class 1 unit 2 comment 1 2025

There are vast differences between practicing as a staff nurse, whether specialized or not, vs. practicing as an APN. The question of how to communicate differences in nursing roles and educational preparation reminds me of similar questions within nursing in the 1980’s. At that time there was controversy between 2 and 4 year programs about what level of educational preparation was necessary for professional nursing. There were many who argued that the practical, skills based education was adequate, yet others insisted the BSN program be the basic preparation for professional nursing. The conversation about practical, skills based knowledge of the 2 year RN program vs. the broader vision and theoretical training of the 4 year BSN program is somewhat analogous to the knowledge base of specialty nursing vs. APN. The specialty trained nurse gains knowledge through experience and with specific individual patients in a clinical setting. This nurse works in an acute care setting with implementing and evaluating specific interventions within a medical model of care. There is no requirement for further formal education and, like APN; the credentialing is done by a national organization, such as the Medical Surgical Nursing Certification Board (MSNCB). There is no additional regulation apart from the usual Registered Nurse Licensure and renewal. In contrast, the APN has greater educational requirements, a vastly broader scope of practice, and greater ongoing regulation by the state and certifying bodies. While this scope of practice varies from state to state, in MN, “State practice and licensure law provides for all nurse practitioners to evaluate patients, diagnose, order and interpret diagnostic tests, initiate and manage treatments—including prescribe medications—under the exclusive licensure authority of the state board of nursing. This is the model recommended by the Institute of Medicine and National Council of State Boards of Nursing” (American Association of Nurse Practitioners). In MN, to become an APN, the applicant must first be a Registered Nurse, have completed an accredited graduate level APRN program, be credentialed by a national certifying body in one of four APRN roles: Clinical Nurse Specialist, Nurse Practitioner, Nurse Midwife, or Registered Nurse Anesthetist with one of 6 population foci: Family and Individual Across the Lifespan, Adult Gerontology, Neonatal, Pediatrics, Women’s and Gender-Related Health, Psychiatric and Mental Health (MN Board of Nursing). The applicant must also prove a year’s full time equivalent post graduate practice as an APRN. When renewing, the APRN must also renew as an RN. Medical Surgical Nursing Certification Board (MSNCB), https://www.msncb.org/ American Association of Nurse Practitioners (AANP), https://www.aanp.org/legislation-regulation/state-legislation/state-practice-environment Minnesota Board of Nursing, https://mn.gov/boards/nursing/advanced-practice/advanced-practice-licensure/obtain-aprn-license.jsp.

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NUR-508 Week 2 Assignment Benchmark Assignment – Nursing Leadership Health Policy Paper 2025

Details: The IOM Future of Nursing report calls for an increase in leadership from nurses at all levels. One way nurses demonstrate their role as a leader, is through public policy change. A leader does not always carry an official title or position, but demonstrates leadership through the work and the stance the leader takes to make a change for the good of others. Nurses have been noted by the Gallop poll year after year as the most trusted professionals. This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, health care, or the public. Policy changes can occur by working with members of your legislature, and state or national nurses associations, to introduce a new bill and/or change to a current law in your state or federal government. Examples of public policy includes any component of the current legislation governing health care, Medicare Part D, Medicaid, nursing regulation, medication technicians, etc . In 750-1,000 words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that you believe needs to change and why. The policy must not be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan. Include a specific section for the exact wording for the bill or change in wording of the law. Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage. Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur? Did you vote for the individual in office that you want to help you make this change? Resources: Review different pieces of legislation for ideas on wording. Visit your state’s legislative governmental affairs website site to understand the process your policy change could take if you wanted to introduce to into legislation. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

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