Discussion 7.1: Compact Membership/Responses

justify your responses with a credible source that is less than 5 years old.


Discuss how nurses can use their knowledge, perspective, experiences, and skills as communicators to change public policy at all levels of government. What are the most critical questions facing nursing for which policymakers need evidence to inform their decision-making (refer to the Nurse Licensure Compact [NLC] compact, APRN Compact, and other required reading this week)? WE ARE IN SCHOOL TO BE BECOME, NURSE PRACTITIONERS. PLEASE INCLUDE A LITTLE INFORMATION AS TO HOW THIS AFFECTS NURSE PRACTITIONERS. I LIVE IN MARYLAND

Here is Arielle’s post. Please respond to her

Registered nurses make up the largest profession in the US healthcare workforce with over 2.9 million employed since 2016 and a projected 3.3 million by 2026 which is faster than any other occupation (Nickitas et al., 2020). Even with these large numbers and projections, nurses are often not at the forefront of policymaking, yet we have the most first-hand experience with what works and what doesn’t when it comes to improving healthcare outcomes (Nickitas et al., 2020). Nurses can use their knowledge, perspective, experiences, and communication skills to change public policy by understanding the large scope of career choices available and by ensuring the public has an accurate view of nurses by articulating their knowledge while providing patient care (Nickitas et al., 2020). Nurses can lead the conversation and suggest ways to improve care, cost, and quality by continuing to climb the ladder in nursing to making change and being placed in positions of influence (Nickitas et al., 2020). Nurses have the ability to critically analyze healthcare proposals from a consumer’s point of view, demonstrate leadership, influence policy at all levels to improve the delivery of healthcare, educate others regarding patient outcomes, and advocate for nurses, social justice, equity, and ethical policies within healthcare.

Policymakers need to be educated and informed on the importance of allowing APRNs and RN’s to work in the full scope of practice across multiple states. Many states allow multi-state licenses under a compact agreement, this allows nurse educators to teach distance education, Registered nurses to provide healthcare via Telehealth across multiple states, and to quickly respond to national emergencies during disasters without restriction to all other Nurse Licensure Compact states (National Council of State Boards of Nursing, 2020). APRN compact is similar to the nursing compact agreement and is also one that policymakers must be educated on to inform making their decision. Currently, there are only three states who have moved forward with the Advanced Nursing Compact agreement (National Council of State Boards of Nursing, 2020). In addition to the APRN compact, policymakers must be informed on the importance of allowing APRNs to practice to the full extent of their license. Currently, California is one of 12 states that maintain restricted APRN licensure which requires career-long supervision, delegation, or team management (American Association of Nurse Practitioners, 2018). Understanding the importance of allowing the full scope of practice is critical in decision-making when it comes to legislative policies.

American Association of Nurse Practitioners. (2019). State Practice Environment. https://www.aanp.org/advocacy/state/state-practice-environment (Links to an external site.).

National Council of State Boards of Nursing. (2020). APRN Compact. NCSBN. https://www.ncsbn.org/aprn-compact.htm (Links to an external site.).

National Council of State Boards of Nursing. (2020). Licensure Compacts. NCSBN. https://www.ncsbn.org/compacts.htm (Links to an external site.).

Nickitas, D. M., Middaugh, D. J., & Feeg, V. (2020). Policy and politics for nurses and other health professionals (3rd ed.). Jones & Bartlett Learning.


Here is Laura O’s post

In 2016 there were more than 2.9 million Registered Nurses in the United States with a projected need for growth to 3.3 million by the year 2026 because of the baby boomers reaching the age of Medicare eligibility (Nickitas, 2020). Nurses are the biggest part of the healthcare profession when it comes to numbers employed (Nickitas, 2020). These facts and numbers are a major indicator as to why nurses should be at the forefront of policymaking and decision and policy change. Unfortunately, we still are not quite there yet. Although we have made many changes since the beginning Nurses still have much to offer regarding healthcare policy. The Nurses on Boards Coalition was formed to get 10,000 Nurses on national board organizations by the year 2020 to represent our profession (Nickitas, 2020). The NOBC was in part created to help the public understand more about what nurses do and how our experience and expertise can aid in decision-making at the policy level (Nickitas, 2020). Nurses are such a large and diverse workforce that we need to constantly be engaged in our communities and our surroundings for members of our communities to see what we have to offer. This is one of the reasons why it is so important that all Nurses join their local Nursing Associations or State Associations. If we stay active, engaged, and informed Nurses have so much to offer with the extent of education we obtain regarding patient/population-based care delivery that we can apply to decision making about healthcare policy.

