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.

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.

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. 150 150 Nyagu

Discussion: Professional Nursing and State-Level Regulations NURS 6050

RE: Discussion – Week 5
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The RNs and APRNs have current opportunities which enable them to participate actively in policy review:

Policy planning and policy review work hand in hand : That is, policy review starts at the same time when a policy is being planned, while the stakeholders are only concerned on evaluating their ability to buy -in and develop the proposed policy. (Mil stead & Short, 2019). Now, with the current opportunities RNs and APRNs to actively participate in policy evaluation and review process in our health facilities, we need to improve and upgrade ourselves to the positions that can enable us to start having meetings with the stakeholders of the facilities, which will enable us to be involved in policy analysis process. Good example was during the campaign for patient education for enrollment in subsidized health insurance plans, for design and implementation phases of Affordable health care Act (ACA): It was only the professional nurses that were allowed to evaluate the process, and advocate for cost transparency, and this was done through the professional nurses organisations. (Milstead & Short, 2019). With the current opportunities that is available for professional nurses, if RNs and APRNs can be active members of professional nurses organizations like- American Nurses Association (ANA), The National League of Nursing (NLN), the American Association of Nurse Practitioners (AANP), and the American Association of College of Nurses (AACN), nurses will be more knowledgeable and well informed with new trends, then relating with ACA to the lawmakers and public, will be easy with the report they are able to provide.

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In addition, active involvement and participation of RNs and APRNs during the introduction of new policies and policy review in the unit developmental meetings is another opportunity nurses have to evaluate and regulate policies. For example, when there is noticeable increase in patients fall in a unit, new policy on patient bed and -chair alarm system may be introduced for high risks for falls patients in the unit. So, before the unit developmental meeting, where the bed and chair alarm system will be discussed for approval, The RNs should be able to review the policy and write down their expections for the policy, its effectiveness and its measurable goals. For the policy makers to make a decision on whether they need to support a policy or not , they have to be notified at the beginning of the policy review, and at the same time with the plan to implement the new policy.(Laureate Education, 2018).

The challenges these opportunities may present and how to overcome the challenges:

Policy review, involves other professionals and lawmakers who have various disciplines and from different backgrounds with different opinions. so, this imposes lots of challenges to the RNs and APRNs, even though nursing profession is highly respected in the society. Depending on their level of understanding and views of patients and health care system, some of them may or may not buy the ideas and suggestions of the nurses, because of their poor perception on nursing profession. It is unfortunate that, in this day and age, during my private discussions with some people, I found out that , there are people who still do not value or appreciate the work nurses do, because they believe that after giving the patients their medications, nurses do nothing else, but play around for hours, and earn big money at the end of the day. This is very annoying to hear it from anyone, knowing the type of challenges and stress the nurses go through. In order to overcome this perception, Nurses with our leaders have to continue to focus on doing the right thing per evidence-based practice and also, to organize health education for the public, whereby, they could be thought or made aware, of what nurses do, which will in turn boost their trust on nurses.

Fear of change: During the introduction of a new policy, some of the staff including nurses may challenge the policy just for fear of a change. To overcome this challenges, nurse leaders should create early awareness of the new policy to the staff, including – the analysis, cost, and the expected outcomes, in other to gain their interest and support, if they may need to vote for the new policy.

Strategies to communicate the existence of these opportunities:

Two main strategies to better advocate for or communicate the existence of these opportunities are through:

-Social media.

-Seminars.

Using social media like Face book, network groups, and discussion posting in the network groups will create a faster awareness of the opportunities to people far and near in the profession.

My ability to constantly attend professional seminars, local and national nursing meetings, and binging back home all that I learnt, will be a good strategy for me to communicate and advocate the existence of RN’s and APRNs opportunities for policy evaluation, and I will create visible posters to create the awareness to every nurse.

References

Laureate Education (Producer). (2018). The Importance of Program Evaluation [Video file].

Baltimore, MD: Author.

