NURS 6050 Week 5 Professional Nursing and State-Level Regulations

NURS 6050 Week 5 Professional Nursing and State-Level Regulations – Step-by-Step Guide

The first step before starting to write the NURS 6050 Week 5 Professional Nursing and State-Level Regulations, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NURS 6050 Week 5 Professional Nursing and State-Level Regulations

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NURS 6050 Week 5 Professional Nursing and State-Level Regulations

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NURS 6050 Week 5 Professional Nursing and State-Level Regulations

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.

How to Write the In-text Citations for NURS 6050 Week 5 Professional Nursing and State-Level Regulations

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NURS 6050 Week 5 Professional Nursing and State-Level Regulations

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NURS 6050 Week 5 Professional Nursing and State-Level Regulations

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded, in sentence sentence care. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

NURS 6050 Week 5 Professional Nursing and State-Level Regulations Instructions

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.

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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. Have a look at NURS 6050 Assignment: Regulation for Nursing Practice Staff Development Meeting.
• 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.

Discussion assignment

• Post a comparison of at least two APRN board of nursing regulations in your state of Florida with those of at least one other state/region. Describe how they may differ. Be specific and provide examples.
• Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected

NURS 6050 Week 5 Professional Nursing and State-Level Regulations Example 1

Florida’s APRN Regulations

In Florida, APRN regulations are governed by the Florida Board of Nursing. A noteworthy aspect of these regulations is the prescribing authority granted to APRNs. However, this authority has specific restrictions and requirements to ensure safe and responsible practice. One prominent facet of Florida’s APRN regulations is the ability of APRNs to prescribe controlled substances (Reynolds et al., 2021). To do so, APRNs must meet rigorous educational prerequisites and obtain a federal Drug Enforcement Administration (DEA) registration.

The controlled substances that APRNs can prescribe fall within the Schedule II-V categories. For instance, a Family Nurse Practitioner in Florida can prescribe pain medications, such as opioids, to patients who meet specific criteria and clinical guidelines. This regulation empowers APRNs to provide comprehensive care and effectively manage patients’ pain within their practice scope.

New York’s Historical APRN Regulations

Historically, New York had more stringent regulations governing APRNs. A key requirement was the necessity for APRNs to establish written collaborative practice agreements with physicians. These agreements mandated close collaboration and oversight by physicians, limiting the autonomy of APRNs in their practice (Phillips, 2021). An example of how this worked in practice is that an Adult-Gerontology Nurse Practitioner in New York had to work closely with a collaborating physician to diagnose and treat certain medical conditions. This collaborative model aimed to ensure a team-based approach to patient care and maintain a high standard of healthcare delivery.

New York’s Regulatory Evolution

New York’s APRN regulations have undergone significant changes in recent years. One crucial development is the removal of the mandatory collaborative practice agreement requirement for experienced APRNs. Under the updated regulations, APRNs with more than 3,600 hours of practice experience are now allowed to practice without these agreements. This change represents a substantial departure from the previous regulations and reflects a growing recognition of the advanced education and clinical expertise experienced APRNs possess (Phillips, 2021).

For example, an Acute Care Nurse Practitioner in New York, meeting the experience criteria, can now make independent clinical decisions, manage complex medical cases, and provide comprehensive patient care without the constant need for physician oversight. This regulatory shift empowers APRNs and contributes to more accessible healthcare delivery, particularly in underserved areas where physician shortages are prevalent.

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Practical Application of Regulations

These regulations significantly impact how APRNs in Florida and New York provide healthcare services and collaborate with other healthcare professionals. In Florida, where APRNs have prescribing authority for controlled substances, APRNs play a pivotal role in pain management and medication prescription (Reynolds et al., 2021). For instance, a psychiatric mental Health Nurse Practitioner can prescribe medications to individuals dealing with mental health conditions, ensuring they receive timely and appropriate treatment. This regulatory framework enables APRNs to be valuable contributors to healthcare teams, especially in areas where access to physicians may be limited.

Conversely, New York’s historical collaborative practice agreement requirement promoted team-based care. APRNs collaborated closely with physicians, enhancing the quality of care delivered. While this approach ensured rigorous oversight, it also created administrative burdens and potentially limited the number of healthcare providers available, especially in rural regions. The recent regulatory changes in New York have unlocked opportunities for APRNs to serve as primary care providers, particularly in underserved areas where physician shortages persist (Phillips, 2021). An example would be a Pediatric Nurse Practitioner working independently in a pediatric clinic, diagnosing and treating common childhood illnesses, and promoting preventive care.

