Regulation for Nursing Practice: Staff Development Presentation

This presentation, designed for a staff development meeting, compares and contrasts Boards of Nursing (BONs) and professional nurse associations, crucial for understanding nursing practice regulation. It begins by defining the roles of BONs as state agencies responsible for ensuring safe and competent care, and professional nursing associations as private membership organizations. The presentation then outlines the geographic scope of BONs, including the US states and territories, and details the membership requirements. Federal regulations, specifically HIPAA, are discussed, highlighting its role in protecting health information, and the updates made to it. State regulations impacting nursing practice are also examined, including their influence on the scope of practice, education, and delivery costs, with specific attention given to Advanced Practice Registered Nurses (APRNs) and the impact of regulations on healthcare access and costs. The presentation concludes by emphasizing the importance of understanding these regulatory bodies to enhance expertise and improve nursing practice.

Regulation for Nursing
Practice Staff Development
Meeting

Differences between a board of nursing and a professional
nurse association
The public health as well
as welfare is protected by
board of nursing that are
regarded as state agencies
(Lugo, O'Grady, Hodnicki
& Hanson, 2010)
They are responsible to
oversee as well as assure
that licensed nurses
provides safe and
competent care
Professional nursing
association are
professional private
membership
organizations that
requires team
members to pay their
dues

Board of nursing
The geographic
description is provided
on District of Columbia
that includes 50 US
states (NHSBN, 2020)
There are four US
territories such as
Guam, American
Samoa, the Virgin
Islands and Mariana
Islands
There are three states
that provide two
nursing regulatory
bodies. The first one
is for registered
nurses and the second
one is for licensed
nurses

Member of the board
In order to become
member of the board it is
imperative for the nursing
regulatory bodies to agree
using NCSBN licensing
assessments (NHSBN,
2020)
The academic credentials
requires a license that
acts as a circumstance to
practice nursing
The license is issued
by the government to
provide pledge to the
individuals that the
nurses have met
programmed
standards

Federal regulation
The federal regulation that will be
described here will be HIPAA that has
enacted to safeguard health insurance
coverage for employees who became
jobless
The Department of Health and Human
Services under HIPAA established barriers
on using health records (Wang & Huang,
2013)

Change to the regulation
The HIPAA has been updated in the year 2018
that has reflected on how mental health
information records are protected

State regulations
The state regulations are related to
general nurse scope of practice as they
helps to create a practical document
intended to help regulatory bodies as
well as legislators to make decisions
(Pulcini, Jelic, Gul & Loke, 2010)

Influencing nursing role by state regulations
The state regulations
influence nursing
role by reflecting on
nursing practice as
well as approving
their education
They are provided
legislatively with the
ability to license as
well as discipline the
nursing profession

Regulation influence delivery cost and
access to healthcare
The state regulation
in the United States
invests more on
health care as
compared to other
countries
The regulation has
artificially set pricing
without considering
the service cost
This exponentially
raises the actual
delivery cost in order
to legitimate
providers
This in turn increases
the total cost to the
individuals

State regulation related to Advanced Practice Registered
Nurses
The APRN practice is
regarded as a Nurse
Practice Act that is
governed by nursing
board (Melnyk,
Gallagher‐Ford, Long &
Fineout‐Overholt, 2014)
It is known to deal with
chronic diseases in
addition to increased
access to primary care
Due to shortage of
primary healthcare
professionals, the
committee provided
specific attention to
the role of nurses

Regulation influence delivery cost and access to healthcare
APRN initiates
certified nurse
midwife who are
regarded as licensed
healthcare
professionals
They are educated in
two disciplines such
as midwifery as well
as nursing

References
Lugo, N. R., O'Grady, E. T., Hodnicki, D., & Hanson, C. (2010). Are
regulations more consumer-friendly when boards of nursing are the sole
regulators of nurse practitioners?. Journal of Professional Nursing, 26(1), 29-
34.
Melnyk, B. M., Gallagher‐Ford, L., Long, L. E., & Fineout‐Overholt, E.
(2014). The establishment of evidence‐based practice competencies for
practicing registered nurses and advanced practice nurses in real‐world clinical
settings: Proficiencies to improve healthcare quality, reliability, patient
outcomes, and costs. Worldviews on Evidence‐Based Nursing, 11(1), 5-15.
NHSBN, (2020). About U.S. Nursing Regulatory Bodies. Retrieved from
https://www.ncsbn.org/about-nursing-regulatory-bodies.htm .
Pulcini, J., Jelic, M., Gul, R., & Loke, A. Y. (2010). An international survey on
advanced practice nursing education, practice, and regulation. Journal of
Nursing Scholarship, 42(1), 31-39.
Wang, C. J., & Huang, D. J. (2013). The HIPAA conundrum in the era of
mobile health and communications. JAMA, 310(11), 1121-1122.