Regulation for Nursing Practice Staff Development Meeting: Insights for Nurses

Discover essential distinctions between boards of nursing and professional nurse associations to enhance your understanding of nursing regulation and advocacy in improving population health.

Nursing is a very highly regulated profession. Professionals in this field must stay informed about the various bodies that oversee their practice to ensure compliance and excellence in care. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each. Nurses often find value in engaging with both types of organizations to fully support their career development.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

• Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency. Taking time to review key resources can make your presentation more effective and engaging.
• Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

• Describe the differences between a board of nursing and a professional nurse association. Highlighting these distinctions can clarify how each contributes uniquely to the profession.
• Describe the board for your specific region/area.
  • Who is on the board?
  • How does one become a member of the board? Exploring membership processes shows the importance of public involvement in nursing governance.
• Describe at least one state regulation related to general nurse scope of practice.
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare? Regulations like these shape everyday decisions in patient care.
• Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Include Speaker Notes on Each Slide (except on the title page and reference page) Adding detailed notes ensures your audience grasps the full context of each point.

By Day 7 of Week 6

Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.

NURS_6050_Module03_Week06_Assignment_Rubric

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• List View

Excellent Good Fair Poor Boards of Nursing vs. Professional Nurse Associations

Develop a 8- to 9-slide PowerPoint presentation that addresses the following:

· Describe the differences between a board of nursing and a professional nurse association.

· Describe the members of the board for your specific region/area.

· Who is on the board?

· How does one become a member of the board?

· Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.

23 (23%) – 25 (25%)

The response accurately and thoroughly describes the differences between a board of nursing and professional nurse associations.

Response provides a complete and accurate description of who is on a board of nursing.

The response provides a detailed and thorough explanation of how one becomes a member of the board of nursing.

Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide. Such notes help reinforce key messages during the meeting.

20 (20%) – 22 (22%)

The response accurately describes the differences between a board of nursing and professional nurse associations.

Responses provides an accurate description of who is on a board of nursing.

The response provides an accurate explanation how one becomes a member of the board of nursing.

Speaker notes are included on every slide and are used to explain the significant points on each slide.

18 (18%) – 19 (19%)

Description of the differences between a board of nursing and professional nurse associations is inaccurate or incomplete. Description of who is on a board of nursing is incomplete or inaccurate.

Explanation of how one becomes a member of the board of nursing is vague or inaccurate.

Speaker notes are included on every slide.

0 (0%) – 17 (17%)

Description of the differences between a board of nursing and professional nurse associations is inaccurate and incomplete or is missing.

Description of who is on a board of nursing detailing academic credentials, practice positions, and licensure status is inaccurate and incomplete, or is missing.

Explanation of how one becomes a member of the board is vague and inaccurate or is missing.

No speaker notes.

The Impact of State Regulation on Nurse Practice

Describe at least one state regulation related to general nurse scope of practice.

· How does this regulation influence the nurse’s role?

· How does this regulation influence delivery, cost, and access to healthcare?

· Has there been any change to the regulation within the past 5 years? Explain.

· Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.

27 (27%) – 30 (30%)

Response includes a complete and accurate description that fully details how one or more state regulations are related to general nurse scope of practice.

Response clearly and accurately explains in detail how the regulation(s) influences the nurse’s role.

Response clearly and accurately explains in detail how the regulation(s) influences delivery, cost, and access to healthcare.

Presentation includes speaker notes that explain and elaborate the points of the presentation. Recent updates to regulations can also be highlighted to show ongoing changes.

24 (24%) – 26 (26%)

Response includes an accurate description of how one state regulation is related to general nurse scope of practice.

Response accurately explains how the regulation influences the nurse’s role.

Response accurately explains how the regulation(s) influences delivery, cost, and access to healthcare.

Presentation includes speaker notes that explain the points of the presentation.

