Regulations of Advanced Practice Registered Nurses Essay
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages
Regulations of Advanced Practice Registered Nurses Essay
Answer the discussion and at least 2 references.
Comparing State Regulations of Advanced Practice Registered Nurses
Advanced Practice Registered Nurses (APRNs) are advanced nursing roles that are broken down into four categories: nurse practitioner (NP), certified nurse-midwife (CNM), clinical nurse specialist (CNS), and certified registered nurse anesthetist (CRNA) (Bose et al., 2017). For this discussion, I will refer to APRNs only in the role of NP.
APRNs work collaboratively with physicians and other multidisciplinary healthcare providers to treat patients in the community (Bose et al., 2017).
The article reports the Board of Medicine (BOM) and Board of Pharmacy governing the scope of APRNs, inevitably limiting their scope of practice. Each state has its regulations for APRNs’ capacity.
For example, Georgia is a restricted practice state for nurse practitioners (American Association of Nurse Practitioners (AANP), 2021). AANP defines restricted practice as laws decreasing NP’s ability to engage in the full scope of practice without the supervision of a medical physician while providing care.
Nurse practitioners cannot solely evaluate, diagnose, and care for patients without a licensed medical physician. According to American Medical Association (AMA), nurse practitioners are not authorized to prescribe medications without the involvement or delegation of a medical physician. The article also describes how nurse practitioners can prescribe level III – level V controlled substances, but not level II.
Nurses practicing in Georgia adhere to these guidelines by obtaining authorization through hospital contracts or working under physicians’ licenses.
On the opposite end of the spectrum, Washington state grants NPs full scope of practice to evaluate, diagnose, interpret imaging, prescribe medications, and care for patients without the supervision of a physician (AANP, 2017).
Washington state also permits NPs to write prescriptions of all medications and controlled substances without medical physicians (AMA, 2021). APRNs in Washington state do not rely on physicians.
NPs with education in pharmacotherapy and pharmacokinetics are permitted to write prescriptions, and the board only tracks NPs who can prescribe (AMA, 2021).
In a perfect world, states granting full scope of practice to APRNs would absolve many of the community’s barriers to healthcare access. “By 2025, experts estimate a significant shortage of primary care providers in the United States, and expansion of the nurse practitioner (NP) workforce may reduce this burden” (Neff et al, 2018).
While working in the Medical Intensive Care Unit (MICU), I witnessed how under-utilized the NPs are, and as a result, care is delayed and sometimes mismanaged.
For example, the NPs have been waiting for the hospital to provide the training to place arterial lines and central lines, so bedside nurses are chasing down physicians and advocating for patients to get the timely care they deserve.
Sadly, it comes off as NPs are inferior to physicians, care is impeded, and nursing progress is interrupted. Physicians must share the responsibility of caring for the population with APRNs to prevent the community from suffering.
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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