NURS 6050 week 5 Discussion: Professional Nursing and State Level Restrictions Population Health Discussion
NURS 6050 week 5 Discussion: Professional Nursing
Description
follow closely the instructions sent to you. pay attention closely to the RUBRIC GRADING SCALE FOR DETAILS of what is expected in the respond. read also the instruction part. At least 3 references from the RESOURCES LIST PROVIDED. Thank you. ONE PAGE LONG to each colleague.
Respond instructions to 2 colleagues
Discussion: Professional Nursing and State-Level Regulations
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 XXX
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.
STUDENT #1 S.L
Mississippi has set additional requirements for advanced practice nurses who prescribe controlled substances. The APRN must be able to document education and training in pharmacology. An APRN can meet the education requirement through pharmacology coursework that was integrated into the advance practice program (Mississippi State Board of Nursing,2020). The Missouri state which I reside in Board can instead accept a recent three semester hour advance pharmacology course Offred by an accredited school or 45 hours of recent continuing education.
The students must have 300 hours of preceptorship. Preceptors is to include training with medications, drugs, and therapies devices. Eventually, the advanced practitioner will enter into a collaborative agreement with a physician who has an unrestricted DEA number and who is engaged in similar practice. An advanced practice nurse cannot apply for prescriptive authority until he or she has 1000 hours of experienced (Missouri Secretary of State: Code of State Regulation, 2020, p. 7).
State practice and licensure law reduces the ability of nurse practitioners to engage in at least one element of NP practice. The Association of Nurse Practitioners (2019) State requires a regulated collaborative agreement with an outside health discipline in order for the NP to provide patient care in Mississippi. Nurse practitioner practice is further limited in Missouri as state law requires that any patient evaluated and treated by an NP that does not have a self-limited or well-defined condition be reevaluated by a physician within two weeks.
References
American Association of Nurse Practitioners. (2019). Scope of practice for nurse practitioners. Retrieved
September 27, 2020, from https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners
Mississippi State Board of Nursing. (2020) Controlled Substance. Retrieved from
https://www.msbn.ms.gov/licensure/advanced-practice-registed-nurse
Missouri secretary of state: Code of state regulations [PDF]. (2020). Missouri Division of Professional
Registration. Retrieved September 29, 2020,
from https://www.sos.mo.gov/cmsimages/adrules/csr/current/20csr/20c2200-4.pdf
STUDENT # 2 A.E
The Florida Board of Nursing assumes an important capacity in clinical considerations, rules, and maintenance of protocols for the effective practice of NPs. Florida is one of those states that are very restrictive in NPs practices under state guidelines and laws. Per laws and mandates that govern the practice of NPs, Florida requires that nurse practitioners are supervised by physicians; while the supervising physician does not need to be available in person, he/she must be available by phone for consultation (Nurse Practitioner Scope of Practice: Florida, 2013). With an increase in the disproportion of retiring physicians to the percentage of medical students, it is unfortunate that Florida is now realizing that we need more NPs to fill the gap in providing primary care.
While state laws managing NPs in Florida may be among the toughest in the country, according to recent policy changes dating back to July 2020, advanced NPs who have accumulated at least 3,000 hours of experience under physician supervision will have the right to independently operate primary care practices in Florida without an attending doctor (The pulse of nursing, 2020). At the same time, the passage of this bill is like having a foot in the door, it gives a level of the liberation of practice to some practitioners and excludes similar discipline like a CRNAs.
Additionally, another APRN board of nursing regulation in the state of Florida is NPs practicing in Florida may sign for handicap parking permits, but they may not sign death certificates (Nurse Practitioner Scope of Practice: Florida, 2013). Experienced APRNs should be able to sign death certificated as they are highly trained and skilled professionals. Although our neighboring state of Georgia has similar restrictions on NPs practice, interestingly, unlike Florida, an NP may prescribe Schedules III-V controlled substances if the NP is authorized to prescribe and has submitted the written protocol with the supervising physician (Scope of practice policy, n.d.)
Advanced Practice Registered Nurses (APRNs) who have the legal authority to practice within the full scope of their education and experience will be able to work alongside an MD whenever possible to provide care to patients in areas that otherwise lacked health access. Full practice authority does not make the MDs less available to patients but rather allows more territory access of health coverage by NPs. APRNs may adhere to the two regulations by understanding the laws that govern the practice and using them as guidelines, so they are compliant in their practice.
Although the regulations governing APRNs’ practices differ from state to state, ultimately the laws and policies are adapted for the safety and immediate medical needs of the patients through a developed interdisciplinary relationship amongst NPs and MDs.
References
AANP. (n.d.). State practice environment. American Association of Nurse Practitioners. Retrieved September 29, 2020, from https://www.aanp.org/advocacy/state/state-practice-environment
Nurse Practitioner Scope of Practice: Florida. (2013, October 9). Thriveap.Com. https://thriveap.com/blog/nurse-practitioner-scope-practice-florida
The pulse of nursing. (2020, March 24). Florida Nurse Practitioners Gain Full Practice Authority. DailyNurse.Com. https://dailynurse.com/florida-grants-advanced-nps-full-practice-authority/
Scope of practice policy. (n.d.). Georgia Scope of Practice Policy: State Profile. Dev.Scopeofpracticepolicy.Org. Retrieved September 30, 2020, from http://dev.scopeofpracticepolicy.org/states/ga/
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)
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.
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.
Rubric Detail for Grading RESPONDS
Select Grid View or List View to change the rubric’s layout.
Name: NURS_6050_Module03_Week05_Discussion_Rubric
| First Response |
17 (17%) – 18 (18%) Response exhibits synthesis, critical thinking, and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Response is effectively written in standard, edited English. |
. | or no credible sources are cited. |
0 (0%) – 12 (12%) Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited. |
||
|
Second Response |
16 (16%) – 17 (17%) Response exhibits synthesis, critical thinking, and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Response is effectively written in standard, edited English. |
. |
12 (12%) – 13 (13%) Response is on topic and may have some depth.
are cited. |
0 (0%) – 11 (11%) Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited. |
||
| . | 0 (0%) – 0 (0%) |
0 (0%) – 0 (0%) Does not meet requirements for participation by posting on 3 different days. |
||||
| Total Points: 100 | ||||||
ADDITIONAL INSTRUCTIONS FOR THE CLASS
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- Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
- Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
- APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
- Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
- LopesWrite Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.
- Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
- Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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