Describe the differences between a board of nursing and a professional nurse association

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.
• Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (9- to 10-slide PowerPoint presentation)

Develop a 9- to 10-slide PowerPoint Presentation that addresses the following:

• Describe the differences between a board of nursing and a professional nurse association.
• Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area.
  • Who is on the board?
  • How does one become a member of the board?
• Describe at least one federal regulation for healthcare.
  • How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?
  • Has there been any change to the regulation within the past 5 years? Explain.
• Describe at least one state regulation related to general nurse scope of practice.
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?

Required Referances

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.

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

EXPERT ANSWER AND EXPLANATION

Understanding regulation of nursing profession is important given the nature of the field. There are different organizations which participate in regulating and advancing the nursing practice, knowing each of the organizations and their roles is important. In the US, there are over 100 boards of nursing (BONs) and professional nursing associations. Understanding their roles will help nurses enjoy the full benefits offered by the organizations.

The purpose of this presentation is to provide details on how the nursing practice is regulated and the roles of both BONs and professional nursing associations in regulating and advancing the nursing practice.

With the vast number of both board of nursing (BONs) and nursing associations, one can get confused about their respective roles in governing nursing practice. Both of these organizations have clear differences in terms of their mandate which are outlined as follows.

• Board of Nursing
• BONs are responsible for regulating nursing practice and protecting the public from unqualified or rogue nurses and ensuring that licensed nurses provide safe and competent care.
• BONs also do not participate in legislation making including lobbying , instead they only implement the formulated legislation as pertains to nursing practice.
• BONs are government entities formed by the different state governments and one national board having membership picked from the other state BONs (59 state BONs and one national),
• Professional Nurse Associations
• Nursing associations are responsible for advocating for nurses interests and advancing the nursing profession (Benton et al., 2017).
• Nursing association play an active role in representing their members in legislative process, including lobbying political players to support the interests of the nurses and the nursing practice (Milstead & Short, 2019).
• Nursing associations are private entities with membership requiring annual subscriptions.

The Mississippi board of nursing, currently headed by Alton Shaw (FNP), is a thirteen member board comprising of  2 nurse educators, 3 registered nurses in clinical practice, two of which should have as basic nursing preparation an associate degree or diploma and 1 to have at least  baccalaureate nursing degree.

Another board member is 1 registered nurse at large,1 Registered nursing practitioner, 4 licensed practical nurse, 1  licensed physician who shall always be a member of the State Board of Medical Licensure, 1 representative of consumers of health services

The membership should come from each congressional districts in the State of Mississippi. These rules are as outline in the Mississippi Nursing Practice Act amended in 2016.

According to the Mississippi Nurse and practice Act, under the establishment of the board guidelines, for one to become a board member in the Mississippi Board of Nursing, other than the member from the State Board of Medical Licensure have to be appointed by the governor with the advice and consent of the senate.

The list of nominees forwarded to the governor for consideration are usually submitted by the relevant nursing associations in Mississippi with each slot in list containing three names for consideration. If such a list is not submitted to the governor, then he/she can make the appointments without nomination  The term for members in the board is four years with the term limit being no more than two consecutive terms.

Hospital Readmissions Reduction Program (HRRP) is a federal regulation which came as part of the Affordable Care Act package. The regulation in conformance with the Medicare value-based system, requires CMS to reduce payments to health care facilities with huge numbers of patient readmissions allowing only certain conditions like cardiac failure, pneumonia, among others (McIlvennan et al., 2015).

How does this regulation influence delivery, cost, and access to healthcare

The regulation links the payment of health care services to the quality of services offered. The regulation gives incentive to care facilities to enhance involvement, coordination of care and communication between patients and care providers when planning for post discharge care.

The regulation focuses on patient outcomes instead of the care processes due to the fact that care givers will do their best to prevent readmissions for better pay (McIlvennan et al., 2015). With low readmissions, the overall cost of health care services will reduce.  So far, since the institution of regulation, no changes has been made to it.