Mil stead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.).

Burlington, MA: Jones & Bartlett Learning. Retrieved March 11th 2020.

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.

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.

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.

By Day 6 of Week 5
Respond to at least two of your colleagues* on two different days and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples.

Response
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Hello I…,

Just a word of advice so you don’t lose points, follow APA format when posting discussions. Make sure you include title of the discussion, which can simply be the same one I used – Professional Nursing and State-Level Regulations, in the center. Also use level 1 headings, which are in bold and also in the center. When referencing, indent the second line and lines to follow and use double-spaced. The writing center is an excellent resource to utilize! I actually signed up for the AANP as a student membership, which is half the cost FYI! In case there are difficulties searching for a preceptor (especially with all attention on COVID-19), I believe mentors will be able to guide me in the right direction and give me tips. As you mentioned, there are several other student resources such as scholarships and grants, NP certification, preperation to start your NP career, and how to stay informed! Unfortunately, several of my patients in the hospital usually have a secondary diagnosis of Alzheimer’s or dementia, contributing to their fall risk. For a person with dementia, the impact of hospitalization can be profound (Ayton, D., et.al, 2017). These individuals may be more likely to experience preventable adverse events such as infections, dehydration, malnutrition and falls (Ayton, D., et.al, 2017) . Impaired cognition has been shown to be the most commonly identified risk factor in patients who fall while in hospital (Ayton, D., et.al, 2017). I recently had a patient, confused and history of dementia, who was already near the nurse’s station with a floor mat in place, but still had a fall. To add additional interventions, I setup “avasys,” which is a video-monitoring system utilized at my hospital, in which the patient is monitored 24/7 and if she attempts to get out of bed, will be re-oriented by the monitoring tech and an alarm will sound so staff can be aware. It is almost intolerable to acknowledge how ill-willed nurses AND nurse practitioners are treated by patients. I recently had a patient who was being assessed by the NP for the day because the MD was not available. The patient literally said, “I don’t want to talk to a nurse practitioner, I want my doctor!” It is sad to see how disrespected nurses are in general, despite all of the education, dedication, and love we have put into nursing. Although social media can have several great benefits like the ones you mentioned, there is also alot of stigmaticism and negativity that sorrounds it as well. Although social media offers many benefits,inappropriate use can create legal problems for nurses, including job termination, malpractice claims,and disciplinary action from boards of nursing (BON),which could negatively impact their nursing license and career (Balestra, M. L., 2018). Social media is a very powerful tool and we must all use it strategically and carefully! Discussion: Professional Nursing and State-Level Regulations NURS 6050

References

Ayton, D., O’Brien, P., Treml, J., Soh, S., Morello, R., & Barker, A. (2017). Nurses’ perceptions of preventing falls for patients with dementia in the acute hospital setting. Australasian Journal on Ageing,

36(4), E70–E72. https://doi-org.ezp.waldenulibrary.org/10.1111/ajag.12474

Balestra, M. L. (2018). Social Media Missteps Could Put Your Nursing License at Risk. Colorado Nurse, 118(4), 16–17.

*Note: Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information
Grading Criteria
To access your rubric:

Week 5 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 5
To participate in this Discussion:

Week 5 Discussion

Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 4, “Government Response: Regulation” (pp. 57–84)
American Nurses Association. (n.d.). ANA enterprise. Retrieved September 20, 2018, from http://www.nursingworld.org

Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765. doi:10.1016/j.outlook.2017.10.002

Note: You will access this article from the Walden Library databases.

Halm, M. A. (2018). Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing. Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291

National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm

Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. doi:10.1016/j.outlook.2018.03.001

Note: You will access this article from the Walden Library databases.

Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4(2), e4. doi:10.2196/med20.4349

Note: You will access this article from the Walden Library databases.

Required Media
Laureate Education (Producer). (2018). The Regulatory Process [Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2018). Healthcare economics and financing [Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2018). Quality improvement and safety [Video file]. Baltimore, MD: Author.