21 (21%) – 23 (23%)

Description of one or more state regulations that are related to general nurse scope of practice is incomplete or inaccurate. Explanation of how the regulation(s) influences the nurse’s role is vague or inaccurate.

Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague or inaccurate.

Presentation includes speaker notes that are incomplete or lack appropriate explanation.

0 (0%) – 20 (20%)

Description of one or more state regulations related to general nurse scope of practice is vague and inaccurate, or is missing.

Explanation of how the regulation(s) influences the nurse’s role is vague and inaccurate, or is missing.

Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague and inaccurate, or is missing.

Speaker notes are incomplete or missing altogether.

Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).

· How does this regulation influence the nurse’s role?

· How does this regulation influence delivery, cost, and access to healthcare?

· Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.

27 (27%) – 30 (30%)

Response includes a complete and accurate description that fully details how one or more state regulations are related to Advanced Practice Registered Nurses (APRNs).

Response clearly and accurately explains in detail how the regulation(s) influences the nurse’s role.

Response clearly and accurately explains in detail how the regulation(s) influences delivery, cost, and access to healthcare.

Presentation includes speaker notes that explain and elaborate the points of the presentation. Including examples from recent legislative changes can make this more relevant.

24 (24%) – 26 (26%)

Response includes an accurate description of how one state regulation is related to Advanced Practice Registered Nurses (APRNs).

Response accurately explains how the regulation influences the nurse’s role.

Response accurately explains how the regulation(s) influences delivery, cost, and access to healthcare.

Presentation includes speaker notes that explain the points of the presentation.

21 (21%) – 23 (23%)

Description of one or more state regulations that are related to Advanced Practice Registered Nurses (APRNs) is incomplete or inaccurate.

Explanation of how the regulation(s) influences the nurse’s role is vague or inaccurate.

Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague or inaccurate.

Presentation includes speaker notes that are incomplete or lack appropriate explanation.

0 (0%) – 20 (20%)

Description of one or more state regulations related to Advanced Practice Registered Nurses (APRNs) is vague and inaccurate, or is missing.

Explanation of how the regulation(s) influences the nurse’s role is vague and inaccurate, or is missing.

Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague and inaccurate, or is missing. Speaker notes are incomplete or missing altogether.

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.

5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

Purpose, introduction, and conclusion of the assignment is vague or off topic.

0 (0%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion was provided.

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation

5 (5%) – 5 (5%)

Uses correct grammar, spelling, and punctuation with no errors.

4 (4%) – 4 (4%)

Contains a few (1-2) grammar, spelling, and punctuation errors.

3.5 (3.5%) – 3.5 (3.5%)

Contains several (3-4) grammar, spelling, and punctuation errors.

0 (0%) – 3 (3%)

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

5 (5%) – 5 (5%)

Uses correct APA format with no errors.

4 (4%) – 4 (4%)

Contains a few (1-2) APA format errors.

3.5 (3.5%) – 3.5 (3.5%)

Contains several (3-4) APA format errors.

0 (0%) – 3 (3%)

Contains many (≥ 5) APA format errors.

Total Points: 100

Name: NURS_6050_Module03_Week06_Assignment_Rubric

Staying updated on nursing regulations ensures better patient outcomes and professional growth. Engaging with resources from the NCSBN and ANA can provide ongoing insights into best practices. Recent legislative changes, like those in California, highlight the evolving nature of nursing scopes. These updates often aim to expand access to care while maintaining safety standards.

Sample Content on Regulation for Nursing Practice

Difference Between Board of Nursing and Nursing Association

Boards of nursing oversee the regulation of nursing practice with the primary goal of safeguarding public health. These entities are typically appointed by state governments to enforce standards and ensure competent care. In the United States, individual state boards operate alongside the National Council of State Boards of Nursing (NCSBN), which supports uniformity across jurisdictions (NCSBN, 2024). State boards handle licensing, education accreditation, and disciplinary actions to maintain professional integrity. The NCSBN collaborates with these boards to promote patient safety and well-being through shared resources and policy development (Fuller, 2024).

