Policy Goals and Objectives

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All boards of nursing should be part of the APRN compact and adopt the Consensus Model for APRN Regulation, to ensure consistency in accreditation, education, and certification. This would allow all APRNs to be licensed to the same standard, and allow for cross-state practice. Policy Options Three policy options have been identified: Option 1 The first option explores the ‘do nothing’ approach: This option explores the outcomes measured by a set of specified criteria if no action were to be taken with regards to standardized licensure. Option 2 The second option explores the incremental implementation of the following changes: 1. Establish uniform regulatory model and a permanent LACE structure. At present, there is no uniformity across states in what advanced practice nursing education, licensing and credentialing requirement encompasses. For instance, some state boards of nursing recognize all of the four APRN roles, other state boards grant prescriptive authority to all APRNs, whereas others grant it to only NPs (Chornick, 2010). Lack of uniformity will breed probable confusion in the general population, and weaken the APRN position in the public policy domain and health care community. It would also decrease the mobility of APRNs which would in effect limit access of health care to patients (Chornick, 2010). Establishing uniform regulation through the adoption of the Consensus Model for APRN Regulation and adoption of a permanent LACE structure would increase transparency and communication among all four regulatory components and the outcome from this change would promote understanding of each other’s role, standards, and processes, which should lead to decreased duplication of efforts (Stanley, 2009). 2. Establ... ... middle of paper ... ...ational board of nursing would set educational requirements for advanced degrees and therefore provide consistency for advance practice nationwide. This would not only standardize education, but also standardize the clinical practice requirements that currently vary for licensure by each state (Chornick, 2008). A national board of nursing could find agreement or consistency on which exam to offer for each specialty, and the examination would cover the scope of practice (Chornick, 2008). Finally, a standardized national exam would give confidence to other health care provider professions that feel that nursing has too many avenues for acquiring the same title. Con. There is no con related to this criterion, except for the concern listed for the first criterion, that a national board of nursing could diminish each states control over how they prepare their nurses.
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