Essay On Public Policy

State law is made up of two different forms: statues and regulations (Buppert, 2015). Under the established rules and regulations, an ARNP can: (a) monitor and alter drug therapies; (b) initiate therapies for certain diagnosis’; (c) perform additional functions as may be determined by rule; (d) and order diagnostic tests and appropriate therapies (The Florida Legislature, 2016). A practitioner licensed under chapters 458, 459 or 466, must maintain supervision for directing certain course and medical treatment (The Florida Legislature, 2016). Within the context of advanced nursing practice and the Florida Statues chapter 464.003(2), an ARNP may diagnosis, treat, alter medication regimes, diagnose, prescribe and operate, which are approved by a joint committee composed of three members appointed by the Board of Nursing, three members appointed by the Board of Medicine and the State Surgeon General or his/her designee (The Florida Legislature, 2016). On the other hand, the federal government regulates nurse practitioner practice through statutes passed by Congress and regulations (Buppert, 2015). According to Buppert (2015), federal law can override state law, and when federal and state law conflict with one another, federal law usually triumphs. Due to these state and federal statutes and regulations, this can impose a huge threat and impact to NP practice since the BON and the Nurse Practice Act usually help

After attending the Arizona State Board of Nursing meeting through live stream on September 18, 2015 at approximately eleven in the morning, I had the opportunity to witness how the board enforces all the rights and regulations of the Nurse Practice Act and upholds the requirements set for each standard. The board consists of the board president Randy Quinn, RN, MSN, CRNA, the boards vice president Carolyn Jo Mccormies, RN, MS, FNP-BC, Kathryn Busby, J.D., Public Member, Lori A. Gutierrez, BS,RN-C,DON-CLTC,CBN, Terri Berrigan, LPN, C-AL who is the board secretary, Patricia Johnson, LPN, M. Shawn Harrell, RN, MS, Charleen Snider, BSN,RN , Dr. Kimberly A. Post, DNP,MBA/HCM,RN,NEA-BC, and Leslie Dalton, MSN, RN. Nine out of the ten board member were in attendance and conducting rulings in this particular meetings.

The Florida Board of nursing supports state associations such as the FNA which encourages legislation to allow all nurses to practice to the full extent of their education and training. It additionally supports efforts to protect the rights, jobs, wages, pensions, health care coverage, and other benefits of our state-employed health care nurses. Today I will be discussing about my policy brief and providing an in-depth analysis on the issue and how the Florida state board of nursing will contribute to the cause. (Cheryl, 2012).

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

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).

Being a former nursing student in the state of Pennsylvania I have had the Nursing Practice Act of Pennsylvania. Before this assignment I knew little of the Pennsylvania laws and absolutely none of the state of Florida. Every state has their set of laws, which is referred to the Nursing Practice Act. Every nursing student must have a copy. The nursing practice act ensures that anyone practicing does not fall below the minimum competency and does not present danger to the public, and anyone who does will be prohibited from practicing (Nurse Practice Act, 2007, p.7). Nurses have a legal liability to advocate for patients, and provide safe administration of medications, and provide quality, nursing care to patients

Healthcare reform in the United States (U.S.), continues to be a hot topic in the news. Whether it discusses how the program will be financed, the need to redesign the organization, or how the process of delivering healthcare will be implemented; one thing that is a frontrunner, is the need for registered nurses (RNs) and advanced practice registered nurses (APRNs) to fill the increased demands on the primary care system (Institute of Medicine, & Robert Wood Johnson Foundation, 2011, p. 375). “Several programs and initiatives included in the health reform legislation involve interdisciplinary and cross-setting care coordination and care management services of RNs” (Institute of Medicine, & Robert Wood Johnson Foundation, 2011, p. 377).