Boards of Nursing function as state agencies dedicated to protecting public health by ensuring licensed nurses deliver safe and competent care at all levels. There are 59 such boards forming the NCSBN, a nonprofit organization that facilitates coordination. Recent updates emphasize evidence-based guidelines for nursing education and practice (Benton et al., 2021).

Governors appoint a majority of board members, with legislative leaders filling the remaining positions. These boards approve nursing programs, establish rules, enforce laws, and manage licensure processes (NCSBN, 2024). This structure helps adapt to changing healthcare needs, like integrating telehealth regulations post-2020.

Difference Between Board of Nursing and Nursing Association Continuation

Nursing associations advocate for nurses’ rights, professional advancement, and require annual dues for membership benefits. They exist at state, national levels like the American Nurses Association (ANA), or international like the International Council of Nurses (ICN) (ANA, 2023). Members elect directors to lead these organizations, focusing on issues like workplace safety and education.

Unlike regulatory boards, nursing associations are private entities where members pay for access to networking, continuing education, and advocacy. Governance comes from elected boards, ensuring representation of diverse nurse voices. Associations can specialize in areas such as emergency nursing, cardiology, or demographics like ethnic groups, advanced roles, or education (Matthews, 2022).

Nursing Board in California

California’s board consists of nine members to oversee registered nursing. The governor appoints seven, with one each from the Senate President Pro-Tempore and Assembly Speaker (California Board of Registered Nursing, 2025). This includes five registered nurses and four public members for balanced perspectives.

The board sets policies, with seven governor appointees and two from legislative leaders. Members comprise five RNs and four public representatives. Leadership includes a president and vice president, while others serve as general members. Recent reforms under AB 890 expand NP independence starting 2026 (California Board of Registered Nursing, 2025).

State Regulation Related to General Nurse Scope of Practice

Section 2725.1(b) prevents clinics from hiring RNs solely for drug dispensing. It also bars RNs from operating pharmacies or drugstores. Drug dispensing by RNs excludes controlled substances under the California Uniform Controlled Substances Act, except for specific certified roles (California Nursing Practice Act, 2024).

This rule limits RN business ventures in healthcare, encouraging focus on clinical duties. It promotes efficiency by concentrating efforts in primary roles. However, it may increase healthcare costs by centralizing services in facilities, potentially leading to overcrowding (Phillips, 2023).

State Regulation Related to General Nurse Scope of Practice Continuation

The regulation in Section 2725.1(b) restricts RN practices and investments. It helps prevent conflicts of interest in professional responsibilities. Nurses direct attention to patient care, improving service quality. Without such limits, more accessible options like nurse-run pharmacies could reduce facility burdens and costs.

State Regulation Related to Advanced Practice Registered Nurses (APRNs)

Chapter 6, Section 2835.7(a)(1) mandates third-party approval for APRNs before standardized procedures. Despite board authority for equipment orders, consent remains essential. APRNs must balance autonomy with collaborative decision-making (California Nursing Practice Act, 2024).

State Regulation Related to Advanced Practice Registered Nurses (APRNs) Continuation

APRNs handle complex cases, saving lives through specialized skills. This rule ensures patient and family involvement in decisions. It fosters stakeholder consensus in clinical choices. Involving families prepares them for outcomes and shares responsibility if complications arise (Bae et al., 2024).

State Regulation Related to Advanced Practice Registered Nurses (APRNs) Continuation

The regulation avoids impacting healthcare delivery costs directly. Yet, it might delay emergency responses, risking patient health. For example, accident victims needing surgery could face waits for family consent, heightening dangers. No additional fees are involved, keeping costs stable.