According to Chapter 41 Minimum Standards of Operation for Mississippi Hospitals, Subchapter 30 on nursing, the regulation stipulates that hospitals to maintain an organized nursing staff to provide quality care to patients. The regulation also requires the nursing service to be under qualified RN with sufficient of RNs on duty at all times

The state regulation selected first requires that nurses working in a hospital provides high quality services when tending to patient needs and that the mandate to regulate professional conduct of nurses lies squarely on the hospitals. This regulation also put the nurses to be in charge of the nursing service. Therefore, the leadership role of nurses rests on nurses themselves and not other professional.

By implementing this regulation, hospitals will be required to employ competent nurses who will in turn provide quality care to patients. similarly, with quality care enhanced with proper nursing leadership, patient readmissions, and adverse outcomes will be reduced making the overall cost incurred by patients to go down (Salmond & Echevarria, 2017).

The Mississippi scope of practice policy under  Mississippi Nursing Practice Law §73-15-20(3) regulates the practice authority of APRNs. Mississippi is still not a full practice state, though the nursing associations are advocating to change this trend.

In the regulation, nurse practitioners. The regulation talks about the collaboration between a nurse practitioner and a physician  to some extent, this regulation has been termed to be restrictive in allowing APRNs to practice in full scope of their capabilities, which has affected various aspects in delivery of health care services.

Due to the regulation as outlined in the Mississippi Nursing Practice Law §73-15-20(3), the access to care, especially in the underserved rural and urban areas is restricted (Neff et al., 2018). This is due to lack of utilization of APRNs to full scope of their abilities. Due to duplication of roles between APRNs and physicians, lower efficiency in delivery of care is observed.

The costs of health care have also remained high because of the unnecessary oversight by physicians and duplication of roles (Milstead & Short, 2019). Therefore, it is high time that the relevant organs consider amending the regulation to allow full practice of nurse practitioners in Mississippi.

This presentation has covered different areas including BONs and associations and their differences. The presentation has also described the composition of the Mississippi BON. The presentation has also talked about how regulation of the nursing practice is conducted from the federal to the state level including regulation of APRNs. From the collected information, it can be concluded that the outlined aspects play a pivotal role in dictating the scope of nursing practice.

■Benton, D. C., Thomas, K., Damgaard, G., Masek, S. M., & Brekken, S. A. (2017). Exploring the differences between regulatory bodies, professional associations, and trade unions: An integrative review. Journal of Nursing Regulation, 8(3), 4-11. https://doi.org/10.1016/S2155-8256(17)30154-0

■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)

■McIlvennan, C. K., Eapen, Z. J., & Allen, L. A. (2015). Hospital readmissions reduction program. Circulation, 131(20), 1796–1803. https://doi.org/10.1161/CIRCULATIONAHA.114.010270

■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

■Nursing Practice Act, MS, ST, § 73-15-9 (2016)

■Salmond, S. W., & Echevarria, M. (2017). Healthcare Transformation and Changing Roles for Nursing. Orthopedic nursing, 36(1), 12–25. https://doi.org/10.1097/NOR.0000000000000308

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FAQs

what is the board of nursing?

A board of nursing is a regulatory agency that is responsible for overseeing the practice of nursing within a specific state or territory. The primary purpose of a board of nursing is to protect the public by ensuring that nurses are qualified to practice nursing safely and competently.

Boards of nursing typically establish licensing requirements for nurses, including education and examination requirements. They also investigate complaints against nurses and take disciplinary action when necessary to protect the public from unsafe or unethical nursing practices.

In the United States, each state and territory has its own board of nursing, which operates under the authority of the state government. Boards of nursing may also work with national organizations to develop and maintain standards for nursing practice and education.

What does the state board of nursing regulate?

