In this article a program that takes an innovative, alternative approach to transitioning RNs into practice developed and implemented by nurse leaders in the Memorial Hermann Healthcare System in Houston, Texas, is described and discussed.
Bevelacqua, T. (2012). An Alternative Method of Transitioning Into Practice: A Nonemployee-Based Program. Journal of Nursing Regulation, 3 (3), 7-12.
Marcia M. Laux, MSN, RN, NE-BC, and Connie McIntosh, MBA, RN
This article explores nursing internship programs not associated with nursing courses or curricula but are stand-alone programs used to recruit nurses. Issues discussed are the nurse interns’ liability and misunderstanding of the licensure requirement and the health-care systems' promotion of practice without a license.
Laux, M., & McIntosh, C. (2011). Nursing Internships: Practicing Without a License. Journal of Nursing Regulation, 2 (2), 37-39.
Medication Aides Publications
Analysis of Employed Medication Aides in All Health Care Settings
Philip Dickison, PhD, RN, Melissa Franke, and Sarah Hagge, PhD
This article provides the results of a nonexperimental, descriptive study conducted to explore the frequency and importance of activities performed by certified, entry level MAs. More than 1,800 MAs provided valid responses.
Dickison, P., Franke, M. & Hagge, S. (2012). Analysis of Employed Medication Aides in All Health Care Settings. Journal of Nursing Regulation, 3 (3), 24-28.
2011 Knowledge Survey of Medication Aides Employed in Nursing Homes/Long Term Care, Hospitals/Acute Care and Community/Home Health Settings
The primary purpose of this study is to identify the knowledge needed by certified entry-level MAs. Results of this study can be used to help item writers and reviewers with test development activities for the Medication Aide Certification Examination (MACE), while also providing education programs with a better understanding of the knowledge needed to provide safe and effective work of certified entry-level MAs.
NCSBN Research Brief: 2011 Knowledge Survey of Medication Aides Employed in Nursing Homes/Long Term Care, Hospitals/ Acute Care and Community/ Home Health Care Settings. (2012).Vol.56. Chicago: Author
A survey was developed with the goal of providing insight into the work settings, education, supervision, and work roles of medication aides. Results of the survey and study implications are discussed.
Budden, J. S. (2011c). The first national survey of medication aides. Journal of Nursing Regulation, 2(3), 4-12.
A review of the literature on medication error rates among medication aides is presented, followed by an exploration of medication-aide regulations regarding oversight, applicant requirements, training, testing, continuing education, work setting and supervision, and role limitations. The results show the wide variability in the roles and regulations of medication aides. The issue of more uniformity in the regulation of medication aides is discussed.
Budden, J. S. (2011b). The safety and regulation of medication aides. Journal of Nursing Regulation, 2(2), 18-23.
Nursing Home Care Publications
Practice Support Initiatives That Contribute to the Regulation of RNs and NPs
In British Columbia, the regulatory body recognizes that providing support so nurses can meet the Standards of Practice helps protect the public and promote the goal of competent, ethical care. This article describes the mechanisms through which practice support is provided and some tools that help RNs apply standards and meet expectations for professional practice.
Foster, S. (2012).Practice Support Initiatives that Contribute to the Regulation of Registered Nurses and Nurse Practitioners. Journal of Nursing Regulation, 2 (4), 19-25.
Medication Administration in Nursing Homes: RN Delegation to UAP
The purposes of this article are to provide an overview of medication errors in nursing homes, an understanding of the challenges nursing homes face in ensuring safe medication processes, and the role delegation can play in safe medication administration.
Vogelsmeier, A. (2011). Medication Administration in Nursing Homes: RN Delegation to Unlicensed Assistive Personnel. Journal of Nursing Regulation, 2 (3), 49-55.
Promoting and Regulating Safe Medication Administration in Nursing Homes
Teresa Anderson, PhD, Carol A. Silveira, MS, RN, Rebecca Woodland, PhD, Steven Handler, PhD, MD & Michael Hutton, PhD
The Massachusetts Board of Registration in Nursing and the University of Massachusetts Medical School Center for Health Policy and Research convened the Massachusetts Medication Safety Alliance, a 15-member collaborative of regulatory agencies and long-term care providers, to develop the Nurse-Employer Medication Safety Partnership Model to cultivate a safety culture in Massachusetts nursing homes that supports voluntary medication-event recognition and disclosure by nurses. To guide the model's development, the Alliance assessed the perceptions of 1,286 nurses working in 109 Massachusetts nursing homes, finding more than half rated their practice environment as punitive and identified fears of blame, disciplinary action, and lawsuits as barriers to medication-event reporting.