References

• NPR-B-03 06/1995 AN EXPLANATION OF SCOPE OF RN PRACTICE INCLUDING STANDARDIZED PROCEDURES REV. 07/1997, 01/2011. Board of Registered Nursing. Retrieved 1 April 2021, from https://www.rn.ca.gov/pdfs/regulations/npr-b-03.pdf.
• CALIFORNIA NURSING PRACTICE ACT. Scope of Regulation Excerpt from Business and Professions Code Division 2, Chapter 6. Article 2. BOARD OF REGISTERED NURSING. Retrieved 1 April 2021, from https://www.rn.ca.gov/pdfs/regulations/npr-i-15.pdf.
• What is a State Board of Nursing?. Graduatenursingedu.org. (2020). Retrieved 1 April 2021, from https://www.graduatenursingedu.org/state-board-of-nursing/Assignment: Regulation for Nursing Practice Staff Development Meeting.
• ANA Enterprise | American Nurses Association. ANA. Retrieved 1 April 2021, from https://www.nursingworld.org/.
• California Board of Registered Nursing. CA.Gov. (2021). Retrieved 1 April 2021, from https://www.rn.ca.gov/consumers/brdmbrs.shtml.
• Fuller, V. (2024). An Overview of Nursing Regulation. AACN Advanced Critical Care, 35(1), 43-48. Available at: https://aacnjournals.org/aacnacconline/article/35/1/43/32306/An-Overview-of-Nursing-Regulation
• Benton, D. C., Beasley, C. J., & Ferguson, S. L. (2021). An Update on the Consensus Model for APRN Regulation: More Than a Decade of Progress. Journal of Nursing Regulation, 12(2), 23-33. https://doi.org/10.1016/S2155-8256(21)00053-3
• Phillips, S. J. (2023). 35th Annual APRN Legislative Update: Advancements in APRN practice authority. The Nurse Practitioner, 48(1), 21-47. https://doi.org/10.1097/01.NPR.0000000000000004

Bae, K., Norris, C., Shakya, S. and Timmons, E. (2024) ‘Advanced Practice Registered Nurse Full Practice Authority, Provider Supply, and Health Outcomes: A Border Analysis’, Policy, Politics, & Nursing Practice, p. 15271544231212155. doi:10.1177/15271544231212155. Available at: https://journals.sagepub.com/doi/10.1177/15271544231212155

Benton, D.C., Beasley, C.J. and Ferguson, S.L. (2021) ‘An Update on the Consensus Model for APRN Regulation: More Than a Decade of Progress’, Journal of Nursing Regulation, 12(2), pp. 23-33. doi:10.1016/S2155-8256(21)00053-3. Available at: https://www.journalofnursingregulation.com/article/S2155-8256(21)00053-3/abstract

Fuller, V. (2024) ‘An Overview of Nursing Regulation’, AACN Advanced Critical Care, 35(1), pp. 43-48. doi:10.4037/aacnacc2024813. Available at: https://aacnjournals.org/aacnacconline/article/35/1/43/32306/An-Overview-of-Nursing-Regulation

Xue, Y., Kannan, V., Greener, E., Smith, J.A., Brasch, J., Johnson, B.A. and Spetz, J. (2018) ‘Full Scope-of-Practice Regulation Is Associated With Higher Supply of Nurse Practitioners in Rural and Primary Care Health Professional Shortage Counties’, Journal of Nursing Regulation, 8(4), pp. 5-13. doi:10.1016/S2155-8256(17)30176-X. Available at: https://www.researchgate.net/publication/322261442_Full_Scope-of-Practice_Regulation_Is_Associated_With_Higher_Supply_of_Nurse_Practitioners_in_Rural_and_Primary_Care_Health_Professional_Shortage_Counties

Phillips, S.J. (2023) ’35th Annual APRN Legislative Update: Advancements in APRN practice authority’, The Nurse Practitioner, 48(1), pp. 21-47. doi:10.1097/01.NPR.0000000000000004. Available at: https://journals.lww.com/tnpj/fulltext/2023/01000/35th_annual_aprn_legislative_update__advancements.3.aspx