Professional Nursing And State-Level Regulations Discussion
Professional Nursing And State-Level Regulations Discussion
Professional Nursing and State-Level Regulations
An APRN board of nursing refers to the body responsible for regulating APRN practice within a given State through actions such as licensing of nurses. Different boards of nursing have specific set of regulations that differ from one state to the other. Comparing the state of Maryland board of nursing to that of my home State, Texas, the scope of practice of APRNs is one component of the two boards of nursing that is not similar in the two states. In the entire United States, only about 44% of nurse practitioners have acquired full licensure to practice without restrictions. In the state of Texas, the IOM’s recommendation of allowing nurses to practice to their full extent of educational and training levels is yet to be fully achieved (Thomas & Thomas, 2018). For a nurse practitioner to practice in Texas, they are therefore required to have a prescriptive delegation which is usually given by a physician. A mandatory registration by the department of public safety of Texas is also a requirement for a nurse practitioner to practice. Through the Texas administrative code 221, the board of nursing clearly defines the roles that a nurse practitioner should perform under restrictions from qualified physicians. The code state that a nurse practitioner should practice independently or in a teamwork in performing roles such as diagnosis, counselling, rehabilitation, evaluation and offering guidance of quality health to injured patients (Thomas & Thomas, 2018). As compared to the State of Texas, nurse practitioners in the state of Maryland are not restricted. The laws and APRN regulations allow nurse practitioners to perform roles such as patients’ diagnosis, evaluation, counselling interpret diagnosis and recommend the patients without any supervision Professional Nursing And State-Level Regulations Discussion.
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In terms of educational qualifications, the state of Texas has unique educational requirement for one to practice advanced nursing programs. For instance, it is a mandatory requirement in most states that one should have at least gained a master’s degree to qualify for advanced practice program. However, in the state of Texas, the approved advanced nursing programs have to prepare the nurse towards proper handling of healthcare for specific population where preceptorship is among the approved programs (Thomas & Thomas, 2018). However, in the case where some programs focus on multiple populations, students must practice at least 500 clinical hours in each of the target areas. APRN programs provided within the state of Texas must gain approval from the board of nursing as well as being accredited nationally by the accrediting agencies. As compared to the state of Texas, the Maryland board of nursing certifies all individuals that gain eligibility to practice as APRNs (Gazza, 2019). It is however mandatory for one to have a registered nurse license for certification as APRN to be accorded. Individuals who have acquired registered nurse licenses from other States can however apply to the Maryland board of nursing to be certified as APRNs.
One way through which APRNs can adhere to education and training regulations in the State of Texas is making sure that they at least gain a master’s degree. APRNs in the state of Texas should also specialize in a specific major in accordance to the board of nursing. For instance, for one to be a fully equipped clinical nurse specialist in the state of Texas, they should have a master’s degree as well as nine semesters lecture hours for their respective major. In the state of Maryland, one must also undergo a nursing program that is approved by the board and they should choose their specialization area for approval as APRNs (Gazza, 2019). For a case where one wants to practice outside their specialization area, they must first present a documentation for further training request.
Boards 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 Professional Nursing And State-Level Regulations Discussion.
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.
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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 5
Post 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.
References
Gazza, E. A. (2019, April). Alleviating the nurse faculty shortage: designating and preparing the
academic nurse educator as an advanced practice registered nurse. In Nursing
Forum (Vol. 54, No. 2, pp. 144-148). https://doi.org/10.1111/nuf.12307
Thomas, K. A., & Thomas, M. B. (2018). The Texas Board of Nursing responds to
disaster. Journal of Nursing Regulation, 9(2), 41-46.
https://doi.org/10.1016/S2155-8256(18)30116-9 Professional Nursing And State-Level Regulations Discussion