NUR 513 Topic 2 DQ 1
Identify at least three regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty
NUR 513 Topic 2 DQ 1
Identify at least three regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty. Discuss the way these bodies or regulations influence the educational requirements and experiences for your specialty. Advanced practice registered nurses must incorporate the APRN consensus model in their response.
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Discussion Question 1 Sample
The federal government does indeed have a role in the regulation of Advanced Practice Registered Nurses (APRNs), particularly concerning their involvement in Medicare and Medicaid reimbursement. However, it’s important to note that a significant portion of the regulatory responsibility has shifted to the states (DeNisco & Baker, 2016). Licensing and regulatory functions are primarily managed at the state level, overseen by the state-specific Boards of Nursing (BONs), which can vary in their regulations and practices from one state to another (DeNisco & Baker, 2016). These BONs function as decision-making bodies responsible for delineating the scope of nursing practice, setting educational prerequisites, establishing licensure requirements, certifications, and enforcing disciplinary actions (DeNisco & Baker, 2016). Within each state, there are Nurse Practice Acts (NPAs), which are state laws that precisely define the scope of practice for nurses and various nursing specialties, and these are enforced by the BON (DeNisco & Baker, 2016).
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In the future, I am planning to pursue a career in Nursing Informatics, which falls under the category of nontraditional advanced practice roles. Consequently, some of the certifications and licensure requirements are not as standardized as those for the four traditional APRN roles. As per the Consensus Model for APRN regulation, Informatics is considered a role that does not involve direct patient care and, therefore, does not necessitate the same level of regulatory acknowledgment as the traditional APRN roles (APRN Consensus Work Group & National Council of State Boards of Nursing APRN Advisory Committee, 2008). Nevertheless, there is the option to obtain an ANCC Informatics Nursing board certification. To be eligible for this certification, you must hold an active RN license from the BON, possess at least a bachelor’s degree in nursing, have a minimum of two years of RN practice experience, complete 30 hours of continuing education in Informatics within three years, and fulfill specific practice hour requirements (ANCC, 2021). In my particular case, the practice hour requirements will be met through the completion of this graduate-level program.
NUR 513 Topic 2 DQ 1 Identify at least three regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty References
American Nurses Credentialing Center (ANCC). (2021, February 8). Informatics nursing certification (RN-BC).https://www.nursingworld.org/our-certifications/informatics-nurse/
APRN Consensus Work Group & the National Council of State Boards of Nursing APRN Advisory Committee. (2008). Consensus model for APRN regulation: Licensure, accreditation, certification & education. APRN Joint Dialogue Group Report. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf
DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning. ISBN-13: 9781284072570
Re: Discussion Question 1
As outlined by Denisco and Barker (2016), health professions regulation serves a crucial function by ensuring the ongoing monitoring and maintenance of an acceptable standard of practice within the healthcare professions. This regulatory process is primarily aimed at safeguarding the interests of public welfare and safety. The complexity of the healthcare system necessitates such regulation. In the United States, the responsibility of health professions regulation lies with regulatory bodies, with each state having its own Board of Nursing (BON). These individual BONs, numbering sixty in total, are united under the umbrella of the National Council of State Boards of Nursing (NCSBN). Each state’s BON takes on the task of establishing licensing criteria, approving courses for nursing education, and setting the standards for licensure examinations (Denisco & Barker, 2016). It is noteworthy that nursing schools seeking certification base their program content on the criteria approved by their respective state’s BON. Concerning the nursing licensure examination, while the criteria for passing are set by each state’s BON, it is the National League for Nursing (NLN) that ensures the licensing exam’s standardization through its State Board Test Pool Examination (SBPTE) (Denisco & Barker, 2016).
In the realm of advanced practice registered nursing (APRN), national specialty nursing organizations play a significant role in regulation. They do so by formulating practice standards and developing examinations. Currently, my career path is leading me towards health care management, and I am working towards completing my MBA and MSN in Leadership in Health Care Systems. In this chosen field, a regulatory body that holds relevance is the American Organization for Nursing Leadership (AONL). The AONL, through its credentialing center, offers certifications tailored to nurses based on their level of management. For managers, there is the Certified Nurse Manager and Leader (CNML) certification, while administrators can pursue the Certified in Executive Nursing Practice (CENP) certification (American Organization for Nursing Leadership, 2021).
The inception of advanced practice registered nursing (APRN) can be traced back to the expected shortage of primary care providers following the establishment of the Medicare and Medicaid programs in the 1960s, as described by Denisco and Barker (2016). In an effort to facilitate the practice of APRNs across state lines, the National Council of State Boards of Nursing (NCSBN) introduced the Consensus Model in 2008. This model offers guidance for states to adopt uniformity in the regulation of APRN roles, encompassing licensure, accreditation, certification, and education (National Council of State Boards of Nursing, Inc., 2021).
References
American Organization for Nursing Leadership (AONL) (2021). AONL Credentialing Center Certification Programs. Retrieved from https://www.aonl.org/initiatives/certification
Denisco, S.M. and Barker, A.M. (2016). Advanced Practice Nursing: Essential Knowledge for the Profession. Jones and Bartlett Learning. https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php
National Council of State Boards of Nursing, Inc. (2021). APRN Consensus Model: The Consensus Model for APRN Regulation, Licensure, Accreditation, Certification, and Education. Retrieved from https://www.ncsbn.org/aprn-consensus.htm
Re: Discussion Question 1
Numerous regulatory bodies and industry regulations collaboratively establish the certification, licensure requirements, and scope of practice for public health nursing. These organizations play a crucial role in shaping the standards and expectations for professionals in this field. Here, I will identify three key regulatory bodies and industry regulations that have a significant impact on public health nursing.
