Order ID | 53563633773 |
Type | Essay |
Writer Level | Masters |
Style | APA |
Sources/References | 4 |
Perfect Number of Pages to Order | 5-10 Pages |
Multistate Regulation on Nursing Discussion Project
Regulation refers to the implementation of rules, as established by law by a
regulatory body; in nursing state practice acts are implemented by respective state
boards of nursing (Loversidge, 2021).
The Nurse Licensure Compact (NLC) as adopted by the National council of State
Boards of Nursing (NCSBN) is the present framework for multi-state regulation of the
nursing profession. The NLC allows nurses to be licensed in one home state while
concurrently having the flexibility to practice in any other state whose legislature and
Board of Nursing has passed and implemented the compact (NCSBN, 1998).
The NLC was originally adopted in 1997 and received a comprehensive update in
2015 that included addition of an APRN compact model (NCSBN, 2017). Currently,
38 states have at least partial implementation of the NLC for RNs (NCSBN, 2021a),
but only North Dakota and Delaware have adopted APRN compact legislation
(NCSBN, 2021b).
Advantages
There are numerous advantages of implementation of multistate regulation for
APRNs for both patients and practitioners. First, APRN compact legislation allows
APRNs to practice unencumbered among member states while allowing states to
retain full autonomy and authority of their respective nurse practice acts (NCSBN,
2021c).
This is advantageous to APRNs, ensuring portability of licensure and certification.
Compact legislation also eliminates redundant regulatory processes and
unnecessary fees. Ensuring portability of licensure for APRNS allows them to fulfill
their original purpose; to meet the increased demand for healthcare in the face of a
shortage of physicians (Loversidge, 2021).
As remote delivery of health services becomes more common, the ability for
practitioners to work across state lines using telehealth will become a significant
benefit for all parties (Oyeleye, 2019). Fluid, regional needs for healthcare are best
met by a highly mobile workforce.
APRNs with the flexibility to practice across state lines poses a boon for healthcare
consumers by providing increased access to primary care services. In addition, multi
state regulation may enhance disaster preparedness response in emergent
conditions by eliminating regulatory barriers to practice (NCSBN, 2021c).
While redundant regulatory barriers are removed, the APRN compact model actually
facilitates public protection in cases of adverse actions and events, by facilitating
interstate investigations and sharing of information (NCSBN, 2021c).
Disadvantages
One potential disadvantage of Compact licensure for APRNs is the reality that
increased privileges carry increased risk. A practitioner who is being investigated or
disciplined in one compact state would be unable to practice in any compact state
until the issue was resolved (Oyeleye, 2019).
Another potential disadvantage to healthcare consumers would be the potential for
practitioners to have less continuing education. If a practitioner from a home state
with scant requirements for continuing education were in a state with more robust
requirements, the compact license would allow them to practice without meeting the
requirements (OPPAGA, 2006).
Similarly, background check requirements may not be met by providers who have a
home state with less stringent requirements (OPPAGA, 2006). These problems do
create a healthcare system where there is potential for patients to not receive care
from practitioners who have met the full requirements of practice in their state.
Analysis
Ultimately, it appears that for both patients and NPs, multistate licensure would be a
net positive. Widespread adoption of the APRN compact model would enable
greater flexibility of NPs to practice in person and through telehealth to meet the
burgeoning needs of underserved populations.
Though the argument can be made that patients in states with more stringent
requirements may be short-changed with less prepared providers, it is hard to argue
that a provider who does meet the appropriate requirements in one state is unfit for
practice in another. In fact, the NCSBN has already proposed a consensus model
for APRN licensure that would negate this issue entirely (NCSBN, 2008).
The enhanced portability of credentials and licensure that a multi-state regulatory
model would provide for APRNs would be a major benefit to the profession, and
ought to be an active legislative priority for all APRNs and students. The NCSBN
and FNA both provide avenues to become involved in legislative advocacy to
remove unnecessary hindrances and barriers to practice for NPs across state
borders.
Reference
Loversidge, J. M. (2021) Government response: Regulation. In S. M. DeNisco
(Ed.), Advanced practice nursing: Essential knowledge for the profession (4th ed.,
pp. 211- 236). Jones & Bartlett Learning.
National Council of State Boards of Nursing (NCSBN). (1998, April). Multi state
regulation task force communique. NCSBN.
National Council of State Boards of Nursing (NCSBN). (2008, July 7). Consensus
model for APRN regulation: Licensure, accreditation, certification &
education. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2
008.pdf (Links to an external site.)
National Council of State Boards of Nursing (NCSBN). (2021a). Nurse licensure
compact. https://www.ncsbn.org/nurse-licensure-compact.htm (Links to an external
site.)
National Council of State Boards of Nursing (NCSBN). (2021b). APRN
compact. www.ncsbn.org/aprn-compact.htm (Links to an external site.)
National Council of State Boards of Nursing (NCSBN). (2021c). About the APRN
compact.
https://www.aprncompact.com/about.htm
Office of Program Policy Analysis & Government Accountability (OPPAA). (2006,
January). Nurse licensure compact would produce some benefits but not resolve the
nurse shortage. https://oppaga.fl.gov/Documents/Reports/06-02.pdf (Links to an
external site.)
Oyelaye, O. A. (2019, May 20). The nursing licensure compact and its disciplinary
provisions: What nurses should know. Online
Journal of Issues in Nursing,
24(2). https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPerio
dicals/OJIN/TableofContents/Vol-24-2019/No2-May-2019/Articles-Previous-
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