- NURS 6050 Assignment Board of Nursing.
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Greetings everyone!
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Board of Nursing and a Professional Nurse Association
The nursing profession is guarded by the Board of Nursing as well as the Professional Nurse Association having different yet complementary duties. Board of Nursing is a governmental board that straightforwardly controls or regulates nursing practice inside a certain territory, such as the state or territory level.
The main goal of the Board is to safeguard the public interest by enacting rules that oversee education, practice, and ethical behavior from confirmed nurses. The board consists mostly of appointed members, including registered nurses, advanced practice nurses, consumers and sometimes physicians, whose responsibility is being provided the ability to maintain state nursing laws and regulations.
On the contrary, the Professional Nursing Association is a voluntary association of nurses that includes those who are nursing and have the common interests, goals, and concerns related with their profession. A board of nursing which is a regulating body is different from a professional association what functions as a membership driven advocacy pack.
It specifically aims to boost the profile of the nursing profession, assemble the capacity of nurses, and guard the employees’ interests and those of healthcare consumers. Professional associations usually have career education programs, organizing events, and support for the members, as well as take part in advocacy to shape healthcare political context and legislation.
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Texas Board of Nursing
In Texas, the regulatory authority of nursing practice resides at the Texas Board of Nursing (BON) (Thomas et al., 2021). Created by the state legislature, BON runs according to the Texas Occupations Code and the Texas Administrative Code. To achieve this end, the goal of the board is to secure and support the local area welfare of the residents of Texas by guaranteeing that each nurse holding a license in the state is sufficiently capable to practice in a safe manner.
Composition
The individual from Texas Board of Nursing consists of 13 members appointed by the Legislative head of Texas with advice and consent of the Senate (Texas Board of Nursing, 2018). On the board there are six board members, three nurses and four who represent the general population. There is one APRN among the nursing staff. Appointee serves their six-year terms on a staggered basis with a chance of reappointment and can be taken out by the lead representative for just cause.
Membership
To join the Texas Board of Nursing, applicants are supposed to satisfy certain conditions including qualification requirements as illustrated under the Texas Occupations Code. The registered nurses who are striving to advance to supervisory positions must have used for at least five years, with at least three years being in Texas (Texas Board of Nursing, 2018). In addition, they would also have to maintain an active nursing license in Texas and be either actively associated with nursing practice or nursing education.
Licensed vocational nurse applicants must be trained for at least 5 years, with at least 3 years in Texas, and the applicants must have an active Texas nursing license. The Lead representative appoints members according to the recommendation set forward by several nursing organizations and various stakeholders. The nominees are the most prone to be the ones who have a notable background of demonstrated leadership, expertise and dedication to the upliftment of professional nursing and general health.
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State Regulation related to General Nurse Scope of Practice
One of the primary state laws in Texas concerns the general nurse scope of practice and it is called the Nursing Practice Act (NPA) (Martin and Zolnierek, 2020). Given by the Texas Legislature, the NPA is the set of regulations for nursing practice which sets the boundaries or scope of practice for registered nurses (RNs) and licensed vocational nurses (LVNs) in the state. The NPA enumerates the duties, roles, and bounderies of nurses as well as their powers to delegate and supervise crafted by different nurses, the standards of care not strange from nurses and laws and regulations violated by nurses, including disciplinary measures.
Influence on Nurse’s Role
The legal jurisdiction described in the Nursing Practice Act, to a great degree, frames the responsibilities of nurses through satisfying capability, accountability, and ethical conduct requirements. A nurse is mandated to practice inside the boundaries of his/her license and follows established procedures and standards. This aspect of the educational program stresses the value of lifelong learning and continuous education for ability and safety of patients that go through the care of the nurses.
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Influence on Delivery, Cost, and Access to Healthcare:
The regulation framed in the Nursing Practice Act significantly impacts healthcare delivery, cost, and access.
1. Healthcare Delivery: The law sets the scope of practice for nurses inside a health care system. It defines nurses’ roles, responsibilities, and authority. Nurses are the pillars of the healthcare team whose occupation includes direct patient care services, coordination of these services and health promotion and wellness. With the regulation, a foundation for nursing practice is set so that nurses satisfy the normal guidelines, being trained, capable and accountable for their actions (Tønnessen et al., 2020). It also helps to lessen the occasion of medical errors and adverse events, and eventually dealing with the final results and patient experience.
2. Healthcare Cost: The regulation may impact health expenditures in different ways. Initially, nurses carry out preventive measures and treat delicate illness before they start to require complex treatments by facilitating early detection and educating patients. Additionally, the nurse’s contribution in care coordination, case management, and transition care can assist with decreasing healthcare bills and the unnecessary use of recourses. Nevertheless these regulations, similar to the staffing ratios and the mandated nurse-to-patient ratios are the factors that raise the cost of healthcare staffing for the hospital which may lead to increase the healthcare spending.
