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Boards of Nursing vs. Professional Nurse Associations

Boards of Nursing vs. Professional Nurse Associations


                                     Board Of Nursing Vs Professional Nurse  Association


                             Difference Between Board of Nursing (BONS) and Professional Nurse Association

The Board of Nursing (BON) is a governmental organization that operates on a state level in representing nurses. BON encompasses the National Council of Boards of Nursing (NCBN) as an independent organization of nonprofit. The Board of Nursing promotes quality health care to individuals by ensuring the licensure of professional nurses. It also promotes public welfare by including nurses from all practice levels. Board of Nursing has similarities to Professional association and also has differences. State Boards regulate nursing practice by making regulations uniform across all states. It is important to understand the Board of Nursing does not draft any legislation or support any legislative policies. However, they are allowed by the governor to implement and carry out rules and regulations as stated out in the Nurse Act Policies.

Board of Nursing includes National Certification Cooperation (NCC), American Nurses Credentialing Center(ANCC). Professional nursing organizations differ from the Board of Nursing in that they are private organizations and also require their members to pay while joining. It means that members cover dues for attaining membership benefits. Besides associations are also governed by a board of directors but elected by members of the association. Another outstanding difference is that the Board of Nursing regulates nursing practice while nursing organizations advocate for nurses. Generally, nursing Boards are responsible for developing Evidence-Based regulations, protecting the publics’ welfare, ensuring that all nurses in practice are competent (“State practice environment,” 2019).


                                                                            The Texas Board of Nursing 

  The Texas Board of Nursing  recognized professional nursing formally in 1909 by offering the first Nursing Practice Act. It is in charge of regulating and giving  license to registered nurses within the city. The board has a sitting of 13 members appointed by the governor with the approval of the senate. The members include: four members representing the public, 3 from the nursing school fraternity and 6 members. The six members consists of 2 registered nurses,3 vocational nurses and one advanced nurse practice. The Texas licensure requires a fee of $186 that is nonrefundable. Additionally in order to be a member one is required to have a minimum of grade C from their vocational or approved practical nursing school. An individual must have graduated from high school or hold a G.E.D certificate (“Online endorsement application – Eligibility information,” n.d.)


                                                                                        Code of Ethics

Ethics are very important in health care organizations: it is a set of values and principles that guide nurses in their everyday practice and helps them in setting goals for their health care profession. It is established by the American Nurses Association to provide clearly stated ethical obligations and rules that can be followed by individuals who join the nursing fraternity. The Code of ethics provides nonnegotiable nursing standards as well as a clear statement from nurses concerning their understanding of the same. It is divided into 9 divisions that guide nurses in their day to day operations.


                                                                 Provisions of the Nursing Code of Ethics

Provision of ethical standards in nursing respect for human dignity, relationship with fellow caregivers, examining the quality of health care provided, and relationship to patients. Nurses need to treat patients with respect, empathy, and communicate efficiently. Nurses must understand the proper guidelines for working as a team. In line with this nurses should respect the decisions of family caregivers towards treatment management. The second provision covers the conflict of interest for nurses, collaboration, and professional boundaries. It dictates that the patient should be the priority. Provision 3 discusses nurse advocacy and promotion of patients’ rights, performance standards, protection of nurse-patient confidentiality. To be a nurse clinical competence must be approved as well as consideration of education.

The fourth provision states the nurse’s authority, accountability, and responsibility for nursing practice. Nursing decisions should be well planned and implemented responsibly. Nurses while caring for patients should consider their care as well. The environment in which nurses are working should be ethical, safe, and offer quality health care. All these ethics concerning the working environment are covered under the sixth provision. Provision seven and eight touches on professional collaboration. It also encourages the promotion of work diplomacy and advocacy. The last provision cooperates with the entire nursing profession, in terms of integrating social justice, articulation of values, and maintaining the integrity of the profession.


                                                                 Impact of The Code of Ethics on Nursing Roles

  Nurses should be aware of the Code of Ethics within their scope of practice. There are four main ethic principles: autonomy, beneficence, justice and non-maleficence. The nursing fraternity must remain advocating for quality health care for patients as well as considering the cultural norms. Ethical considerations ensure that nurses focus on patient care. Health care organizations should ensure that nurses at all levels take part in the review of the Code of Ethics. The ethical regulations help in strengthening the nurse’s voice in patient advocacy as well as giving them a right to propose a change of medical policies in their working areas.


