The AMA report on NP practice which was introduced in 2009, represented a grouped information from all states regarding all legislation and regulatory bodies related to nursing practitioners’ practice. The nursing practice was controlled by this document that, in addition, created a number of challenges and disagreements around the country. The controversial report known as The Future of Nursing was then created in 2010. It contained arguments for the importance of nurse practitioners’ practice.
AB890 bill was based on both The Future of Nursing report and recommendations regarding the nursing practice scope in California. All the past year’s works were grouped together with financial investments in support of this bill. Later the bill was moved to the Senate in order to prepare it to further Senate Business and Professions Committee. Therefore, during the period from 2010 to 2020, the majority of states moved towards full practice authority and increased the scope of nursing practices. In addition, patients now have significantly more health care opportunities and access to nurse practitioners and other care providers.
The Nurse Practice Art outlines the principal regulations that direct and control nurses’ actions in terms of practice. There are two types of standardized procedures that act as a legal limitation of nursing practices that should be followed. The first type is known as a disease-based type which is used in particular health care institutions. The second type is the process protocol that outlines the standardized procedures by allowing different nursing scope and identifying regulations of nurse practitioners. In 1995 the board of registered nursing provided a legal authority to health care institutions in California to use either disease-based or process-based protocols depending on individual regulations and preferences.
Medical practice guidelines which are not legal authority documents, are used with the aim to guide nurse practitioners but not dictating or identifying the rules and restrictions. The main objective of such guidelines is to help and direct nurses in a particular health care organization. However, there is no any legal power associated with this document in comparison to protocol procedures.
Professional liability policy and Institutional liability policies are two types of liability insurance. The first type is individual liability insurance when the second type is provided by the medical institution where a nurse is employed. However, there are some unpleasant issues associated with the institutional coverage due to the conflict of interests between employees and organizations. Therefore, professional liability is a more constant and liable type of coverage since it is controlled personally by a health care worker.
During the decade, the number of states from the national perspective with the independent practice with full practice authority in the USA has increased significantly. Therefore, nurse practitioners should be more politically active in order to be involved in the process of health care promotion and protection policies regarding their patients and families. This activity will help to benefit the role of the practice among nurses and increase towards nursing as a whole.
In case of any required support, help, or clarifications, it is advised to go directly to national organizations such as the American Association of Nurse Practitioners, which is connected to the entire nurse practitioners’ community across the country. There are eight rules applied to all nurses starting from 1887, which cover the primary day-to-day operations, responsibilities, and opportunities of a medical worker.
From my point of view, it is essential to promote further nurse practitioners’ practice at the national level due to its importance in terms of professional development and personal experience. Political activity mentioned in the lecture is another important issue that should grab the attention of a more significant number of people who work in the nursing sphere. The increased involvement will help promote further nurse practitioners’ legislative bills and regulations on the governmental level, such as the currently introduced AB890 bill. In addition, better work conditions, improved equality in the workplace, and additional positive environmental factors in the professional field will benefit the work experience of the nurse practitioners and may increase productivity in the health care sector.
In my opinion, it is crucial to understand political and legislative regulations that take place in the country as well as currently proposed bills and government documents related to nursing practices, specifically in a particular state. I think that another critical issue is liability insurance, primarily the one which is provided by health care institutions. The main reason for that proposition is a lack of support and security arising from this type of insurance based on practical evidence. A safe and secure environment will create more reliability among nurse practitioners and provide closer professional relations between employers and employees that is significant in the health care sector. The promotion of internal communication and support among nurses and other care providers is a positive intention towards collaboration and mutual help, which may be crucial in crisis situations. To sum up, the practice issues require greater attention from the professional community and increased involvement of the specialists in the same field.