NRS 430 Outline the process for the development of nursing standards of practice for your state

NRS 430 Outline the process for the development of nursing standards of practice for your state

NRS 430 Outline the process for the development of nursing standards of practice for your state

As we have noted during COVID, nurses were mobilized during times of need in other states that protected nurses and removed the requirements to have licensure in a state if the nurse was assisting during COVID. While we still have our state standards which drive our individual practices, is there a reason to consider a set of National Practice Standards? What would be the pros and cons to doing so?

Unread

As stated in my post that every state in United States of America determine what their standard of practice of nurses would be and this standards are related. I would want a set of National practice standards should be considered in as much as one Nclex body give the same exams. Nclex exams are no different in all states; this goes to show that same curriculum is utilized for nursing education. In my own opinion, I do not see any cons except pros. Covid pandemic made it obvious that there were pros in setting a National Practice Standard which would allow free practice of nurses in every state without barrier.

We can take a cue from the Recommendation 4 of the Future Of Nursing 2020-2030 report, that addresses all organizations, including states, federal, and private entity to remove barriers as regulatory, public and private payment limitations so that nurses can practice to the full extent of their education and training (Future of Nursing 2020-2030, 2021).

References

https://nap.nationalacademies.org/resource/25982/Recommendations_Future%20of%20Nursing_final.pdf

Unread

Great point regarding NCLEX and the fact that the exam measures minimum competency levels for all nurses which does indicate that there is a basic standard of knowledge and care that each nurse should possess.

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NRS 430 Outline the process for the development of nursing standards of practice for your state

In my opinion, I would prefer to have a set of National Practice Standards because it would be implemented

NRS 430 Outline the process for the development of nursing standards of practice for your state
NRS 430 Outline the process for the development of nursing standards of practice for your state

throughout the country. When a state decides the standards, it’s up to the people at the top, and they can change standards if they have majority, which can lead to problems in nursing field. The pros of implementing National Practice Standards ensures that the patients receive the same quality of treatment regardless of location, income, or ethnicity.

Unread

The ability to move from state to state is less risk for the nurse if there are national standards as well.

Unread

I believe there are mostly pro’s in having National Practice Standards. I think if there is a large scale scope of practice regulation, there is likely a larger group determining factors associated with making regulation decisions. We don’t know when another event could occur, and fortunately there were enough transferrable standards that nurses could travel and assist where needed.

Entities such as the Joint Commission also work to promote standards on a National level and to accredit facilities with up to date practices.

Joint Commission standards are the basis of an objective evaluation process that can help health care organizations measure, assess, and improve performance. The standards focus on important patient, individual, or resident care and organization functions that are essential to providing safe, high quality care. The Joint Commission’s state-of-the-art standards set expectations for organization performance that are reasonable, achievable, and survey-able(Joint Commission, n.d).

Included on the Joint Commission Website are the, “2023 National Patient Safety Goals”.

About our standards. The Joint Commission. (n.d.). https://www.jointcommission.org/standards/about-our-standards/

Unread

Thank you, Aria. Being prepared for the next urgent event is definitely where we want to be.

Unread

I was a flight nurse for Air Evac Aviation from 1998 until 2007. Air ambulances in general have a 300-nautical-mile radius. Our base was in Southeast Missouri but our coverage area was in Missouri, Illinois, Arkansas, and Kentucky. So the medical crews were required to be licensed in those states. So that process required individual applications to each state. As many know, Nursing applications aren’t the easiest of processes to complete. Each state required the same standard, transcripts, background checks, and fingerprint cards. That’s where the similarities ended. Each state had different fees and renewal dates, and continuing education was wildly different from state to state. I am almost embarrassed to say that Missouri doe not require a single continuing education unit to renew your license. Kentucky I believe required 60 and they were category specific. So it was challenging to keep up with, and keeping it all organized was complex and errors could be made. Some scopes of practice for nurses can vary from state to state. In Kentucky for instance Ems crews could pronounce the time of death prehospital. That was not allowed in any other states I was licensed in. Thankfully, I never had to do it, but I had to be educated on it. Arkansas, Missouri, and Kentucky are now all members of the nurse licensure compact (NLC). So three renewals went to one, keeping up with CEUs in different states, do at different times also went away. Not to mention the cost. To me, this would be a pro for a National Nursing License.

The main concern among critics is that a national compact interferes with the oversight purposes of the state nursing boards regarding vetting licensees, tracking them, and coordinating disciplinary actions(Schlette ,J 2022). For disciplinary actions, Missouri has found the solution to be your multistate status is revoked. You are only allowed to practice in your primary licensee state with whatever restrictions are placed on you by that Board of Nursing. Your multistate status is not restored until you have met the disciplinary requirements of the primary state. NLC is a road map to a National Nursing License. With technology also comes new technological problems. What is the solution for telehealth? If a telehealth nurse is caring for a patient in another state what’s the answer ? Which state is their governing body? The state the nurse is in or the state the patient/client is in? I hope the NLC does become national but there will be some opportunities as the process grows and matures.

Schlette, J. E. (April 2022) 10 pros and cons of Enhanced Nurse Licensure Compact. 10 Pros and Cons of Nurse Licensure Compact. https://www.nursingprocess.org/nurse-licensure-compact-pros-and-cons.html