Table of Contents

Introduction

The U.S consists of the state boards and the national nursing board (NCSBN). The State Boards of Nursing (BON), develop and enforce nursing practice laws. Professional Nurse Associations (PNA) advocate for nurses during the development of these laws. The law development process allows nursing organizations to influence the outcome. PNAs ensure nurses’ and patients’ needs and interests are protected.

The Board of Nursing

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• Performs criminal background checks;

• Imposes disciplinary actions;

• Setting licensure fees;

• Oversees the nursing licensure training procedure;

• PNAs are committed to their members and the nursing profession’s advancement;

• Guides the legal nursing practice scope;

• Upholds nursing education standards;

• Oversees advanced nursing practice;

• Accredits nursing education program;

• Contrarily, PNAs set the quality standards of practice and ethical guidelines;

• BON is public-based while PNAs are privatized.

Description of the Ohio Board of Nursing

It consists of ten board members appointed by the state’s governor. Members: 8 RNs, 2 LPNs, 1 advanced practice nurse, and 1 consumer member. The president and vice-president lead the board (“About the board,” n.d.). The board implements and enforces Chapter 4723 of the Ohio Revised Code (“About the board,” n.d.). The board reviews the code at least once every five years. The code delineates the basic practice standards for all nurses.

How to Become a Board Member

• Be a U.S citizen;

• Graduate from an approved education program;

• Have an active license to practice in Ohio;

• Being an active practicing nurse in the last five years

State Regulation of General Nurse Scope of Practice

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RNs in Ohio have independent authority to engage in all licensed practice aspects with minor exceptions (“Scope of practice,” 2018). RNs can delegate, supervise, and evaluate LPNs’ nursing practice.

Influence on Nurses’ Role

This particular restriction limits their capacity to work to the full extent of their education. Their supervisory role facilitates the delivery of quality care (MacKinnon et al., 2018). APRNs can diagnose, treat, and prescribe medications for their patients (4-19y/o) (“Scope of practice,” 2018). However, they can only perform these roles in collaboration with a physician. Care delivery under physicians’ supervision exacerbates perceptions of APRNs incompetency. This, in turn, promotes role ambiguity and incongruence.