Regarding Medicare and Medicaid reimbursement, the federal government does play a role in the regulation process for APRNs, but a large portion of the regulatory authority has been delegated to the states (DeNisco & Baker, 2016). In general, state-level licensure and regulations are enforced by Boards of Nursing (BONs), which differ from state to state (DeNisco & Baker, 2016). The BONs serve as decision-making authorities that establish the nursing scope of practice, educational standards, prerequisites for licensure, certifications, and the imposition of sanctions (DeNisco & Baker, 2016). The BON enforces the stated state laws known as Nurse Practice Acts (NPAs), which specify the range of practice for nurses and nursing specializations in each state (DeNisco & Baker, 2016).
I want to work in nursing informatics in the future. Since informatics is an unconventional advanced practice job, it is less regulated in terms of credentials and licenses than the other four typical APRN roles. Informatics is not regarded as direct patient care under the Consensus Model for APRN regulation, hence it is not subject to additional regulatory requirements above that of a Registered Nurse license (APRN Consensus Work Group & National Council of State Boards of Nursing APRN Advisory Committee, 2008). A board certification in informatics nursing is offered by the ANCC. You must have an active RN license from the BON, a minimum of a bachelor’s degree in nursing, at least two years of experience as an RN, 30 hours of continuing education in informatics within three years, and complete practice hour criteria in order to be eligible to be certified (ANCC, 2021). In my instance, completing this graduate level program will satisfy my practice hour needs.
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Identify at least three regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty. Discuss the way these bodies or regulations influence the educational requirements and experience.
Regulatory bodies play an important role in maintaining standards of practice in nursing in the US. One of the regulatory bodies that specify certification of nurses for advanced practice in my specialty is the state boards of nursing. Each of the states in America has a state board of nursing that plays the role of certifying advanced practice nurses. Advanced practice nurses must meet the requirements set by the state to be certified to provide care in their role. Some of the regulations include a master’s degree in advanced nursing role, a minimum of bachelor’s degree in nursing and successful passing of the licensure examinations. The second regulatory organization that regulates the licensure requirements for my advanced practice role is the American Nurses Credentialing Center (ANCC). The ANCC certifies advanced practice nurses in their specialized roles. The last organization that specifies the standards of nursing in my area of specialization is the American Nurses Association (ANA) (ANA, n.d.; ANCC, n.d.). American Nurses Association develops the scope and standards of nursing for advanced practice nurses. NUR 514 Three Regulatory Bodies Discussion
The regulatory bodies influence educational requirements and experiences for my specialty in a number of ways. Firstly, they set the minimum competencies that the advanced practice nurses must demonstrate in their practice. The achievement of the set competencies is important because it promotes safety and quality in nursing practice. The regulatory organizations also standardize the practice of advanced practice nurses in the state. They ensure that advanced practice nurses utilize uniform standards of practice in care for quality, safety and efficiency. Through the roles of the professional organizations, the goals of APRN Consensus Model are achieved, including uniformity in licensure, accreditation, education and certification are achieved (NCSBN, n.d.).
References
ANA. (n.d.). American Nurses Association. ANA. https://www.nursingworld.org/ana/
ANCC. (n.d.). Nursing certifications: Our Certifications | ANCC. ANA. https://www.nursingworld.org/our-certifications/
NCSBN. (n.d.). APRN Consensus Model. NCSBN. https://www.ncsbn.org/aprn-consensus.htm
Re: Topic 2 DQ 1
The federal government does play a role in the regulation process for APRNs in terms of Medicare and Medicaid reimbursement, but much of the regulatory responsibility has been shifted to the states (DeNisco & Baker, 2016). In general licensing and regulations are done on a state level, upheld by the Boards of Nursing (BONs) which vary from state to state (DeNisco & Baker, 2016). The BONs act as decision making bodies that define the nursing scope of practice, educational requirements, licensure, licensure requirements, certifications, and deliver disciplinary action (DeNisco & Baker, 2016). The Nurse Practice Acts (NPAs) are the defined state laws that outline the scope of practice for nurses and nursing specialties within each state that the BON enforces (DeNisco & Baker, 2016).
