Who Controls Nursing Practice

The College of Nurses of Ontario’s mission statement is to “protect the public’s right to quality nursing services by providing leadership to the nursing profession in self-regulation” (CNO, 2012). The College of Nurses recognizes that self-regulation is a privilege granted by proving that they are capable of putting the interests of the public before their own. By establishing a number of requirements for entry to practice, articulating and promoting practice standards, administering quality assurance, and enforcing standards of practice and conduct, the College fulfills it’s

The four spheres of political action in nursing as mentioned by Mason, Leavitt, and Chaffee (2011) includes the workplace or workforce, the government, the organizations, and the community. The authors further stated that although the four spheres overlap at times, the action performed in any one of these spheres can cause a reaction in any of the others. Nurses are a part of the community in which they live and can influence health and social policy within their workplace, which can have a profound impact on the organization. Furthermore, the government can pass health care policies, which in turn causes the organization to change their policy. Thus, affecting healthcare providers in the workplace and the community at large. An example of

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

Defining shared governance is easy; it is a leadership style that allows nurses at all levels to be involved in the decision making process (Yoder-Wise, 2011). Understanding shared governance is much more complicated as it involves changing long held beliefs in hierarchical management systems. Implementing shared governance requires commitment on the part of the agency, senior management, nursing leaders and staff nurses to be successful. Utilizing shared governance improves outcomes by empowering nurses which in turn improves patient safety, decreases complications, and reduces costs.

This organization was designed to secure the services of prominent members of appropriate professions in the examination of policy matters relating to the health of the public. “The Institute acts to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education” (Institute of Medicine [IOM], 2010, p. 5) In October 2010, The IOM (Institute of Medicine) released the report, The Future of Nursing: Leading Change, Advancing Health. This report examines the changing roles of nursing in healthcare, changes in nursing education and

The Institute of Medicine’s 2010 report on The Future of Nursing: Leading Change, Advancing Health acknowledges the changing healthcare sector in the US and describes future vision of healthcare and the role of nurses to fulfill that vision. The United States always strives to provide affordable and quality healthcare to the entire population of the country. In order to achieve this goal an overall restructuring of the healthcare system was necessitated. Nurses are considered to be the central part of the healthcare system to provide high quality and safe patient care. Nursing in the US is the single largest segment of the healthcare workforce with almost 3 million nurses working in different areas across the county. The changing

Over the last five years, the United States has implemented a new policy in which Americans will receive their health care benefits. This policy is known as the Patient Protection and Affordable Health Care Act which was implemented in 2010 through United States federal statue and signed into law by President Barack Obama. The intentions of the reform is to insure that all Americans have affordable access to health care benefits without struggling to afford the cost associated. The reform is broken down into nine title sections that affect all aspects of health care and changes that will be associated. In this paper, I will be discussing each of the title sections and how the changes will affect the field of nursing.

The article chosen for this assignment was published in 2014, in the Journal of Nursing Regulation. The article addresses the intention of the birth of ACA has not only to drive the quality of health care but also to save money. The article also address the fact that United State is on the brink of changing the health care system, which will turn will have far-reaching impact on the Board of Nursing (BON) and nursing practice as we know it today.

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).

“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

Time, money, and accountability, are exceptional evidence based practice barriers. Along with those three examples, increased responsibility is additionally attributing as many health care organizations are expecting all staff to “working to the top of licensure”. The transition is maximizing to decrease expenses, offset hiring, and provide exceptional quality patient care among team member assets. This not only affects current registered nurses scope of practices, but also those pursing advanced degrees such as nurse practitioners including state by state regulations. On April 25, 2017, an email was sent out from Wisconsin Department of Safety and Professional Services, reaching out to all registered nurses in the state of Wisconsin

Attaining a high level of education will improve the healthcare system only if nurses are fully utilizing their knowledge and abilities. Many times nurses face challenges in exercising their abilities and knowledge due to institutional policies or government regulations,

Nursing practice is also one of the key messages addressed in the IOM report. The report suggests that “nurses should practice to full extent of their education and training”. Furthermore, “nurses should be full partners with physicians and other health professionals, in redesigning health care in the United States. This report has a great impact on nursing practice. The IOM report suggests that greater focus on managing the transition from nursing to practice. It recommends that regulatory reforms must be made to allow nurses to expand their scope of practice (IOM report, 2010).

American Nurses Association defines nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and population”( Potter,P.,& Perry, A. 2005,1-5). Thus making nursing dynamic and ever changing. However, when nursing

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