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oilicyweek6assn.pptxBoards of Nursing vs. Professional Nurse Associations
Walden university
Nurs 6050: Policy and Advocacy for Improving Population Health
April 7, 2019
Boards of Nursing vs. Professional Nurse Associations
Though different jobs qualifications and care provided are present, nursing is the core of Registered Nursing (RN) and Advanced Practice Registered Nursing (APRN).
The purpose of this presentation is to show how regulations affect nursing as a whole as well as both positions.
Information will be provided from the standpoint of the States Board of Nursing as well as from a Professional Nurse Association.
Differences between a board of nursing and a professional nurse association
| Board of Registered Nursing (BON) | American Nurses Association (ANA) |
| “A state governmental agency” (California Board of Registered Nursing, 2019) | A strong and professional organization, which advocates for and represents the interests of registered nurses on a national spectrum (American Nurses Association) |
| Created to ensure public protection by the regulation “of registered nurses” (California Board of Registered Nursing, 2019) | With a goal to improve “the quality of health care for all” (American Nurses Association) |
| Implements and enforces “the Nursing Practice Act”, mandating “nursing education, licensure, practice, and discipline” (California Board of Registered Nursing, 2019) | “Exists to advance the nursing profession by fostering high standards of nursing practice; promoting a safe and ethical work environment; bolstering the health and wellness of nurses; and advocating on health care issues that affect nurses and the public” (American Nurses Association) |
members of The Board
| Board of Registered Nursing (BON) | American Nurses Association (ANA) |
| A nine-member board (California Board of Registered Nursing, 2019) | A nine-member board (American Nurses Association) |
| “Composed of four members of the public and five registered nurses: two direct-patient care nurses, an advanced practice nurse, a nurse administrator, and a nurse educator ” (California Board of Registered Nursing, 2019) | “Comprised of four officers and five directors-at-large” (American Nurses Association) |
| The Governor chooses seven members and Legislature chooses two of the public members, all serving for four years (California Board of Registered Nursing, 2019). | All members of the board are registered nurses, “elected by the Membership Assembly” (American Nurses Association). |
Federal Regulations on Healthcare
| Board of Registered Nursing (BON) | American Nurses Association (ANA) |
| The BON adhere to rules approved by the Office of Administrative Law and dictated by the Administrative Procedure Act (California Board of Nursing). | “ANA staff from the Health Policy Department review and analyze federal agency decisions, regulations, and rules affecting registered nurses, our profession, our patients, and the public health” (American Nurses Association). |
| Prior to the rules becoming set in stone they’re subject to review and have to be approved by the Department of Consumer Affairs, and the Business, Consumer Services and Housing Agency (California Board of Nursing). | After the ANA review, analyze and identify regulations that are considered interesting to the community of nursing they recommend changes via written feedback, provided to federal policymakers (American Nurses Association). |
| Once approved a “notice of proposed action” is suggested and comment to elicit changes are accepted for a 45 day period. “If changes are made, the modified text must be noticed for a 15-day comment period, followed by a board review of the comments, and possible modification of the proposed regulation again” (California Board of Nursing). | One federal regulation for healthcare provided by the ANA was their contribution to patient safety, referring to nurse to patient ratio, by magnifying the reduction of “staffing variance in hospital nurse staffing and skill mix that is associated with patient death and harm” (American Nurses Association). |
| The ANA’s concept of nurse staffing and skill mix was recommended to hospitals by the National Quality Forum, deeming it influential in national quality safety data and useful to The Centers for Medicare and Medicaid Services (American Nurses Association). |
Regulations
Regulations/rules provide clarity for “authority, eligibility, benefits, and standards” (American Nurses Association).
“The Safe Staffing for Nurse and Patient Safety Act (S. 2446, H.R. 5052)” (American Nurses Association is a federal law meant to protect patients.
Regarding patient safety, this act influences health care both negatively and positively. The negative impact is based on danger reaching patients due to inadequate care rendered. According to the American Nurses Association, “adverse patient events” and “one-fifth of all hospital deaths” have decreased due to adequate nurse to patient ratio.
This law affects healthcare costs because hospitals aren’t being paid for illness or injury acquired in the hospitals that they Centers for Medicare & Medicaid services (CMS) consider being preventable.