When it comes to policymakers making their decisions based on Nursing perspective, information, or expertise they have to as themselves what do Nurses bring to me as a healthcare professional? Why are Nurses so equipped to make policy decisions? The burning question is do Nurses/APRNs make a difference in access, quality of care, and cost of care? We need evidence to show that we make a difference in the care delivered to patients, we are on the front lines of care delivery so we need to make that known as a profession. Nursing has a wide array of specialized areas including NP, CNS, CRNA, CNM (Nickitas, 2020). It has been shown that CRNA’s are delivering 65% of the anesthetics given in the U.S., CNS’s have evidence to show a correlation between their interventions and improved cost/outcomes, Family Nurse Practitioners make up 62% of the United states NP Certification (Nickitas, 2020). We are equipped with the diversity in the workforce, its time to bring the evidence to show that we have the ability to create more access to care, better patient outcomes, and better cost of care and use that evidence as our proof to policymakers that we have the ability to change healthcare.

Nickitas, D., Middaugh, D., Feeg, V., (2020) Policy and Politics for Nurses and Other Health Professionals: Advocacy and Action. 3rd ed. Jones and Bartlett Learning: Burlington MA.

Here is Victoria L’s post

Nurses are a unique profession. We are educated in humanities, sociology, psychology, and human science. The very nature of our training is to look at the person as a whole being which includes the environment and works towards restoring balance efficiently and cost-effectively. Most people do not know all that nurses do and are capable of doing based on our education and knowledge base. One of the most important things to effect change and be valued for our input is to educate the public on what we do (Nickitas, Middaugh, & Feeg, 2020). Nurses represent the largest healthcare segment of the healthcare workforce and nursing is the most trusted profession in the US (Nickitas, Middaugh, & Feeg, 2020). Armed with this knowledge, and the bio-psychosocial-spiritual perspective, nurses are instrumental and if organized properly can be very powerful in the policymaking arena. The Nurses on Boards Coalition (NOBC) is intended to help give power to our perspective and knowledge (Nickitas, Middaugh, & Feeg, 2020). This coalition is in response to the IOM’s report The Future of Nursing and the goal of NOBC is to have at least 10,000 nurses present on boards and panels of health corporations by 2020 ((Nickitas, Middaugh, & Feeg, 2020). With our presence in places of influence, we can start to influence policymakers at the top.

Throughout the course of modern nursing, nurses have been creating theories, developing care models, conducting research, affecting policy changes, and more. Nurses continue to develop nursing into a bonafide profession with advanced degrees being the new standard (Nickitas et al., 2020). This is all to give credence and validity to our unique perspective. Nurse lead initiatives prove time and time again to improve patient outcomes and be cost-effective (Nickitas et al., 2020). The next phase in our professional evolution is to standardize the APRN licensure and accreditation (APRN Joint Dialogue Group Report, 2008). As we work towards the IOM’s recommendations to become full partners with other health professionals and become innovative leaders and policymakers, people must know who we are and what we are capable of achieving (Nickitas et al., 2020). It is important to follow the guidelines of the Joint Dialogue Group so we may nationalize a standard of practice and be a stronger, more unified voice (APRN Joint Dialogue Group Report, 2008).

APRN Joint Dialogue Group Report. (2008). Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education (https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf). Washington, DC: Government Printing Office.

Nickitas, D. M., Middaugh, D. J., & Feeg, V. D. (2020). Policy and politics for nurses and other health professionals: Advocacy and action (3rd ed.). Burlington, MA: Jones & Bartlett Learning.