1. National Council of State Boards of Nursing (NCSBN):
The NCSBN is a pivotal regulatory body that strives to ensure the delivery of competent care by licensed nurses throughout the United States. It plays a vital role in safeguarding public health by ensuring that nurses entering the workforce possess the necessary skills and knowledge to provide safe patient care (National Council of State Board of Nursing, 2019). Among its contributions, the NCSBN is responsible for developing the licensure examination known as the NCLEX, which is a critical milestone in the journey of aspiring nurses.
2. American Nurses Association (ANA):
The ANA is an influential organization that empowers nurses to practice to the fullest extent of their expertise, ultimately benefiting public health. It actively participates in reviewing and revising the scope and practice standards of public health nursing to ensure that nursing responsibilities evolve in sync with the evolving demands of public health (American Nurses Association, 2021). The ANA’s dedication extends to supporting policy development, advocating for healthcare, and providing education opportunities to enhance individual nurses’ contributions to public health, particularly in areas such as immunization, infection control, environmental health, and responses to crises like the opioid epidemic.
3. American Nurses Credentialing Center (ANCC) and National Board of Public Health Examiners (NBPHE):
Public health nurses who aim to advance their education and expertise can seek additional voluntary certification through organizations like the ANCC and NBPHE. The ANCC offers the Advanced Public Health Nursing Board Certified (PHN-BC) credential, while the NBPHE provides the Certified Public Health (CPH) certificate following a certification examination (Association of Public Health Nurses, 2019). These certifications serve as markers of proficiency and dedication in the field of public health nursing.
In summary, these regulatory bodies and industry regulations, including the NCSBN, ANA, ANCC, and NBPHE, collectively shape the landscape of public health nursing by defining the standards, certifications, and licensure requirements necessary to maintain high-quality healthcare practices for the benefit of public health.
References
American Association of College of Nursing. (2021). Certification for Public Health Nursing. AACN. Retrieved March 4, 2021, from https://www.aacnnursing.org/Population-Health-Nursing/Certification-for-Public-Health-Nursing
American Nurses Association. (2021). Public Health Nursing. ANA. Retrieved 3 4, 2021, from https://www.nursingworld.org/practice-policy/workforce/public-health-nursing/
Association of Public Health Nurses. (2019). CPH Credential. APHN. Retrieved March 4, 2021, from https://www.phnurse.org/cph-credential
National Council of State Board of Nursing. 2019. History. Retrieved from https://www.ncsbn.org/history.htm
Topic 2 DQ 1
Regulatory bodies and nurse practice acts play a vital role in defining certification, licensure requirements, and the scope of practice for various nursing specialties. Nurse leaders are subject to the oversight and guidelines provided by specific organizations to ensure competence and quality in their roles (DeNisco, 2019). Notably, the American Organization for Nursing Leadership, the National Council of State Boards of Nursing, and the New York State Nursing Practice Act are instrumental in providing regulatory frameworks, certification procedures, and licensure requirements for nurse leadership positions. New York State’s Board of Nursing (BON) is responsible for regulating nursing activities across various specialties, including leadership roles, and outlines the requisite qualifications and responsibilities. The Nurse Practice Act of New York further delineates the specific duties, certification criteria, licensure prerequisites, and the scope of practice for nurse leaders within the state’s jurisdiction (NYSNA, 2022).
The American Organization for Nurse Leadership is dedicated to enhancing the scope of practice for nurse leaders through robust professional development initiatives. This organization offers educational and training opportunities designed to empower nurses with advanced leadership skills, fostering innovation and competence in the provision of guidance and patient care (AONL, 2022). The educational programs cover a wide range of topics, including health care finance, certification reviews, shared governance, and the cultivation of emerging competencies for nurse leaders.
These influential organizations significantly shape the educational requirements and experiences of nurse leaders, emphasizing the importance of continuous improvement to enhance the quality of care delivery. Consequently, nurse leaders, following the advanced practice registered nurse (APRN) model, must prioritize compliance with evolving trends, the adoption of evidence-based practices, and a steadfast commitment to the value-based care model in order to achieve high-quality patient outcomes. The consensus model provides valuable guidelines for states to ensure a uniform approach to the regulation of APRN roles, licensure, accreditation, certification, and education (NCSBN, 2022). In practical terms, nurse leaders in New York must engage in similar processes to acquire additional competencies, secure relevant certifications, and participate in educational programs that prepare them for their essential roles and responsibilities.
References
American Organization for Nursing Leadership (AONL) (2022). About American Organization for Nursing Leadership. https://www.aonl.org/about/overview
DeNisco, S. M. (2019). Advanced Practice Nursing: Essential Knowledge for the Profession: Essential Knowledge for the Profession. Jones & Bartlett Learning.
National Council of State Boards of Nursing (NCSBN) (2022). APRN Consensus Model. https://www.ncsbn.org/nursing-regulation/practice/aprn/aprn-consensus.page
New York State Nurses Association (NYSNA) (2022). Scope of Practice. https://www.nysna.org/nursing-practice/practice-resources/scope-practice#.Yy3bLkxBzIU
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