By Day 7 of Week 6

• Regulation for Nursing Practice Staff Development Meeting
• NURS – 6050C: Policy and Advocacy for Improving Population Health
• Introduction

To be recognized as a profession, a discipline should comply with predetermined principles including having instituted canons of practice and regulatory mechanisms (National Commission on Correctional Healthcare (NCCHC), n.d.). Regulation in the profession of nursing is a critical component to guarantee competent and safe practice (NCCHC, n.d.). This presentation focuses on the regulation of nursing practice, with a key focus on the disparities between professional nurse associations and Board of Nursing organizations.

• Boards of Nursing vs. Professional Nurse Associations

oBoards of Nursing

oState agencies

oMembership is compulsory for nurses

oPromotes and protects public health and wellbeing

oNCSBN and BONs are led by board of directors elected by members

oBoard of directors from every BON meet often to enforce the regulations that administrate nursing education and practice

oThe state governor and legislature delegate the BON to implement nursing laws and policies

ORDER A POWERPOINT HERE

Nursing practice is regulated at the state level via civil procedures and administrative laws. The National Council of State Boards of Nursing (NCSBN) oversees the state boards of nursing (BONs), which are government agencies that develop the standards of practice and outline the scope of practice; but, they do not draft legislations or lobby. BONs also renew and monitor issued licenses NURS 6050 week 6 Assignment: Regulation for Nursing Practice Staff Development Meeting. BONs promotes and protect public health and wellbeing by overseeing and ensuring all nurses are trained and licensed to practice and offer safe and competent care. Contrastingly, professional nursing associations, like the American Nurses Association (ANA), represent and advocate for nurses’ interests but lack the legal power accorded to the BONs (ANA Enterprise, n.d.). While membership of nurses is voluntary in professional nursing organizations, membership is compulsory in BONs.

v

oProfessional Nursing Associations

oFederal, international, or specialty-specific nursing organizations

oVoluntary membership

oAdvocate for nurses’ interests

oHave the authority to lobby for public health policies

oHave no power to issue or monitor licensing

• Boards of Nursing vs. Professional Nurse Associations

oBoards of Nursing

oNCSBN’s membership is open to global Nursing Regulatory Bodies (NRBs)

oPracticing nurses are the only eligible members of BONs

oBased on the state’s Nurse practice Act, BONs oversee the applications, approvals, renewals, and withdrawals of nursing licensure

oProfessional Nursing Associations

oOffer certification and professional development programs

oMembership represents a way of advancing nurses’ careers

oMembers have to pay fees to join

Nursing practice is regulated at the state level via civil procedures and administrative laws. Practicing nurses are eligible to join state BONs, which supervise the application, approval, and renewal of licenses. Besides, they oversee the punishment of members or hospitals that violate stipulated laws. Professional bodies provide certification programs, training programs, and the voluntary membership represent a proper approach to advance nurses’ careers, as well as unify members with the principle goal of improving the interests of nurses and public health (ANA Enterprise, n.d.)

• Why Seek Nomination to State BONs?

oThe nursing profession serves important public interests

oBONs offer nurses seeking appointments a chance to uphold the indebtedness of public service and influence healthcare policy.

oAppointment to BON fosters a sense of prestige, recognition, and accomplishment

The National Association of Clinical Nurse Specialists (NACNS) confirm that nursing profession serves essential public interests with regards to healthcare and health, and it is indebted to those receiving nursing care  (NACNS, 2018). Thus, qualified and competent nurses seeking appointment to BONs are embracing one of the most successful approaches to uphold the indebtedness of public service and influence healthcare policy (NACNS, 2018). Appointments, therefore, fosters a sense of prestige, recognition, and accomplishment, and subsequently, improves the visions of an exiting career in public service

• Georgia Board of Nursing

oGeorgia BON

oMandates individual nurses and hospitals to act in line with the standards of practice for registered nurses NURS 6050 week 6 Assignment: Regulation for Nursing Practice Staff Development Meeting

oIt has fully approved the provision of practical nursing programs in 22 institutions and one conditionally approved

o

• Georgia Board of Nursing
• Georgia BON’s goal is to safeguard, foster, and preserve the welfare, safety, and health of the citizens of Georgia through registered professional practice and education, as well as via control and regulation of nursing (NCSBN, n.d.). The BON is committed to guarantee public safety, and authorize qualified nurses to deliver nursing care to patients and their families and safeguard them from dangerous practices and unethical conduct among nurses (Georgia BON, n.d.). The BON mandates individual nurses and hospitals to observe the standards of practice for registered professional nurses (Georgia BON, n.d.-b).