In the future I plan on pursing a career in Nursing Informatics. Informatics is a nontraditional advanced practice role so some of the certifications and licensure are not at regulated as the four traditional APRN roles. According to the Consensus Model for APRN regulation, informatics is not considered direct patient care and therefore does not require regulatory acknowledgement beyond a Registered Nursing license (APRN Consensus Work Group & National Council of State Boards of Nursing APRN Advisory Committee, 2008). There is an ANCC Informatics Nursing board certification that can be obtain. The eligibility to be certified requires active RN licensure from the BON, you must have at least a bachelor’s degree in nursing, a minimum of two years of practice as an RN, 30 hours of continuing education in Informatics withing 3 years, and you must meet practice hour requirements (ANCC, 2021). In my case, my practice hour requirements will be fulfilled by completing this graduate level program.
NUR 514 Three Regulatory Bodies Discussion References
American Nurses Credentialing Center (ANCC). (2021, February 8). Informatics nursing certification (RN-BC).https://www.nursingworld.org/our-certifications/informatics-nurse/
APRN Consensus Work Group & the National Council of State Boards of Nursing APRN Advisory Committee. (2008). Consensus model for APRN regulation: Licensure, accreditation, certification & education. APRN Joint Dialogue Group Report. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf
DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning. ISBN-13: 9781284072570
Re: Topic 2 DQ 1
The federal government does play a role in the regulation process for APRNs in terms of Medicare and Medicaid reimbursement, but much of the regulatory responsibility has been shifted to the states (DeNisco & Baker, 2016). In general licensing and regulations are done on a state level, upheld by the Boards of Nursing (BONs) which vary from state to state (DeNisco & Baker, 2016). The BONs act as decision making bodies that define the nursing scope of practice, educational requirements, licensure, licensure requirements, certifications, and deliver disciplinary action (DeNisco & Baker, 2016). The Nurse Practice Acts (NPAs) are the defined state laws that outline the scope of practice for nurses and nursing specialties within each state that the BON enforces (DeNisco & Baker, 2016).
In the future I plan on pursing a career in Nursing Informatics. Informatics is a nontraditional advanced practice role so some of the certifications and licensure are not at regulated as the four traditional APRN roles. According to the Consensus Model for APRN regulation, informatics is not considered direct patient care and therefore does not require regulatory acknowledgement beyond a Registered Nursing license (APRN Consensus Work Group & National Council of State Boards of Nursing APRN Advisory Committee, 2008). There is an ANCC Informatics Nursing board certification that can be obtain. The eligibility to be certified requires active RN licensure from the BON, you must have at least a bachelor’s degree in nursing, a minimum of two years of practice as an RN, 30 hours of continuing education in Informatics withing 3 years, and you must meet practice hour requirements (ANCC, 2021). In my case, my practice hour requirements will be fulfilled by completing this graduate level program.
References
American Nurses Credentialing Center (ANCC). (2021, February 8). Informatics nursing certification (RN-BC).https://www.nursingworld.org/our-certifications/informatics-nurse/
APRN Consensus Work Group & the National Council of State Boards of Nursing APRN Advisory Committee. (2008). Consensus model for APRN regulation: Licensure, accreditation, certification & education. APRN Joint Dialogue Group Report. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf
DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning. ISBN-13: 9781284072570
RESPOND TO GINA HERE (150 WORDS, 2 REFERENCES)
Hello Gina,
I agree with your findings that the role of the APRN is regulated by the states, however it is the board of nursing that is mandated to monitor the practice and the general practice of the APRN. The role of the APRN in the US healthcare systems has been growing in terms of the scope of practice and the level of training. It is believed to be the emerging force of the 21st century in the healthcare industry. In the US the consensus model calls upon the standardization and the unification of all the roles of the APRN in terms of the licensing, accrediting, certification and education of this special unit of nurses (APRN Consensus Model | NCSBN, 2015). The role of APRN is more advanced and one is allowed to offer primary care for the patients. One can only be registered as an NP after graduating with a bachelor of science degree in nursing. Therefore, the new role of APRN comes with responsibilities that should be followed according to the state regulations and guidelines (Barnes, 2015).
References
Barnes, H. (2015). Exploring the factors that influence nurse practitioner role transition. The Journal for Nurse Practitioners, 11(2), 178–183. https://doi.org/10.1016/j.nurpra.2014.11.004
APRN Consensus Model | NCSBN. (2015). NCSBN. https://www.ncsbn.org/aprn-consensus.htm
