Assignment Details

Differentiate the Major Regulatory Restrictions on NP Practice 

Purpose

NPs have scopes of practice that are regulated by state laws, boards of nursing, boards of medicine and reimbursement that may differ depending on your location. There are several sources of restrictions to NP practice such as state laws and federal regulations which include who may prescribe controlled substances and which substances NPs can prescribe, as well as the various reimbursement agencies. It is essential that the NP be fully informed of what they are allowed to do by law (state and federal) or by other regulatory organizations. These regulations vary widely from state to state. Consequences of practicing outside your scope of practice may be anything from a fine, suspension or revocation of your license, civil lawsuit, or even criminal charges. 

Directions

Use the provided template to compare and contrast the three major regulatory practice models for NPs: Supervisory, Collaborative, and Independent. Please keep this assignment in the template format provided. This Assignment requires credible and up to date resources for each category. Include in each model at least one state that represents the scope of practice you are discussing. For example, Texas requires a supervisory relationship with a physician along with a practice agreement, formulary, and protocols. In order to apply and receive a DEA license to prescribe controlled substances, you must be approved by the state you are practicing in to prescribe these medications.

Assignment Template

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section under Course Resources. 

Assignment Requirements

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above)
• consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary
• utilize spelling and grammar check to minimize errors 

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.)
• be well ordered, logical, and unified, as well as original and insightful
• display superior content, organization, style, and mechanics
• use APA 7th Edition format for organization, style, and crediting sources. Refer to the APA Progression Ladder. 

 The following post is from another student to wish i have to reply adding some extra information. less than 20 % similarity  

Policy: The meaning of this word is attributed to a series of rules that together form a certain ideal. These rules can be laws or principles that are agreed by certain people and that apply to a certain group. In turn, they serve as a guide to ambiguous situations and are formally implemented, in writing, and all those who must follow them must be aware that they exist and follow them. Failure to comply with a policy can have bad consequences, but compliance with it guarantees that the agreed results are achieved and is carried out with organization and professionalism.

Public policy: This term refers to the problems that are generated in society or within the population and that are detected by a series of government units to create solutions for these problems. It is based on the diagnosis and analysis of the problems and the feasibility they present. This type of policy is general and tries to understand most of the social problems that exist in communities.

Private policy: This type of policy, unlike the public one, highlights a certain organization and assesses how it manages the operations planned to achieve the organization’s achievements. It is a more individual policy and caters to private and non-governmental entities.

Health policy: This definition already belongs to the world to which as nurses we relate day by day. The fundamental characteristic of health policy is to establish a series of rules, strategies and plans that help establish the correct decisions within the health sector. Decisions are backed by this policy and the actions taken are guided by the laws and established guidelines. Like the rest of the health policies, the specific objective is quality of service and the duty to maintain health standards at a high level.

Social policy: This policy refers to the government’s effort to achieve certain changes which are intended for the benefit of society. These changes are directed at different sectors of society which are most affected and an analysis of the characteristics and the specific problems they face is carried out, in this way providing a solution through these policies.

Organizational Policy: It is a broader term that covers the decisions of the organization that may influence public interest. The principles and methods used are selected based on social demands and these organizations must adapt to these characteristics and the type of demand that is required for this determined sector. (Ellenbecker, 2017)

Florence Nightingale: It is considered one of the most important nursing figures in history. Her work became a guide for what we currently have. Of British nationality, her death was recorded in Italy in 1820. She is called the pioneer of modern nursing worldwide and is the author of the first conceptual model. Her hard work in caring for the wounded on the battlefield was one of her most outstanding achievements. Her contribution to the war in caring for the wounded became an example to follow. The conditions in which these soldiers found themselves about health were long overdue and the quality of service contributed greatly to saving many lives that would have been lost through lack of care. (Awalkhan, 2016)

Lillian Wald: The most outstanding work of this American nurse was her tasks in the community. Her projects were created in a humanistic way and with attention to those most affected. Her work from the communities helped her to participate in many humanitarian missions where she stood out for her love, dedication, and passion for the care of those most in need. She is known for founding the American Nursing Community and participating in the Great Americans Hall of Fame. (Wood, 2020)

Margaret Sanger: She was a nurse that dedicated her work to be a sex educator and birth control activist. She have a lot of contributions to nursing throughout the years, one of the most recognized is that she create the first birth control clinic in the United States of America, she was also pushing for laws and changes in the reproductive freedom of the woman, and establishing Planned Parenthood.

ICN: These acronyms that mean; International Council of Nurses consists of a federation dedicated to guaranteeing adequate care and quality of services in all spheres of health. New health policies and the continuing study of nursing knowledge and the hard work of achieving a professional and competent but above all reliable workforce worldwide. This council was founded in 1899, and today it has more than 130 national federations in addition to concentrating more than 20 million nurses around the world. This organization is based on guaranteeing quality and fair nursing care for all people, it contains fair global health policies and, most importantly, the improvement of nursing skills to achieve a professional team dedicated to the work being done.

NLCA: Licensing Administrators of the Nurses’ Pact. This branch is a little more reduced since it includes the executive directors of the nursing boards, these directors have the task of establishing a pact between the states to be able to fulfill their function effectively and efficiently. Another task is to enforce the covenants and update the license by reverting to the requirements and qualifications. (Spetz, 2020)

This scenario represents one of the models of nursing talked in the past weeks, this is a stage of Evaluation of Political Directive.

References

Awalkhan, A. &. (2016). Application of Nightingale Nursing Theory to care of patient with colostomy. European Journal of Clinical and Biomedical Science, 2(16), 97-101.

Ellenbecker, C. H. (2017). A staged approach to educating nurses in health policy. Policy, Politics, & Nursing Practice, 18(1), 44-56.

Spetz, J. (2020). Nurse staffing ratios: Policy options. Policy & Politics in Nursing and Health Care-E-Book, 452.

Wood, S. K. (2020). Keeping the Nurse in the Nurse Practitioner: Returning to Our Disciplinary Roots of Knowing in Nursing. Advances in Nursing Science, 43(1), 50-61.