Nursing Advocacy at the Policy Level

Nursing Advocacy at the Policy Level

Post a comparison of at least two APRN board of nursing regulations in your state/region 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.Nursing Advocacy at the Policy Level

A Comparison of APRN Boards of Nursing Regulations in Texas and Maryland Regarding Face-to-Face Meetings with Delegating Physician

The state Board of Nursing is the regulatory body for all practicing nurses in any state. It ensures that the Nursing Practice Act in that state is adhered to. It is also the body that offers licensure for practice in the state and undertakes disciplinary action against any practicing nurse who breaks provisions in the Nursing Practice Act or the accompanying regulations. This is a comparison of an APRN regulation between the states of Texas and Maryland.


            These two states are first and foremost fundamentally different in terms of the practice environment for APRNS. The state Texas is a restricted practice state for APRNs requiring career-long supervision and delegation by a practicing physician under a written collaborative agreement. On the other hand, the state of Maryland is a full practice authority (FPA) state in which APRNs are free to practice autonomously to the fullest extent of their education, skills, and abilities (AANP, 2020). The subject regulation in Texas is that the House Bill 278 repealed the requirement for the APRN to meet with their delegating physician face-to-face (Texas Board of Nursing, 2013). Currently, they can meet using any other electronic means at least once a month. In Maryland, this is not the case as the APRN does not need to meet any physician. The APRN in Maryland has full practice and prescriptive authority and practices autonomously (Maryland Board of Nursing, 2020). The regulations do not require them to meet with anybody for practice purposes. This is the major difference between the two states in terms of this regulation.Nursing Advocacy at the Policy Level

The regulation of an APRN meeting at least once a month with their delegating physician does not apply to APRNs with full practice authority such as those in Maryland. They are not legally required to have any collaborative agreements with physicians. An example of how an APRN in Texas may adhere to the regulation is to schedule a Zoom meeting every first Monday of the second week of the month.


American Association of Nurse Practitioners [AANP] (October 20, 2020). State practice environment.

Maryland Board of Nursing (2020). Advanced practice registered nursing: Nurse practitioners.

Texas Board of Nursing (2013). Frequently asked questions: Advanced practice registered nurse.

Nursing Advocacy at the Policy Level