I’m working on a health & medical discussion question and need the explanation and answer to help me learn.
Post a comparison of at least two APRN board of nursing regulations in your state/region( Illinois board of nursing) with those of at least one other state/region (California board of nursing).
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.
Require readings:
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.
- Chapter 4, “Government Response: Regulation” (pp. 57–84)
- American Nurses Association. (n.d.). ANA enterprise Links to an external site.. Retrieved September 20, 2018, from
- Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care Links to an external site.. Nursing Outlook, 65(6), 761–765.
- Halm, M. A. (2018). Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing Download Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing. Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291
- National Council of State Boards of Nursing (NCSBN) Links to an external site.. (n.d.). Retrieved September 20, 2018,
- Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care Links to an external site.. Nursing Outlook, 66(4), 379–385.
- Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case Links to an external site.. Medicine 2.0, 4(2), e4.
How to solve
Comparison Of Board Of Nursing Regulations In Two States
Introduction:
The comparison of APRN board of nursing regulations is an important exercise to understand the variations in regulations governing Advanced Practice Registered Nurses (APRNs) across different states/regions. This comparison will focus on the board of nursing regulations in Illinois and California, seeking to highlight their similarities and differences. Additionally, the discussion will explore how these regulations apply to APRNs who have legal authority to practice within the full scope of their education and experience. Specific examples will be provided to illustrate adherence to the selected regulations.
Comparison of APRN Board of Nursing Regulations:
Illinois Board of Nursing Regulations:
1. Requirement of Collaborative Practice: In Illinois, APRNs are required to collaborate with physicians or other healthcare professionals in diagnosing and managing patient care. The regulation mandates a written collaborative agreement outlining the scope of practice and supervision requirements.
Example of Adherence: An APRN in Illinois formulates a collaborative agreement with a physician specializing in cardiology. The agreement outlines the specific protocols and guidelines for managing patients with cardiovascular diseases, allowing the APRN to practice within their education and experience under physician supervision.
2. Full Practice Authority for CRNAs: Certified Registered Nurse Anesthetists (CRNAs) in Illinois have the autonomy to practice without physician supervision. They have the authority to administer anesthesia in various healthcare settings, including hospitals, surgical centers, and ambulatory care centers.
Example of Adherence: A CRNA in Illinois provides anesthesia services in an ambulatory surgical center without direct physician supervision. The CRNA follows established protocols, guidelines, and standards of care to ensure safe and effective administration of anesthesia.
California Board of Nursing Regulations:
1. Recognition of Nurse-Midwives as Primary Care Providers: California recognizes Certified Nurse-Midwives (CNMs) as primary care providers. CNMs have the authority to provide comprehensive healthcare services to women, including prenatal care, gynecological services, family planning, and primary women’s healthcare.
Example of Adherence: A CNM in California establishes an independent practice, providing prenatal care and delivering babies to women without the direct involvement of physicians. The CNM follows evidence-based guidelines and collaborates with other healthcare providers when necessary.
2. Restricted Practice Authority for Nurse Practitioners: California requires Nurse Practitioners (NPs) to maintain a standardized procedure with a supervising physician who is responsible for overseeing the NP’s practice. The standardized procedure outlines the conditions and situations in which an NP can independently diagnose, treat, and manage patients.
Example of Adherence: An NP in California is required to maintain a standardized procedure with a supervising physician in an outpatient primary care clinic. The NP collaborates with the physician to develop protocols and guidelines for managing chronic diseases, performs routine physical examinations, and prescribes medications within the agreed-upon scope.
Conclusion:
The comparison of the APRN board of nursing regulations in Illinois and California reveals differences in collaborative practice requirements, autonomy, and recognition of specific APRN roles. While Illinois embraces full practice authority for CRNAs and emphasizes collaborative practice for APRNs, California allows independent practice for CNMs but restricts NPs’ authority by mandating supervision and standardized procedures. These regulations provide a framework for APRNs to practice within the full scope of their education and experience, ensuring safe and effective healthcare delivery. Adherence to these regulations is crucial for APRNs to maintain legal authority and provide high-quality care to patients.