Quality IT Partners. (n.d.). Retrieved March 30, 2019, from http://www.qitp.com/services/regulatory-compliance/
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State Regulation on Nurse Practice
Ensuring that individual nursing license is current is a state-mandated regulation (Code Section Group).
State licensure influences the nurse’s role by confirming that the required competence, amount of knowledge, and skill has been obtained by the carrier (Code Section Group).
State licensure allows for nurses to deliver care; they receive monetary compensation from their employer and are provided the opportunity to obtain healthcare insurance based on their employer’s insurance packages.
https://www.wikihow.com/images/thumb/9/9d/Get-a-California-Endorsement-for-Your-Nursing-License-Step-1.jpg/aid9688616-v4-728px-Get-a-California-Endorsement-for-Your-Nursing-License-Step-1.jpg
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State regulation for Advanced Practice Registered Nurses (APRNs)
Advanced Practice Registered Nursing (APRN) can be broken down into different categories. This presentation’s focus is geared toward the Nurse Practitioner (NP) (California Board of Registered Nursing).
California mandates the NP to possess a furnishing number as well as a drug enforcement administration (DEA) registration number (California Board of Registered Nursing).
This regulation influences the APRNs role as well as delivery, cost, and access to healthcare because, without it, the NP can’t order medication including controlled substances or devices required for the care of patients (California Board of Registered Nursing).
Conclusion
Regulations, though sometimes perceived as a hassle are required because without them structure doesn’t exist. Not only do regulations provide structure, but they give a sense of protection as well. At times nurses can be placed into situations where lines are blurred in their practice and having the Nursing Practice Act, and California Code of Regulations becomes handy. While the California Code of Regulations “specify the implementation of the law” (California Board of Registered Nursing), the Nursing Practice Act provides the required “scope of practice and responsibilities” (California Board of Registered Nursing). As a practicing RN, studying to become an APRN, I'm grateful for the mandated regulations that my state requires because I know that working under my specific guidelines I will be prepared and capable to provide the best care to my patients.
References
American Nurses Association. (n.d.). About ANA | ANA Enterprise. Retrieved March 29, 2019, from https://www.nursingworld.org/ana/about-ana/
American Nurses Association. (n.d.). Agencies & Regulations. Retrieved March 29, 2019, from https://www.nursingworld.org/practice
policy/advocacy/federal/agencies-regulations/ana-advises-federal-agencies/
American Nurses Association. (n.d.). ANA Leading Patient Safety. Retrieved March 29, 2019, from https://www.nursingworld.org/practice- policy/advocacy/federal/agencies-regulations/ana-leading-patient-safety/
American Nurses Association. (n.d.). Leadership and Governance | ANA Enterprise. Retrieved March 29, 2019, from https://www.nursingworld.org/ana/leadership- and-governance/
American Nurses Association. (n.d.). Safe Staffing. Retrieved March 30, 2019, from https://ana.Aristotle.com/SitePages/safestaffing.Aspx
California Board of Registered Nursing. (n.d.). Advanced Practice and Public Health Nurse Certification. Retrieved April 7, 2019, from https://www.rn.ca.gov/applicants/ad-pract.shtml#np
California Board of Registered Nursing. (n.d.). Nursing Practice Act. Retrieved April 7, 2019, from https://www.rn.ca.gov/practice/npa.shtml
California Board of Registered Nursing. (2019). 2015 Legislative Updates. Retrieved March 29, 2019, from https://www.rn.ca.gov/regulations/updates.shtml
California Board of Registered Nursing. (2019). What is the Board of Registered Nursing? Retrieved March 29, 2019, from https://www.rn.ca.gov/consumers/whatisbrn.shtml
Code Section Group. (n.d.). Retrieved April 7, 2019, from https://leginfo.legislature.ca.gov/faces/codes_displayText.Xhtml?Lawcode=BPC&division=2.&title=&part=&chapter=6.&article=2.
Collins, A. S. (n.d.). Preventing Health Care–Associated Infections. Retrieved March 29, 2019, from https://www.ncbi.nlm.nih.gov/books/NBK2683/