Conclusion

Florida and New York demonstrate distinct APRN regulations, particularly concerning prescribing authority and collaborative practice agreements. Florida empowers APRNs with greater independence in prescribing controlled substances, promoting comprehensive care and specialized treatments. On the other hand, New York’s regulatory evolution reflects a shift toward enhanced APRN autonomy, allowing experienced practitioners to provide care independently, thereby expanding healthcare access. These regulations reflect the evolving role of APRNs in modern healthcare, acknowledging their advanced education and clinical expertise. They enable APRNs to provide essential services and contribute to more accessible and efficient healthcare delivery, addressing the healthcare needs of diverse populations.

NURS 6050 Professional Nursing and State-Level Regulations References

Reynolds, A. M., Reynolds, C. J., & Craig-Rodriguez, A. (2021). APRNs’ controlled substance prescribing and readiness following Florida legislative changes. The Nurse Practitioner, 46(6), 48-55. https://doi.org/10.1097/01.NPR.0000751796.01625.17

Phillips, S. J. (2021). 33rd annual APRN legislative update: unprecedented changes to APRN practice authority in unprecedented times. The Nurse Practitioner, 46(1), 27-55. https://doi.org/10.1097/01.NPR.0000724504.39836.69

NURS 6050 Week 5 Professional Nursing and State-Level Regulations Example 2

Advanced Practice Registered Nurses (APRNs) in North Carolina are governed by the North Carolina Board of Nursing (NCBON). Nurse practitioners (NPs), certified nurse-midwives (CNMs), certified registered nurse anesthetists (CRNAs), and clinical nurse specialists are the four types of APRNs certified and registered in North Carolina (Griffith, 2022). The NCBON governs the standards for APRN education, certification, and license, as well as the area of practice and prescribing power.

In North Carolina, for example, APRNs must have a master’s or doctoral degree from an accredited nursing program, whereas APRNs in Texas can have a bachelor’s degree in nursing if they meet predefined certification requirements. Moreover, North Carolina mandates specialized continuing education for APRNs, but Texas merely requires continuing education for APRNs with prescription authority.

Another distinction is in APRNs’ prescribing authority. In North Carolina, APRNs can prescribe Schedule II-V controlled medications if they have completed a graduate-level pharmacology course, have a current DEA registration number, and have a collaborative practice agreement with a physician (Griffith, 2022). APRNs in Texas have broader prescription power and can prescribe Schedule II-V controlled medications without a collaborative practice agreement with a physician.

Education requirements are an important regulation for APRNs. APRNs must have a graduate nursing degree, often a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP). This education requirement ensures that APRNs have the knowledge and skills needed to provide safe and effective care to patients within the scope of their practice (Gaddis, 2022). Certification requirements, in addition to education requirements, are critical in controlling APRNs.

APRNs must pass a national certification test in their specialty area to demonstrate their expertise in their chosen career. APRNs have legal authorization to practice throughout the full breadth of their education and expertise, although the scope of practice varies by state. Some states allow APRNs to practice autonomously without medical supervision, while others require APRNs to work in collaboration with a physician.

In several states, APRNs have the legal power to prescribe pharmaceuticals, including banned narcotics. However, the particular conditions for prescribing power may differ from state to state. Some states mandate APRNs to establish a collaborative agreement with a physician to prescribe controlled medications, while others allow APRNs to prescribe without medical oversight (Gaddis, 2022).

In North Carolina, for example, a nurse practitioner must have a master’s or doctorate from a recognized nursing institution and have completed the ANCC or NCC national certification test. The nurse practitioner must also maintain their certification by meeting continuing education requirements. Nurse practitioners can perform within the legal limits of their profession and deliver high-quality care to their patients, provided they meet education and certification standards.

References

Gaddis, G. (2022). Nurses with a doctorate in nursing practice (DNP) should not call themselves “doctors” in a clinical setting. Missouri Medicine, 119(4), 314–320. https://search.proquest.com/openview/dfba6d68f7945358a2038819921f73e4/1?pq-origsite=gscholar&cbl=6334268

Griffith, S. A. (2022). Protect your nursing license. Ncbon.com. https://www.ncbon.com/myfiles/downloads/course-bulletin-offerings-articles/bulletin-article-winter-2019-protect-your-nursing-license.pdf