There are various regulations that tend to influence the APRN practice. Therefore, the paper will entail an analysis of such regulations, basing its focus on the research about the state legislator’s position on the health care issues and nursing, as well as the position of the federal legislator’s position on the same subject.
In addition, there will be an analysis of the lobbyist for the state nurses’ association, as well as the position of the nurses’ association on the legislation in operation and its candidates. For that matter, the state of choice for the analysis is Washington DC, and most of the issues highlighted above will majorly focus on the same state.
Based on the state legislator’s view, there is a need for the enforcement of state regulations in Washington DC, to implement the measures to guarantee transparency, to improve the safety measures as well as improving accountability inthe health care sector (Mason, Gardner, HopkinsOutlaw, & O’Grady, 2016). The state legislators work hard to create essential partnerships among themselves to improve nurse relations with their communities where they work.
It is evident that the APRN regulations are prescribed by the state, through the state licensure, and the Nurse Practice Act. As a result, they are restrictions limiting the full execution of the nurse practice roles in the state (Hart, 2016). The hospital licensing regulations is not part of the APRN regulations because the medical staff can operate fully while the law is in effect. In that connection the restrictions prevent operations beyond the set limit for the collaborating physician within 30 to 60 miles.
The restrictions are put in place by the state/federal government, which determines what is right and best in health care and nursing issues (Hart, 2016). The society’s power is minimal in the determination of what is best for them, because it is the government that offers most of the services required in health centers through subsidies.
The practice barriers are built in and it is only with the consent of the government regulations relating to the health sector, that the restrictions can be altered (Hart, 2016). In a nutshell, the government is responsible for the modification or withdrawal of the restrictions pertaining to the health care and nursing issues.
However, with the change of the administration and the Congress, the provision of such subsidies in the health care sector will be on a probability span (Hart, 2016). As a result, it is prudent to conclude that the federal legislator is not in a good position to guarantee better health care for the citizens of the United States of America.
Noteworthy is that the city of Washington DC is among the thirty-one states that organized for the expansion of the Medicaid coverage to accommodate many people under the Act. However, their fate remains dismal at the current stance of the Federal legislator with regards to the issue involved (Hart, 2016). Therefore, it is already clear that the Federal legislator has a different stance on the health care and nursing.
In relation to their views about the nursing profession, there is a proposal of a bill that is deemed to originate for the either of the two houses of the Congress (Hart, 2016). There exist crucial points in the legislative process, regarding the views of the citizens on the recommendations in effect about the health care and nursing programs within the city.
On the other hand, lobbying is a process that is common in the nurses’ association. Based on research, it was able to identify Pat McGill as the chief lobbyist for the American Nurses’ Association (Stanhope& Lancaster, 2015). The woman lobbies on behalf of the members of the APRN, with her being to ensure nursing is not placed at the forefront of the legislation that affects the nurses and their practice. The current information about the lobbyist is available in research articles.
According to the leader of the American Nurses’ Association, Dr. Sally Watkins, the nursing sector has numerous issues that the federal legislature together with the state legislature needs to act upon, include the staffing problems, the nurse fatigue, as well as workplace violence and their financial issues (Hart, 2016). The association tries as much as possible through the lobbyist to present the issues to the legislature to seek assistance regarding the implementation of changes.
Moreover, the issues identified are some of the issues affected by the legislation, and the nurses through the association want to enjoy their work environment. The current legislation is in full support of the implementation of such necessary changes in the nursing sector, and hence the position of the nurses’ association about the legislation is in its support (Stanhope & Lancaster, 2015). Ideally, they do support the legislative measures,and the federal constitution gives them the right to air their views free of interference from the general leadership of the nation.
Finally, the position of the candidates in regards to the legislation process is not clear, because they have not shown any form of the opposition to the legislation, but at the same time, there is no visible action that is in progress to alter the requirements of the legislation (Stanhope & Lancaster, 2015). Additionally, their stance on the issues affecting nurses are not adamantly directed to any side of the issue, and for one to trace their position, it takes a long time. However, some actions taken by the candidates in regards to the progress of the managerial sections affiliate to the nursing fraternity, suggest that the legislature is against the legislation. Such position is evident in the issue that revolves around the status of the Obamacare Act deemed to take a new position shortly.
References
Hart, L. (2016). The Political Astuteness of Nurse Practitioners Following a Successful Legislative Journey LaDonna Hart (Doctoral dissertation, University of Missouri-Kansas City).
Mason, D., Gardner, D., HopkinsOutlaw, F., & O’Grady, E. (2016). Policy and Politics in Nursing and Health Care (7th ed.) ISBN: 9780323241441
Mason, D., Leavitt, J., & Chaffee, M. (2012). Policy & politics in nursing and health care (1st ed.). St. Louis, Mo.: Elsevier/Saunders.
Stanhope, M., & Lancaster, J. (2015). Public Health Nursing: Population-Centered Health Care in the Community. Elsevier Health Sciences.
