RUBRICASS2.docx

SafeAssign Logo

100%

Citations (9/9)

1. 1Another student's paper

2. 2Another student's paper

3. 3 https://en.wikipedia.org/wiki?curid=855199

4. 4Another student's paper

5. 5 https://online.regiscollege.edu/blog/8-important-regulations-united-states-health-care/

6. 6 https://www.nap.edu/read/12956/chapter/16

7. 7 https://www.nursingworld.org/practice-policy/advocacy/state/interstate-nurse-compact2/

8. 8Another student's paper

9. 9 ProQuest Document

1 Professional Nursing Practice

3 10/10/2020

1 Board of Nursing and a Professional Nurse Association

The practices of nursing are regulated by the board of nursing (BOH) while professional nursing associations advocates for nurses.

The education in the nursing practices is regulated by the BOH while all the nursing practice regulated by the nurse association.

1 Unlike Board of Nursing, nursing associations are governed by the Board of Directors who are elected by the association’s members.

According to Cherry & Jacob (2016), functionally the State Board of Nursing regulates education and ANA regulates nursing practice.  The State Board of Nursing is what regulates a nurse in each state as far as their licensure, ensuring they are up-to-date on education and are free from malpractice.  The American Nurses Association is an entity that is set up to govern how nurses’ practice, the ethics of nursing, it also has fellow nurses who advocate for nurses at the legislative level.  According to NCSBN the difference between a compact and non-compact state licensure is the ability to practice in multiple states with one license.  A nurse must be a resident in a state that participates in the compact to obtain a compact license.  If this nurse moves to a state that does not participate in the nursing compact, then the compact license the nurse held will turn into a single state license where s/he held residence and s/he must apply for a single state license in the state or states she wishes to practice in.

2

1 Members of the Board for the Region/Area (Illinois) Nurses on board must meet the required academic qualification.

Must be a registered nurse

Works with all nursing departments across the country and abroad.

A holder on Bachelor’s degree in Nursing

Must be a front nurse officer

Must exhibit and follow all the jurisdictions governing the nursing practices.

Explicit interpersonal skills such as highly energetic and self-motivated.

According to Xue, Ye, Brewer & Spetz (2016), as a nurse one play many roles such as detective roles, acts as scientist, as well as managers especially based on his or her qualifications to the stated positions and geographical locations.  However, in other cases, the position of board of nursing does not just accommodate anybody but there are valuable credentials that one must have to assume the position.  For instances, he or she must be a registered nurse with degree in nursing and other related courses.  Must portray high levels of professionalism and other related skills to meet the required thresholds.

3

1 Becoming a Member of Board of Nursing

Through interviews by the governor's staff

Appointment by the Governor from applications submitted.

Must be a citizen of the region or country of nursing practice.

Must be nursing graduate from a state-approved educational system

Holder of current state license for nursing practices

At least three years’ experience in nursing practices.

Must have been a board member of a health care agency.

Must be a member of licensing board of another state

According to Spector et al., (2018), nursing careers and nursing practices evolves daily.  Things that were once done a certain way are now done differently.  Through evidence based practice we have been able to find ways to improve patient care and make nursing a much safer place.  In the short time I have been a nurse I have heard many stories from our senior nurses about several protocols and practices that have changed throughout their career.  The nursing shortage that we are all too familiar with is something that as nurses we all need to stand together to try to make effective change.  These professional nursing organizations is a great place to start as there is strength in numbers.

4

4 Describe at least one federal regulation for healthcare

The Medicare health program

Provides hospital coverage for patients under Medicare Part A and medical coverage benefits for Medicare Part B.

Medicare patients who enrol in this plan gain from these benefits.

5 The Medicare program provides insurance coverage for almost 50-million American citizens.  4 [2] In 1945, President Harry Truman rallied Congress for funding to insure all United States citizens.  Twenty years later, president John F.  Kennedy finally succeeded in providing coverage for U.S.  senior citizens. 4 Today, the Congressional Budget Office forecasts that the program will survive indefinitely.

5

4 How Medicare regulation influence delivery, cost, and access to healthcare (eg, CMS, OSHA, and EPA)

In terms of delivery it removed the racial segregation practiced by hospitals

In regards to prices, there is RBRVS.

In regards to access to healthcare services, it connects enrollees with health care providers and services.

In concerns to delivery, Medicare service led to removal of the racial segregation practiced by hospitals and other health care facilities, and in many ways they helped deliver better health care.  By ensuring access to care, Medicare has contributed to a life expectancy that is five years higher than it was when the law went into effect.

Since 1992, Medicare has set prices using the Resource-Based Relative Value Scale (RBRVS), which calculates the estimated amount of work and practice expense involved in delivering specific services.  The original purpose of the RBRVS was to bring physician prices more into line with the costs of providing services.

Like private health insurance and Medicaid, Medicare, connects enrollees with health care providers and services, Access to physician care, prescription drugs, emergency care, and other services improving the likelihood that the enrollees will get treatment for both their acute and chronic conditions.