The state board of nursing regulates the practice of nursing within a specific state or territory. Some of the key responsibilities of the board of nursing include:

1. Licensing: The board of nursing establishes and enforces licensing requirements for nurses in the state. This includes determining the qualifications necessary to become a licensed nurse, as well as setting standards for continuing education and renewal of licenses.
2. Scope of Practice: The board of nursing defines the scope of practice for nurses in the state. This includes determining which tasks and procedures nurses are allowed to perform, as well as any limitations on their practice.
3. Disciplinary Actions: The board of nursing investigates complaints against nurses and takes disciplinary action when necessary. This may include revoking or suspending a nurse’s license, imposing fines, or requiring additional education or training.
4. Standards of Care: The board of nursing establishes and enforces standards of care for nursing practice. This includes setting guidelines for safe and competent nursing practice, as well as monitoring compliance with these standards.

What is the indiana state board of nursing?

The Indiana State Board of Nursing is the regulatory agency responsible for overseeing the practice of nursing in the state of Indiana. The board is an agency of the Indiana Professional Licensing Agency (IPLA), which is responsible for licensing and regulating various professions within the state.

The Indiana State Board of Nursing is responsible for a range of activities related to nursing practice, including:

1. Licensing: The board is responsible for licensing nurses in the state of Indiana, including registered nurses (RNs) and licensed practical nurses (LPNs).
2. Disciplinary Actions: The board investigates complaints against nurses and takes disciplinary action when necessary to protect the public from unsafe or unethical nursing practices.
3. Education and Practice Standards: The board establishes education and practice standards for nursing in the state of Indiana, including requirements for continuing education and licensure renewal.
4. Endorsement: The board reviews and approves endorsement applications from nurses licensed in other states who wish to practice in Indiana.

Discuss the factors that impact the transition into the professional nursing role

The transition into the professional nursing role can be challenging for new nurses. Some factors that can impact this transition include:

1. Education and training: The quality of education and training received by new nurses can impact their ability to transition into the professional nursing role. Nurses who receive high-quality education and training that prepares them for the realities of nursing practice are more likely to experience a smooth transition.
2. Support from colleagues and mentors: Support from experienced colleagues and mentors can be critical for new nurses during the transition into the professional nursing role. Having access to a network of supportive colleagues and mentors who can offer guidance, advice, and emotional support can help new nurses feel more confident and competent.
3. Organizational culture and policies: The culture and policies of the organization where new nurses are working can also impact their transition into the professional nursing role. Organizational cultures that prioritize patient safety and provide resources and support to new nurses can facilitate a smoother transition.
4. Patient population and acuity: The patient population and acuity of the unit where new nurses are working can impact their transition into the professional nursing role. Nurses working with high-acuity patients may experience greater stress and require additional support and training.
5. Personal factors: Personal factors such as self-confidence, motivation, and resilience can also impact the transition into the professional nursing role. Nurses who have high levels of self-confidence and motivation may be better able to handle the challenges of the transition period.

How does one become a member of the board of nursing?

The process for becoming a member of the Board of Nursing can vary depending on the state or jurisdiction. In general, members of the Board of Nursing are appointed by the Governor or other state officials, and they may be required to meet certain qualifications or criteria.

Here are some steps that may be involved in becoming a member of the Board of Nursing:

1. Review the qualifications: Review the qualifications and requirements for board membership in your state or jurisdiction. Some states may require that board members be licensed nurses, while others may not have this requirement.
2. Submit an application: If you meet the qualifications, submit an application to the appropriate agency or office. The application may include information about your education, experience, and any other relevant qualifications.
3. Attend an interview: You may be required to attend an interview with the Governor or other state officials. This interview may be used to assess your qualifications, experience, and fit for the position.
4. Background check: You may be required to undergo a background check to ensure that you do not have a criminal history that would disqualify you from serving on the board.
5. Appointment: If you are selected for the position, you will be appointed by the Governor or other state officials. The length of the appointment and other details may vary depending on the state or jurisdiction.