Potential Obstacles Analysis

The question is can any obstacle or disadvantage be turned into something good? Yes it can,

First, the state licensure regulates NP practice and it has been a big issue since NPs are not able to practice to the fullest extent despite of their education and training. NPs practice is regulated by state licensure and only about one-third of the nation has adopted full practice authority licensure and practice laws for NPs (Hain & Fleck, 2014). The American Association of Nurse Practitioners (AANP) reports that, under a full practice authority model, NPs are still required to meet

Before an investment decision is made it is necessary to determine whether or not the planned investment idea is feasible. The feasibility of an investment has to be considered with respect to several different aspects in order to determine whether the investment should be realized or not. Carrying out a feasibility analysis is therefore one of the most critical steps in the decision-making process.

The organization which I have chosen to exemplify my policy change will be the Florida state board of nursing. Every aspect that pertains to the nursing, and overall healthcare is embedded into the board of nursing and that is why for these and other reasons which I will later discuss, I have chosen this organization. The Florida board of nursing plays an essential role in health care regulation as the board members and staff interact regularly with other nursing associations affiliated with state legislators, as well as the National Council of State Board of Nursing. The board of nursing works with law politicians to change or invoke new healthcare policies, which play an integrate role in patient care.

Attending the Texas Nurses Association District 8 annual meeting was educational, remarkable, and inspirational. Meeting the new officers for the coming year and the recognition for outgoing officers had a sense of camaraderie, which envelops nursing. The legislative updates and highlights included a significant bill to APRN’s, House Bill 1415. Although left pending in committee, this bill will allow APRN’s full practice authority. TNA has partnered with coalitions to assist in the passing of this bill. While there has been opposition to this bill by physician based associations, the impact of the passage and implementation of this bill is beneficial to the state, medical community and most importantly, our patients.

In recent years, APRNs have been very vocal through many nursing coalitions and associations. The voices of all ARNPs seeking full practice authority has been heard with the proposed bills. The Florida Panhandle Nurse Practitioner Coalition (FRNPC), has given information to all ARNPs to keep ahead in legislative issues. A white paper published by the American College of Physicians have been shared to all Floridian ARNPs through the

Healthcare reform continues in a time where a new president has taken office and is attempting to change or “bridge gaps” in health care policy. Currently, NPs are focused on a new shift to prevent disease rather than to solely cure or treat it which is the major difference between physician practice and the nursing profession. NPs receive extensive schooling and clinical practice to achieve full practice rights, however, the restrictions continue. The Florida Association of Nurse Practitioners (FLANP) monitors Florida legislative sessions on regards to the scope of NPs. As of March 7th, 2017, Bills of interest that affect full practice authority in the state of Florida are: “HB 7011 which introduces independent practice for NPs; CS HB129: which allows NPs to be medical directors and gain signature authority; SB 96 which allows NPs to be medical directors and S634/HB 645 which allows NPs to sign Certificates of Involuntary Commitment (Baker Act)” (Florida Association of Nurse Practitioners (FLANP), 2017). If these bills are finally approved all bilingual NPs can address many patients in need of healthcare without any barriers as to which provider they can see.

The Kansas State Nursing Association and the ARNP Task Force has presented proposed legislation for

The Oklahoma Board of Nursing (OBN) provides information to the public about the services of the Board of Nursing (OBN, n.d.). The purpose of the OBN is to “safeguard the public’s health by ensuring that licensed nurses are qualified and competent to practice” (OBN, n.d.). The public has access to the OBN to inquire on current licensed nurses, Nurse Practice Act, and guidelines about nursing care (OBN, n.d.). The American Nurses Association (ANA) is the “only full-service professional organization” that represents registered nurses’ interest through associations and partners (ANA, 2014). Their mission is “nurses advancing our profession to improve health for all” (ANA, 2014). They promote nursing practice by setting high standards, promoting nurses’ rights, leading a realistic outlook of nursing, and “by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the public” (ANA, 2014). The National League for Nursing (NLN) is an organization for any nursing-related faculty offering “faculty development programs, networking opportunities, testing and assessment, nursing research grants, and public policy” (NLN, 2013). Their mission is to “promote excellence in nursing education to build a strong and diverse nursing workforce to advance the nations health” (NLN, 2013).

Many times, the people who are creating policies or legislation for health care reform are not the “first providers” of the health care system. As the journal article, “Influencing Health Care in the Legislative Arena” stated, “[nurses] are often the first providers to see clearly when and how the health care system is not effectively meeting patients needs;” hence, we need more nurses to take a stance in the legislative arena.

I agree with you the nurse that is seeking to implement a change must be able to reach across to all stakeholders. These stakeholders come from different walks of life and the challenge here will be knowing their educational background in order to deliver a message that is not intricate to grasp. You have to also remember that people remember only 10 percent what they read, but they remember 40 percent what they hear and see. Thank you for you thoughts.

“Barriers to Nurse Practitioner Practice that Impact Healthcare Redesign” is the article written by two physicians, Debra Hain and Laureen M. Fleck. The two physicians explain the barriers and setbacks that the scope of practice prevents APNs from practicing from. This article also gives suggestions of what steps they think should be taken in order to completely make the scope of practice fair for everyone who has been trained to practice specific skills. This will be extremely beneficial to my proposal because Hain and Fleck describe the same steps to completely even the scope of practice that I am proposing. I will be using this article mainly in my first and second body paragraph so the readers know quickly what I am proposing and that there is support from physicians on my side as well. This will hook the readers quickly and they will instantly want to know more about how the scope of practice should be made completely even. The article also gives examples about how the future of APNs education will look after the scope is made completely equal. While talking about the future of education, the article mentions The Robert Wood Foundation. This foundation was previously talked about in my call-to-action essay, when I first discussed the scope of practice in nursing. With

I would like to see the integrated primary care clinical setting be changed to allow all Advanced Practice Registered Nurses (APRNs) who hold the DNP degree with the required licensure, accreditation, and certification be recognized for their ability to perform fully within their scope of practice.

Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.

These impose severe constrictions on the ability of the nurse to move forward or advance into the areas of practice where traditional nursing practices were not allowed {Institute of Medicine, 2010}. However with the increase in the number of nurses graduating with advance degrees in nursing; the situation is changing. These well educated nurses are leading the charge to confront the complex issues that the rapidly changing health care situation presents. Regulatory barriers must be lifted so that nurses can practice within their scope in order to be reimbursed by private insurance for the services they provide. These changes can be done through the federal and state legislators as well as supervisory agencies and bodies such as congress and licensing regulatory boards. The IOM also recommends that nurses will expand their scope of practice and increase their responsibility through teaching and counseling of patients. {Institute of Medicine,2010}. The use of Advance Practice Registered Nurses and Physician Assistant in providing primary care services will decrease wait time and increase patient satisfaction. The high turnover of nurses transitioning from school to practice also affects the quality of care. These nurses do not have enough experience to make decisions in patient care.{Institute of Medicine,2010}.The IOM and JCAHO{2012} report supports the recommendations for the introduction of nursing residency