                                                                                 Influence of Nursing Ethics


The majority of patients and health care organizations are faced with financial constraints, in that the cost of health care and paying for health insurance is costly. Resource allocation is scarce between healthcare providers and managers. Health Insurance companies neglect some of the patient procedures living them to the health care organizations, which results in expensive legal actions. Administrative ethic principles are cooperated in such case scenarios to help bring balance costs and reduce the scarcity of resources.


The code of ethics in nursing has been adopted by many organizations to help in reducing work distress for nurses as well as monitoring their care delivery. The nursing Code of Ethics ensures that nurses offer patient quality health care. It archives this through the signing of informed consent that keeps nurses discipline in their work ethics. It also empowers nurses in making ethical decisions that help them in their clinical practice. Due to the continuous growth and change in the fraternity ethical dilemmas arise from time to time: thus the regulations help nurses in getting solutions to these dilemmas.

                                                                                          Health care

Code of ethics in nursing informs critical thinking and decision-making among healthcare providers. It helps in identifying and distinguishing health care roles by providing guidance that is easily accessible to health care providers. It helps caregivers in focusing on the welfare of patients, by offering empathy, respect, and honoring their autonomy. These ethical standards support positive health care outcomes and increase the facility’s work efficiency.


                                                                     Changes in Nursing Code of Ethics

  Changes in the nursing profession are traced back to the improvement of the nursing code of ethics. The set of principles have undergone revision from the time they were formed by the American Nurse Association. The changes have taken place in different scopes within the nursing profession. Also, technology, law, and analysis in nursing evolve according to the advancement in education. The benefit of revising the nursing code of ethics is that it helps in monitoring key health indicators that are affecting the facility’s performance. It is important to note that the key ethical principles in the nursing code of ethics remain unchanged. Its purpose continues to focus on patient care and preventing harm towards them.


                                                                                    APRN  Licensure

  Licensure and certification of APRNS authorize them to practice nursing legally and using nursing titles. The tile given to an individual shows that they have met the requirements and are allowed to practice within their scope of nursing. However, in cases where nurses fail in performance or break state regulations, the licensure denotes that they are subject to disciplinary actions by the board. It may involve revoking their work license in worst-case scenarios. APRNS are required to renew their license and undertake certification examinations.


                                                                         Influence on Nursing Roles

Licensure demonstrates that nurses are committed to excellence in their work profession. It demonstrates a high level of competency and specialization. Acquiring a certificate enables APRNS to provide quality health care as well as culturally competent care. It also provides opportunities for APRNs to further their education and indulge in different fields of nursing. Today’s current status of the healthcare profession requires that some of the certifications and licenses as mandatory. Getting certified in the area of specialization enables nurses to attain their career goals.

Licensure has contributed to an increase in health care costs, as physicians continue to raise charges of their services. It has placed restrictions on APRNS and also these regulations differ from state to state. It means that nurses might not be able to perform in different states unless they undertake certification exams of the state therein which is expensive and stressful. Arguments within the fraternities dictate that changing some of the laws might be reduced the cost on healthcare organizations. Healthcare providers can offer quality health care and get approved if they have licensure. It is because the license proves that they are competent enough.



Advanced Practice Registered Nursing: Nurse Practitioners. (2019, November 5). Retrieved December 25, 2019, from

American Medical Association. (2017). State law chart: Nurse practitioner practice authority. Retrieved from

American Nurses Association (n.d.).. A.N.A enterprise. Retrieved September 20,2018,from

State practice environment. (2019, December 20). American Association of Nurse Practitioners.

Online endorsement application – Eligibility information. (n.d.). Welcome to the Texas Board of Nursing Website.



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Assignment: Regulation for Nursing Practice Staff Development Meeting


Nursing is a very highly regulated profession. 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.

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.
  • 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.
  • Describe the board for your specific region/area.
    • Who is on the board?
    • How does one become a member of the board?
  • 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?
  • 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)



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