3. Access to Healthcare: The law also should be in place to help in easy access of health services (Martin, and Zolnierek, 2020). The nurses usually operate as the primary source in many environments such as hospitals, clinics, schools, and public venues. Such nurses, with their wealth of expertise and diversity to give numerous health care services under one roof, are an essential piece of building networks of health care to where physicians are not there of brain as in low socioeconomic neighborhoods and rural areas. In addition, the standard stresses cultural capability and patient care as the way to have the option to deal with the different cultures and to eradicate inequalities in healthcare services such as access and outcomes.
Impact on Patients from Different Cultures
Culturally able nursing care elaborated in the Nursing Practice Act is an obligation for the nurses who offer care to the patients from different backgrounds. Nurses must be tolerant and supportive of cultural differences as well as customs, beliefs and practices, to advance convincing communication, organizing with patients and family members (More vivacious and Guo, 2020). This standard stresses the cultural sensitivity, modesty and awareness as key components of willingness to care for patients from different cultures.
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State Regulation Related to Advanced Practice Registered Nurses (APRNs)
One special legislation concerning Texas for APRNs is the need of getting supervision or collaborating with physician during the first 10 years of an APRN profession for getting more insight after the graduation (Texas Driving social gathering of Nursing, 2017). This regulation is specified in Texas Nursing Practice Act and the Rugulations of Texas Driving social occasion of Nursing.
Influence on Nurse’s Role
This regulation is an essential issue in the status of APRNs because it introduces the necessity of collaboration. Despite the way that APRNs can function as free practitioners with the capacity to assess, diagnose and treat patients inside their scope of practice, they still have restrictions administering their practice for the first years after graduation. APRNs must consider the cooperation agreements with physicians, which can be the consultation, reference, or control, contingent upon specific state of practice and the patient population that an APRN deals with. This regulation sets how APRN-physician relationship is and also the responsibility that APRNs have while pursuing choices alone.
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Influence on Delivery, Cost, and Access to Healthcare
Similarly, supervision of APRNs by physicians and partnerships are the points that influence healthcare delivery, cost and access. This regulation should be as inclusive as possible of the physicians workforce and may contribute to dealing with between professional collaboration and care coordination that lead to all the almost certain consideration quality and outcomes for patients.
Challenges and Barriers to APRN Practice
Conversely, it brings about some challenges and barriers to execution, commonly in remote and underserved areas where assembling the doctors could be restricted. The necessity for physician cooperation during the coordination process could cause higher clinical benefits costs for staying aware of supportive agreements and block APRNs’ ability to exercise their scope of practice thus surpassing their education and getting ready.
While this measure suggests that the volume of patients served by APRNs will increase, it also implies that healthcare access can be influenced, especially in regions experiencing a supplier shortage, because of the way that APRNs could find their ability to practice straightforwardly restricted during times of notoriety for essential consideration services.
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Changes to Regulation
Over past years, in Texas, there were significant shifts in nurse practitioners’ regulation focused on the extension of their scope of practice and evacuation of the practice obstacles. In 2019, Legislative head of Texas, Greg Abbott, signed House Bill 1792 into regulation allowing APRNs with necessary qualifications, such as transition to practice period and the absolute first supportive concurrence with a physician, to secure a full practice authority during the first 10 years of practice.
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Conclusion
So, it merits focusing on that the Texas Driving party of Nursing has the responsibility of arranging the practice and safety of its friends and family. The board’s regulations that are ready towards the authorization of nursing state laws and regulations ensure the nurses in the state have coordinated, responsible, and moral staff. The Nursing Practice Go equally well as regulations about the APRNs go likely as a basis for the roles and responsibilities of the nurses and influences in terms of healthcare delivery, cost, and access.
These regulations that advance patient safety, quality consideration, and social skill significantly contribute to the accomplishment of patients’ remarkable prosperity outcomes and further foster the healthcare service nature of Texas. As highlighted in NURS 6050 Assignment Board of Nursing, understanding such regulations is critical to ensuring effective integration of nurse informatics in clinical practice, promoting both safety and efficiency in healthcare settings.
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References
Martin, E., & Zolnierek, C. (2020). Beyond the nurse practice act: making a difference through advocacy. Online Journal of Issues in Nursing, 25(1). https://doi.org/10.3912/OJIN.Vol25No01Man02
Texas Board of Nursing – Practice FAQ. (2018). Texas.gov. https://www.bon.texas.gov/npa1.asp.html
Thomas, K., Shipp, K., Porter-Edwards, A., & Lubbock. (2021). The Texas board of nursing proposed a rule review of title 22 Texas admin. code, chapters 214 and 215 pursuant to tex. https://gov.texas.gov/uploads/files/organization/regulatory-compliance/TBON-Rule-Submission-Memorandum-Rules-214_3-214_6-214_7-215_3-215_6-215_7.pdf
Tønnessen, S., Scott, A., & Nortvedt, P. (2020). Safe and competent nursing care: An argument for a minimum standard? Nursing Ethics, 27(6), 096973302091913. https://doi.org/10.1177/0969733020919137
Young, S., & Guo, K. L. (2020). Cultural diversity training: the necessity of cultural competence for health care providers and in nursing practice. The Health Care Manager, 39(2), 100–108. https://doi.org/10.1097/hcm.0000000000000294