Worldviews on Evidence-Based Nursing Discussion
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. Worldviews on Evidence-Based Nursing Discussion
ORDER HERE A PLAGIARISM-FREE PAPER
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
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.
- PRACTING STATE IS CALIFORNIA
LEARNING RESOURCES
Required Readings
- Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide(6th ed.). Jones & Bartlett Learning.
- Chapter 4, “Government Response: Regulation” (pp. 57–84)
- American Nurses Association. (n.d.). ANA enterpriseLinks to an external site.. 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 Links to an external site.. 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 nursingDownload 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) Links to an external site.. (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 Links to an external site.. Nursing Outlook, 66(4), 379–385.
- Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case Links to an external site.. Medicine 2.0, 4(2), e4. Worldviews on Evidence-Based Nursing Discussion
State Boards of Nursing (BONs) are there for each of the states in the US. They serve to protect the public by overseeing the regulation of nursing practice, licensure, discipline issues, and the strict adherence to the state’s Nurse Practice Act (NCSBN, 2022). Advanced practice nurses can practice in three practice environments depending on the state. These are full practice authority (full autonomy), reduced practice, or restricted practice (AANP, 2022; Peterson, 2017). The last two require supervision by a practicing physician with whom one must have a paid for collaborative agreement. The BON for the state of California is the California Board of Registered Nursing.
Regulations for Nursing Practice in the State of California
According to the California Nursing Practice Act (NPA) that is found in the California Business and Professions Code, two regulations are in force concerning the state’s practice environment for advanced practice registered nurses or APRNs. First is that the state is a restricted practice state. This is the most restrictive practice environment and it means that the APRN must practice under the lifetime supervision of a practicing physician (CBRN, 2022). What this means is that the APRN cannot even order diagnostic tests such as MRIs and CT scans without the approval of the supervising physician. The other regulation concerns prescriptive authority. The APRN is only allowed to prescribe (and even then under the physician’s supervision) scheduled III and IV medications. They cannot prescribe schedule II medications such as morphine at all. Worldviews on Evidence-Based Nursing Discussion
Comparing the Stat of California and Maryland
While California is a restricted practice state, Maryland is a state that allows for full practice authority (FPA) as per its Nursing Practice Act and regulations (AANP, 2022; ANA, 2022; NCSBN, 2022). This means the APRN in Maryland does not have to consult any physician or even enter into any collaborative agreement with them. They can order diagnostic tests, interpret them, prescribe, and follow up autonomously. According to Bosse et al. (2017), in order for APRNs to have any meaningful impact in terms of bridging the primary health care gap for vulnerable and marginalized populations there must be FPA. This, as per Milstead and Short (2019), is why nurses must always engage in advocacy and lobbying to have all states change their legislation to favor FPA for APRNs. Worldviews on Evidence-Based Nursing Discussion