6

1 State Regulation related to Advanced Practice Registered Nurses (APRNs) The APRN Consensus Model

This a comprehensive health care and state regulation enacted to give consumers the necessary guidance for the states to ensure exceptional uniformity within their roles.

APRN Consensus Model regulates the future of an advanced nursing practices which is designed to ensure proper alignment in the interrelationships among accreditation, certification, licensure, and education.

The model outlines other related cases and factors that determine the quality and safety measures that nurses put in place to meet the rising needs in their services.

6 According to NACNS, (2016), as nursing practice evolves and health care needs of the population change, new APRN roles or population-foci may evolve over time.  1 An APRN role would encompass a unique or significantly differentiated set of competencies from any of the other APRN roles.  In addition, the scope of practice within the role or population focus is not entirely subsumed within one of the other roles.  Careful consideration of new APRN roles or population-foci is in the best interest of the profession.  For licensure, there must be clear guidance for national recognition of a new APRN role or population-focus.  A new role or population focus should be discussed and vetted through the national licensure, accreditation, certification, education communication structure:  LACE. 6 An essential part of being recognized as a role or population-focus is that educational standards and practice competencies must exist, be consistent, and must be nationally recognized by the profession,

7

1 Impact of the APRN Consensus Model on Nurse’s Roles and delivery, Cost, and Access to Healthcare

Identifies the anticipated needs of patients and the contribution of nurses.

Enhances a continuity of care services.

Helps nurses to apply critical thinking skills and use the nursing process.

Anticipates and identifies the needs and cost of healthcare

Through the policy, nurses have the ability to influence the practice processes and standards to assure the care quality.

The policy also affects the amount of resources allocated to support healthcare delivery and access.

Defines the necessary practices that will ascertain quality practices for the success of healthcare practices and processes.

According to Cherry & Jacob (2016), nurses have the opportunity to play a central role in transforming the health care system to.  the ability of APRNs to contribute to innovative health care delivery solutions.  And of importance, this document reflects the consensus of nursing.  the impact of RN role expansion on care cost or on physician and RN workload.

8

1 Influences of the regulation to the nurse’s role It allows all licensed practical and registered nurses to posses more that one state license

NCL is an agreement with a “mutual recognition” between different bodies on a nursing license that governs all practical and registered nurses in their daily practices.

NCL removes all the complications that bars nurses from practicing their skills in multiple states.

It also enables workers to work without worry of applying licensure in all he sates through renewal of requirements and fees

4 The NLC is a form of mutual recognition in which “the licensing authorities voluntarily enter into an agreement to legally accept the policies and processes (licensure) of a licensee’s home state.” Under the NLC, Registered Nurses (RN) are obliged to abide by the nursing practice laws in the state where the patient is located (their “location of practice”) – and are subject to having the privilege to practice revoked in that state if deemed necessary.  7 However, the RN’s home state is still responsible for any discipline against the license of the nurse.

The Compact requires state nursing boards to participate in a national database, Coordinated Licensure Information System (CLIS), or Nurses License Verification database.  This allows states to share information for verification of nurse licensure, discipline, and practice privileges

9

4 How the regulation influence delivery, cost, and access to healthcare

1 Boosts their practices in any state without acquiring further licensure of that particular states.

Makes all nurses eligible to exercise their skills in any states without any restrictions.

Allows nurses to refer their patients to any country for the needed services

Allows nurses to adequately and easily attend to their situations to meet all the stipulated short term and long term goals.

Enables joint regulations of the nursing licensure and nurses in meeting the needs of their patients.

Increased operations and achievement of expectations within healthcare centers

Effective and efficient relationship with other novice health professionals.

Increased innovation and creativity in the nursing processes.

4 States that restrict or reduce NPs'  ability to practice according to their abilities through limiting licensure authority are more closely associated with geographic health care disparities, higher chronic disease burden, primary care shortages, higher costs of care and lower standing on national health rankings

The association will continue to work to ensure NPs are able to:  order CT scans, perform point-of-care lab tests, apply forms of energy like a defibrillator, and prescribe controlled substances (among a few).  RNAO believes ensuring NPs can perform these responsibilities will help to improve patient flow even more.

10

1 References Cherry, B., & Jacob, S.  R. (2016). Contemporary nursing: 1 Issues, trends, & management.  Elsevier Health Sciences.

6 National Association of Clinical Nurse Specialists (NACNS).  (2016). 1 Statement on APRN consensus model implementation.  NACNS, Washington, DC, Accessed, 26.

Spector, N., Hooper, J. I., Silvestre, J., & Qian, H. (2018). 8 Board of nursing approval of registered nurse education programs.  9 Journal of Nursing Regulation, 8(4), 22-31.

4 Xue, Y., Ye, Z., Brewer, C., & Spetz, J.  (2016). 4 Impact of state nurse practitioner scope-of-practice regulation on health care delivery:  Systematic review. 4 Nursing outlook, 64(1), 71-85.

v