The Georgia Board of Nursing is responsible for regulating and supervising practical and professional nursing. They also control the types of offered professional education and the practice of those registered with said board. Through the use of certain legislation, they are able to determine safe standards of practice for the nursing community. On the other hand, professional nursing organizations, such as the American Association of Critical Care Nurses (AACN), give nursing professionals the opportunity to further their education post-university. Through the use of professional research journals,

The first video was of Dr. Alexia Green, PhD, RN, FAAN who has held numerous positions with different organizations within the nursing association. Dr. Green was TNA President from 1999 to 2001 and is currently professor of nursing and former dean emerita at Texas Tech University Health Science Center. Dr. Green also serves as project director for the Robert Wood Johnson Foundation nursing and health policy collaborative. Although Dr. Green is not the current TNA president, she is very much active within the TNA community. Dr. Green is also a contributing writer for the TX Nurses Voice, which is a quarterly news briefing for the TNA. Dr. Green’s focus and key topic are working on state health policy initiatives.

I admit that I have not read the Florida Nurse Practice Act (NPA) in its entirety before this class and it has been about seven years since I studied the guidelines applied to registered nurses. As Jeremy mentioned in his essay, not only do RN’s fall under the NPA regulations, but also Certified Nursing Assistants (CNA), Advanced Registered Nurse Practitioners (ARNP), and Medical Assistants (MA). I proceeded to read the rules that each must follow and found it necessary that there be a law that regulates their scope of nursing as well. Furthermore, it is essential that standards are set under the state’s NPA for each of these healthcare workers to be subjected to disciplinary action to protect patients. According to the Florida NPA, if any of these workers are found guilty of misconduct, “the board of nursing is authorized to deny, suspend, or revoke that individual's certification”, and “the board may also impose an administrative fine or probation or restriction of the certification as well” ("Ch-6 Florida Nurse Practice Act and Scope of Nursing," 2013).

There are many differences in functions of a regulatory board of nursing such as the Illinois Board of Nursing (IBN) and a professional nursing association such as the Hospice and Palliative Nurse Association (HPNA). The Illinois Board of Nursing functions as the licensing body for professional nursing, regulatory enforcer and where complaints about nurses or nursing practice can be addressed. It’s role is to protect the public safety in regards to nursing and it’s practice (Cherry & Jacob, 2010). The role of the HPNA is one of advocacy for it’s members and their profession, including lobbying for laws and

On September 18th, 2015 the Arizona State Board of Nursing met for their second day of a two-day meeting. The board meetings are in the main office located in Phoenix, Arizona. Board meetings are held every two months to a set agenda. The meeting is open to the public, and is also broadcast via live web feed. The board will, at times, when necessary, hold an Executive Session to obtain legal advice regarding any of the agenda items. Heading the board meeting today was Mr. Randy Quinn, CRNA, the Board President and Mrs. Carolyn Jo McCormies, FNP-BC, Vice President. Some additional members present were Ms. Leslie B. Dalton, RN, Ms. Lori A. Gutierrez, RN, Ms. Jana Machesky, LPN and Ms. Kathryn L. Busby. The board’s agenda is pretty extensive, but some of the highlight points that I pulled out of what will be discussed are listed.

Therefore, there is great need to have all stakeholders at both national and state levels to address these emerging challenges. This will help to achieve the triple objective of healthcare, which is to provide better care, ensuring better health, and reducing the costs of accessing healthcare (Hain, & Fleck, 2014). Among the barriers the authors point out include practice and licensure laws in various states, payer policies, and other physician related issues among others. Licensure and practice laws for the profession vary across the states. Nonetheless, the challenge lays in the way these laws and practices relate with the full practice authority governing practice and licensure (Hain, & Fleck, 2014). A big proportion of the country has only adopted certain parts of the legal requirements, creating a significant barrier for NP practice. The other challenge is the perception among some groups of physicians that NPs cannot provide quality and safe patient care at the same level as the physicians (Hain, & Fleck, 2014). This perception emanates from the notion that NPs do not receive a rigorous and longer training and education unlike other physicians. This hinders effective performance of nurse practitioners and greatly affects the work of professionals such as family nurse

As our healthcare continue to evolve, Advanced Nurse Practitioners' role is a crucial key component in the way health care is delivered in multiple settings, particularly in the primary care to improve patient's health outcomes. Nevertheless, the existing barriers limit nurse practitioners to practice to full capacity or extent of their training and education. One of the main obstacles faced by the advanced practitioners are the laws that govern the profession. Presently, NP practice rules and regulations vary from state to state(Hain and Fleck, 2014).

UK and analyse how the quality of life for the service users have improved over time.