Anderson, T., Silveira, C.A., Woodland, R., Handler, S., & Hutton, M. (2011). Promoting and regulating safe medication administration in nursing homes. Journal of Nursing Regulation, 2(1), 56-61.
Scope of Practice Publications
Licensed Nurse Responsibilities in Nursing Homes: A Scope-of-Practice Issue
Christine Mueller, PhD, RN, Ruth A. Anderson, PhD, RN, Eleanor S. McConnell, PhD, RN & Kirsten Corazzini, PhD
A mailed survey of licensed practical nurses (LPNs) employed in nursing homes in Minnesota and North Carolina examined their role and responsibilities as well as barriers to and facilitators for working within their scope of practice. The study focused on the nursing practice domains of assessment, care planning, evaluation, delegation, and supervision. BONs are encouraged to provide guidance to nurses and their nursing home employers who interpret RN and LPN scopes of practice as a means of promoting accountable, safe, quality care for nursing home residents.
Mueller, C., Anderson, R.A., McConnell, E.S., & Corazzini, K. (2012). Licensed nurse responsibilities in nursing homes: a scope-of-practice issue. Journal of Nursing Regulation, 3(1), 13-20.
Nursing Scope of Practice Issues in Public Health Emergencies
Mary Pat Couig, MPH, RN, FAAN; Karey A. Johnson, MSN, RN; Suzanne Thorne-Odem, MS, RN; and Cathy Rick, RN, NEA-BC, FACHE, FAAN
This article provides an overview of nursing regulation during public health emergencies. Many nurses are quick to volunteer during an emergency; being prepared in advance will help the overall response effort.
Couig, M.P., Johnson, K., Thorne-Odem, S., & Rick, C. (2011). Nursing Scope of Practice Issues in Public Health Emergencies. Journal of Nursing Regulation, 2 (3), 13-18.
Regulation of LPN Scope of Practice in Long-Term Care
Kristen N. Corazzini, Ruth A. Anderson, Christine Mueller, Eleanor S. McConnell, Lawrence R. Landerman, Joshua M. Thorpe, & Nancy M. Short
With changing staffing structures and persistent quality concerns in nursing homes, registered nurses are challenged to ensure that appropriate care is delivered. We describe differences in the nurse practice acts and related administrative code for all 50 states and DC for LPN delegation and supervision. Next, we explore relationships between these differences and quality measures from CMS for US nursing homes, using 2007 data. Findings indicate that how BONs regulate LPN scope of practice is directly related to care quality.
Corazzini, K.N., Anderson, R.A., Mueller, C., McConnell, E.S., Landerman, L.R., Thorpe, J.M., & Short, N.M. (2011). Regulation of LPN scope of practice in long-term care. Journal of Nursing Regulation 2(2), 30-36.
Electronic Health Records and the Implications for Nursing Practice
Michele Person Madison, Esq, and Nancy Staggers, PhD, RN, FAAN
Nurse regulators need to understand the capabilities and limitations of EHRs because these tools will be integral to future nursing practice. This article reviews issues regarding EHRs and the implications for nursing practice.
Madison, M. & Staggers, N. (2011). Electronic Health Records and the Implications for Nursing Practice. Journal of Nursing Regulation, 1 (4), 54-60.
Social Media and Professional Practice Publications
Nurses and Social Media: Regulatory Concerns and Guidelines
Rene Cronquist, JD, RN, and Nancy Spector, PhD, RN
This article describes the professional, ethical, and legal implications of using social media inappropriately and provides guidelines from the National Council of State Boards of Nursing for using them appropriately.
Cronquist, R. & Spector, N. (2011) Nurses and Social Media: Regulatory Concerns and Guidelines. Journal of Nursing Regulation, 2 (3), 37-40.
Ethics and Professional Conduct: Striving for a Professional Ideal
This article provides a summary of social media and privacy laws, discusses the legal issues health care organizations and workers face when a breach of patient privacy occurs, and offers best practices for avoiding privacy violations.
Melnik, T.(2013). Avoiding Violations of Patient Privacy with Social Media. Journal of Nursing Regulation, 3 (4), 39-46.