Describe the differences between a board of nursing and a professional nurse association. Describe the geographic distribution, academic credentials, practice positions, and licensure status

Question

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?

Dan Palmer · Accepted Answer

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 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

Aspect	Board of Nursing	Professional Nursing Association
Purpose	Regulatory body protecting public safety	Professional organization advocating for nurses
Authority	Legal/governmental authority	Professional/voluntary authority
Membership	Mandatory for licensure	Voluntary membership
Funding	Government funded/license fees	Member dues and donations
Focus	Public protection	Professional advancement
Scope	State-specific regulation	Local, national, or international
Enforcement	Legal disciplinary actions	Professional standards and ethics
Political Activity	Limited/non-partisan	Active political advocacy

Region	Active RN Licenses	Growth Rate (2022-2024)	Average Salary
Northeast	850,000	2.1%	$85,000
Southeast	1,200,000	3.2%	$75,000
Midwest	750,000	1.8%	$73,000
West	950,000	2.8%	$98,000
Southwest	600,000	3.5%	$82,000

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

Written By: Dan Palmer, RN

Edited By: Ethan Green, MSN-FNP

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

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Board of Nursing vs Professional Nurse Association: Guide to Understanding the Key Differences

What is a Board of Nursing?

Key Functions of Boards of Nursing

What is a Professional Nurse Association?

Key Functions of Professional Nursing Associations

Key Differences Between Boards of Nursing and Professional Nursing Associations

Geographic Distribution and Structure

Board of Nursing Distribution

Professional Association Structure

Academic Credentials and Educational Requirements

Board of Nursing Educational Standards

Professional Association Educational Initiatives

Practice Positions and Licensure Status

Current Nursing Workforce Demographics

Licensure Statistics by Region

Employment Outlook and Market Trends

Regional Analysis: Board Composition and Membership

Board of Nursing Membership Composition

Professional Association Membership

Impact on Nursing Practice and Patient Care

Regulatory Impact

Professional Development Impact

Collaboration and Relationship Between Organizations

Future Trends and Challenges

Emerging Issues

Conclusion

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