oBoard Members

o13 Members

oTammy Bryant, RN, MSN – President, Practical Nursing Education Member

oMerry Fort, RN, BS – Vice-President, Nursing Service Administration Member

oTwo registered nurse educators, two advanced practice RNs, a certified RN anesthetist, consumer member, and three licensed practical nurses, one additional RN, and one nurse practitioner

oQualified RNs can apply for appointment to the BON

oThe appointment is done by the Governor

• Nurse Licensure Compact Law

oThe Nurse Licensure Compact (NLC) is defined by the NPA

oNLC outlines the framework for RNs to practice across state lines over telephone connections or digitally

oThe NLC was authorized into law in Georgia on 8th May, 2017.

oThe passage of the regulation will enhance access to care by enabling nurse mobility and reduce cost of nursing care through telehealth

As outlined previously, all U.S. states and territories set their rules and regulations that guide nursing practice, which are described in the NPA. One such law defined by the NPA is the Nurse Licensure Compact (NLC), which, in Georgia, it previously restrained RNs to practice over telephone or online across state lines (NCSBN, 2020). The Governor signed into law the NLC to ease RNs in the state to practice across state lines on 8th May, 2017 (Arnall Golden Gregory LLP, 2017). Consequently, enable them to acquire multistate license to teach and practice in any of the states which have approved the NLC  (Arnall Golden Gregory LLP, 2017). The passage of the NLC is expected to improve access to care by enabling nurse mobility and reduce cost of nursing care through telehealth (Interstate Commission of NLC Administrators, 2019) NURS 6050 week 6 Assignment: Regulation for Nursing Practice Staff Development Meeting

• SB 321

oSB 321

The Governor passed the SB 321 into law on 4th August, 2020. The regulation expands the APRNs scope of practice. By allowing APRNs to request radiographic imaging exams in non-fatal cases as deputized by a physician, the SB 321 law increases patient’s access to care and decreases the cost of care by addressing the wait times concerns.

SB 321 is a law that authorizes APRNs to request radiographic imaging exams in non-fatal cases as deputized by a physician (Diaz, 2021). The regulation is anticipated to eliminate barriers of APRN practice in the state. The regulation also rises the physician: physician assistant supervision ratio to 1:4 (Diaz, 2021). The Governor passed the SB 321 into law on 4th August, 2020

• Conclusion

vThe presentation focused on the regulation of nursing practice

vNotably, nursing practice is controlled at the state level via civil procedures and administrative laws (BONs)

vState BONs advocate for safe and competent nursing care

vProfessional nursing associations advocate for nurses’ interests

vBoth professional nursing associations and BONs serve critical roles in promoting safe and effective nursing practice NURS 6050 week 6 Assignment: Regulation for Nursing Practice Staff Development Meeting.

vIn Georgia, the BON has 13 members nominated by the Governor and confirmed by the congress

How the profession of nursing is regulated is the focus of this presentation. In sum, it is apparent that nursing practice is regulated at the state level via civil procedures and administrative laws. The disparities between BONs and professional nursing associations are many, including the aspect that BONs are government agencies that have the power to license and implement the nursing practice standards while professional associations are private organizations of nurses from diverse specialties that advocate for nurses’ interests. Georgia BON has 13 members appointed by the state Governor.

• References

oANA Enterprise. (n.d.). About ANA. https://www.nursingworld.org/ana/about-ana/

oCase Text. Section 43-26-4 – Georgia Board of Nursing, membership, meetings, officers, Ga. Code § 43-26-4.   (2021). https://sos.ga.gov/index.php/licensing/plb/45/board_members_and_st  aff.

oGeorgia BON. (n.d.-a). Board members and staff.   https://sos.ga.gov/index.php/licensing/plb/45/board_members_and_staff

oGeorgia BON. (n.d.-b). Rules and regulations of the State of Georgia.   https://rules.sos.ga.gov/gac/410-10

oGeorgia BON. (n.d.-c). Scope of practice decision-making model.   https://sos.ga.gov/PLB/acrobat/Forms/38 Reference -Scope of Practice   DecisionTree.pdf

oNACNS. (2018). Guide to getting appointed to your State Boards of Nursing: Why seek   appointment to your state board of nursing?   http://nacns.org/wpcontent/uploads/2016/11/3B-GuideToBON.pdf

oNational Commission on Correctional Healthcare (NCCHC). (n.d.). Regulations, standards and   policies. https://www.ncchc.org/cnp-regulations

oNational Council of State Boards of Nursing (NCSBN). (n.d.). The world leader in nursing   regulatory knowledge. https://www.ncsbn.org/index.htm  NURS 6050 week 6 Assignment: Regulation for Nursing Practice Staff Development Meeting