Professional Nursing Presentation, State Level Regulations.
Professional Nursing Presentation, State Level Regulations.
Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.
Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.
To Prepare:
Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency. Professional Nursing Presentation, State Level Regulations..
Review the NCSBN and ANA websites to prepare for your presentation.
The Assignment:
Introduction.
Bodies: Nursing associations and boards of nursing exist to regulate, inform, and promote professionalism in nursing.
Context: Professionals need to understand these bodies in context.
Scope: Both affect the scope of practice for professional nursing practitioners
Thesis statement: This presentation delves into the differences between state-level regulations and professional nursing regulations, and how they influence the profession in Maryland.
Describe the differences between a board of nursing and a professional nurse association.
1. Boards of Nursing
a) Regulate the nursing practice within states
b) Ensuring that the health and public welfare is protected by ensuring that licensed nurses deliver safe and high-quality health services
c) There are 59 BONs, which also include the National Council of Boards of Nursing (Cherry & Jacob, 2014).
2. Professional Nursing Associations
a) They are private bodies
b) Nurses have to pay subscription fees to attain memberships as well as associated benefits.
c) They exceed a hundred in number, and their roles are to protect the rights of practicing nurses.
Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area. (Maryland) Professional Nursing Presentation, State Level Regulations..
- Who is on the board?
The Maryland State Governor reserves the to appoint the State’s Nursing Committee, which is made up of the following 14 members (MBON, 2020).
a) 1 Clinical Registered Nurse, serving as the Board President
b) 1 Registered Nurse, Delegating Nurse-Group Living, serving as the Secretary
c) 2 Advanced Practice Registered Nurse, Member
d) 2 Licensed Practical Nurses, Member
e) 2 Consumer Members
f) 1 Registered Nurse – BS Educator, Member
g) 1 Registered Nurse – AA Educator, Member
h) 1 Registered Nurse – Practical Educator, Member
i) 1 RN, Licensed Nurse, Member
j) 1 Registered Nurse Acute Care Nurse, Member
k) Registered Nurse, Nurse Administrator, member
v Maryland uses a non-discriminative approach of appointing members to the committee (MBON, 2020).
v Practice licenses must be authorized by Maryland State BON
v Academic qualifications must be at an advanced level - How does one become a member of the board?
a) Online application: Filing an online application at this address; http://govappointments.maryland.gov
b) AED: Filling in an Appointee Exemption Disclosure form according to the state’s ethics commission (MBON, 2020).
c) Seeking request for employment exemption, according to the State Ethics Commission.
d) Application fees: Paying a fee of $100 for registered nurses and $75 for a Licensed Practical Nurse.
Describe at least one federal regulation for healthcare.
1. How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?
a) Federal Regulation: Assistance in Community Integration Services (ACIS)
b) It involves a project under the supervision of the Maryland Department of Health.
c) Regulated disbursement of funds expected to assist in the community integration services pilot program.
d) It uses a system of application for waiver, where awarded payments cover costs that go beyond what is covered by Maryland Medicaid. Professional Nursing Presentation, State Level Regulations.
e) It supporting the delivery of house case management services and tenancy support services, subject to CMS Approval (Maryland Medicaid, 2017).
- Has there been any change to the regulation within the past 5 years? Explain.
– Improved the screening for community partners who contribute to the program to deliver healthcare services.
– This has supported the regulation’s vision in the following;
a) Strengthening the relationship of the ACIS in the community
b) Sustenance of local ACIS efforts, extending over the conditions of the waiver
c) Improved healthcare outcomes through the reduction of unnecessary services given to beneficiaries (Maryland Medicaid, 2017).
d) Achievement of long-term community goals of affordable access to healthcare.
Describe at least one state regulation related to general nurse scope of practice.
1. How does this regulation influence the nurse’s role?
a) Healthcare Licensing is an example of Regulation affecting professional nursing practice within the jurisdiction of specific states.
b) Issuing or reissuing nursing licenses vary slightly from state to state (ANA, 2015). Professional Nursing Presentation, State Level Regulations.
- How does this regulation influence delivery, cost, and access to healthcare?
a) Step One: Enactment of a nursing practice act for each state means that nurses under the jurisdiction have to follow its provisions regarding the delivery of healthcare.
b) Step Two: Regulatory bodies such as professional nursing associations and BONs create and enforce supportive rules and regulations.
Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
1. How does this regulation influence the nurse’s role?
a) Scope of practice and the boards of nursing regulations differ from state to state regarding APRNs (ANA, 2015).
b) Independent Practice: In Maryland, BON regulations spell out guidelines for independent practice.
c) One must have an APRN certification or knowledge related to the populations in Maryland State.
- How does this regulation influence delivery, cost, and access to healthcare?
a) Collaborative agreements: Nursing practitioners are also expected to have collaborative agreements with physicians, or seek authorization.
b) Authorized APRN can work anywhere else and not necessarily in the confines of a healthcare facility or physician group.
Conclusion
a) BONs and professional nursing associations are responsible for regulating, informing, and promoting professionalism in nursing
b) BONs are state agencies while professional associations are private entities.
c) State governors appoint committee members to BONs
d) State regulations in general nursing practice and advanced practice affects delivery, cost as well as healthcare accessibility. Professional Nursing Presentation, State Level Regulations..
References
American Nurses Association (ANA). (2015). Code of ethics for nurses with interpretive statements. MD: Silver Spring
Cherry, B. & Jacob, S.R. (2014). Contemporary Nursing: Issues, Trends, & Management. St. Louis, MO: Elsevier Mosby.
Maryland Medicaid. (2017). Application Package for Assistance in Community Integration Services (ACIS) Pilot Program. Maryland HealthChoice Section §1115 Waiver Demonstration, 1-34. Retrieved from https://mmcp.health.maryland.gov/Documents/
MBON. (2020). Board-members. Retrieved July 11, 2020, from https://mbon.maryland.gov/Pages/board-members.aspx
MBON. (2020). Board-member-vacancy. Retrieved July 11, 2020, from https://mbon.maryland.gov/Pages/board-member-vacancy.aspx