267-272. Retrieved from CINAHL database.
York, C. (2009). Message from the president. Nurse Licensure Compact Bill passed in Missouri!. Missouri State Board of Nursing Newsletter, 11(3), 1. Retrieved from CINAHL database.
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,
While the art of nursing has been around for centuries, the United States enacted the first nursing laws in 1903. The first nursing acts where developed as a response to conflict between nursing roles and physician roles. Nursing Practice Acts are enacted by each state’s legislature. Texas enacted the Nurse Practice Act in 1909. These acts are broad in regards to the practice of nursing, so the reg...
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 comparisons of Licensed Vocational Nurses (LVN) and Registered Nurses (RN) are simply the bases for all nurses. LVNs and RNs protect the patient’s privacy, provide safe environments, and administer medications and treatments. The Texas Administration code (2007) says all nurses will, “accurately and completely report and document: the client’s status including signs and symptoms; nursing care rendered; physician, dentist or podiatrist orders; administration of medications and treatments; client response(s); and contacts with other health care team members concerning significant events regarding client’s status”(D). Nurses are to maintain a professional nurse-client relationship; it is their responsibility to know and recognize what that entails. Nurses are bound by law to provide nursing care without discrimination regardless of age, sex, sexual orientation, ethnicity, nationality, religion, health problems or socioeconomic status. Some other similarities include measures to prevent the spread of infectious pathogens, collaboration with other health care team members and patient, prevent patient harm.
The Texas Board of Nursing,(2009). Nursing practice act. Nursing peer review, nurse licensure compact, & advanced practice registered nurse compact. Austin, TX
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
In this essay the author will rationalize the relevance of professional, ethical and legal regulations in the practice of nursing. The author will discuss and analyze the chosen scenario and critically review the action taken in the expense of the patient and the care workers. In addition, the author will also evaluates the strength and limitations of the scenario in a broader issue with reasonable judgement supported by theories and principles of ethical and legal standards.
I., & Arifkhanova, A. (2015). The Impact of Full Practice Authority for Nurse Practitioners and Other Advanced Practice Registered Nurses. Retrieved from http://www.rand.org/pubs/research_reports/RR848.html
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
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
American Nurses Association (ANA), (2001), Code of Ethics for Nurses, American Nurses Association, Washington, D.C.
American Nurses Association. (2015, January 2015). Code of Ethics for Nurses With Interpretive Statements, 1-76. Retrieved from
Although many people say the compact will never pass because of how long it will get state legislators to approve it, when in reality the nursing field has been passing a compact of their own. While it has taken several years it is still getting passed and accepted by more and more states. The nursing compact has proven to have been very beneficial in allowing nurses to practice beyond state borders with little to no problems. So the argument that state legislature will take too long to pass the compact is unreasonable because states have already been through this situation, and have passed the similar compacts. This isn’t the only argument though. Although many people say they compact won’t work because there is “no set way to deal with licenses that violate restrictions” ,and “ How the disciplinary process would work” (Lane) the APTA (American Physical Therapy Association) and the FSBPT (Federation of States Boards of Physical Therapy) are working together to come up solutions and procedures in order to solve these problems. This is ok because the compact isn’t completed and is going through a revising process before it will be proposed before state legislatures. Bernard Roth has said, if you reframe the problem many solutions become apparent” (243), and that is exactly what the creators of the compact intended to do with these problems. All so
The American Nurses Association created guidelines for the profession including, a set clear rules to be followed by individuals within the profession, Code of Ethics for Nurses. Written in 1893, by Lystra Gretter, and adopted by the ANA in 1926, The Code of Ethics for Nurses details the role metaethics, normative ethics, and applied ethics have within the field (ANA, 2015). Moral obligation for an individual differs within professions than it does within an individual’s personal life, so the code of ethics was written to establish rules within the profession. The moral obligation to provide quality care include the fundamental principles of respect for persons, integrity, autonomy, advocacy, accountability, beneficence, and non-maleficence. The document itself contains nine provisions with subtext, all of which cannot be addressed within this paper however, core principals related to the ethical responsibilities nurses have will be
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.... ...