NUR 513 Topic 8 Benchmark – Future Scope, Role, And Professional Obligations Paper

Assessment Description

Advanced registered nursing graduates are entering the profession at a dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the healthcare system. 

Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the healthcare system.

For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced registered nurse in positively influencing the health care system. Write a 1,250-1,500 word paper that includes the following:

  • A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.
  • A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing. Of these organizations, evaluate the one that you would most like to join. 
  • How do its goals and mission fit in with your worldview and philosophy of care? How might membership in this organization improve your practice?
  • A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years. How do you think this issue could influence the profession and other stakeholders and why does it matter to the advanced registered nurse?.

Topic 8 DQ 1


Identify three professional nursing organizations that interest you. Provide a brief summary of their purpose, requirements, and any differences in focus, population, scope, or intent. How do these organi£ations align to yo w· goals and worldview?

Topic 8 DQ 2


Research health care legislation that is being considered in your state. What impact might this legislation have on your future practice? What impact does it have on the collective practice of nurses in your state? How do you envision yourself potentially becoming involved in political advocacy for the profession in your future practice?

Topic 8 Participation



Future Scope, Role, And Professional Obligations Sample Approach

Advanced registered nursing graduates enter the field at a time when responsibilities and scope of practice are changing as a result of legislative and policy changes in response to changing health-care demands. Professional nursing organizations play an important role in ensuring that the voices of advanced registered nurses are heard, as well as assisting nurse specialties in their efforts to broaden their scope of practice and full engagement across the health care system. 

The master’s degree in Advanced Practice Midwifery is a two-year program designed to prepare advanced practice midwives to offer scientifically sound creative solutions to complex health complications. After completing advanced clinical management and midwifery training, graduates are expected to be leaders with decision-making abilities. As a future advanced midwifery practitioner, I will be able to provide care in a variety of settings and to a diverse patient population. 

The degree will also provide me with the skills I’ll need as a midwife to conduct research that will contribute to the body of knowledge that defines the profession of midwifery.

Scope Of Future Role As An Advanced Registered Nurse

My scope of practice as a midwife will include a scientific, intentional strategy for advanced midwifery practice and professional scholarship to enhance the quality of medical care for childbearing women and newborns, with a focus on rural and disadvantaged populations. Ranchoff and Declercq (2020), show midwifery scope also exhibits improved communication, critical reasoning, therapeutic interventions, research, and midwifery practice to solve the standard of health and safety of childbearing women and infants, with a focus on achieving SDG target 3 and reducing maternal and neonatal mortality and illness. 

With a master’s degree, I may take on the role of advanced practice midwifery practitioner leader, inventor, clinical researcher, health advocate, and collaborator to address current and future health and healthcare delivery requirements at the personal, organizational, demographic, and community levels.

The American Nurses Association undertakes advocacy initiatives to guarantee that legislators recognize the responsibilities of the nurse and nursing when putting legislation into effect through the regulatory process. The ANA collaborates with federal agencies, and it is the role of the federal agencies to execute legislation through the regulatory process (ANA, 2022). The ANA is the main group in ensuring that the critical voice of nurses is heard throughout this process. 

I can exemplify advanced practice leadership by using ethical, cultural, social, political, and economic methods to reform health systems by joining ANA. This will assist me in evaluating, synthesizing, and using scientific knowledge from a variety of fields to enhance and revolutionize health care and health care outcomes.

The nurse leader position arises as the nurse’s function evolves from that of a physician’s assistant to that of an essential participant of the clinical team. A nurse leader’s role is broad, but its foundation is to supervise nurses and guarantee that they adhere to professional level standards of quality care and patient safety. 

The fundamental message of the IOM review is that nurses ought to be completely involved with researchers and clinicians in reforming the nation’s healthcare system (Van Hecke et al., 2019). As an advanced registered nurse midwife, my future job will be to advocate for better treatment and enhanced collaboration among nurse practitioners, doctors, and other health care providers.

According to Van Hecke et al. (2019), the indication is that the scope of the nurse leader’s responsibilities includes greater roles and the requirement to provide supervisory services to the hospital or clinical personnel, and nurse leaders are accountable for overseeing the safe provision of services and must be fully knowledgeable with the legal profession’s and healthcare practice’s safety standards and practices. 

As a leader, my scope should advocate for high-quality treatment for all patients and their families. Successful nurse leaders prioritize providing high-quality relationships for both patients and nurses in their care environment.

Professional Nursing Organizations Influential In Advancing The Scope

To protect the public’s welfare and safety, specialty groups supplement regulatory measures in the areas of health policy and practice standards. The National Council of State Boards of Nursing is a major governing body in nursing. The NCSBN offers a venue for nurse organizations to operate and confer on issues of mutual interest and concern affecting public health, safety, and welfare, along with the development of nursing licensure examinations (Jefferson et al., 2021). 

The NCSBN is important in the regulation of nursing licenses in the United States since it prepares the NCLEX RN and NCLEX-PN exams. The NCSBN also offers information to state nursing boards to help them with their responsibilities of regulating nursing knowledge and training. Nursing organizations have a societal commitment to improving the health of the country. Professional nursing organizations contribute to improving health outcomes in national and global contexts in several ways. 

The American Nurses Association (ANA) is the largest professional nursing organization in the United States, representing the views and interests of its members in a variety of governmental forums. All nurses who are members of their respective state nursing organizations are eligible to join the ANA. The ANA’s political and legislative agenda has addressed issues such as proper healthcare compensation, services, access to health care, and acceptable nurse staffing ratios, all of which align with my worldview.

As a midwife, I’d like to become a member of The American College of Nurse-Midwives (ACNM), the professional organization that supports certified nurse-midwives (CNMs) and certified midwives (CMs) in the USA. ACNM sets the benchmark for quality in midwifery training and practice in the USA. and builds midwives’ capability. 

I can advocate for a specific emphasis on maternity, delivery, and gynecological and reproductive care as a practitioner and primary care midwife for women of all ages (Emeis et al., 2021). This leads to the embrace of women’s strength and determination, as well as the relevance of their wellness to the well-being of couples, societies, and economies.

According to Emeis et al. (2021) ACNM believes in the fundamental human rights of all women while also acknowledging that when these rights are infringed, women bear a disproportionate burden of vulnerability. ACNM’s aims and mission align with my worldview and philosophy of care because we both believe in democratic, equitable, comprehensive quality health care that encourages healing and health, as well as health care that respects human dignity, uniqueness, and group diversity. 

Both I and ACNM feel that thorough and accurate information is essential for pregnant women to make educated health care decisions. My world views include self-determination and active engagement in health care judgments, as well as the inclusion of a woman’s selected family members in all health care experiences, to the extent requested. 

Because it supports formal education, lifelong individual learning, and the creation and implementation of research to inform ethical and competent midwifery practice, participation in this organization improves my practice. Fundamental beliefs and values serve as the framework for personal and collaborative leadership at the community, state, national, and international levels to enhance the health of women and their families across the world (Emeis et al., 2021).

Controversial And Evolving Issue

A controversial or evolving issue that is most likely to affect my scope of practice is the scope of practice between the nurse practitioner and physician assistant. Nurse practitioners (NPs) are registered nurses who have completed further studies and clinical training at the master’s or doctorate level. To receive an NP degree in midwifery, nurses must undertake at least 1000 hours of professional practice in maternity and neonatal health. 

State nursing boards license and regulate NPs. Laws also differ by state. Half of all states allow NPs to practice autonomously without supervision. All states in the United States grant NPs complete prescribing authority, including restricted medications (Sarzynski & Barry, 2019). Physician assistants,PAs, on the other hand, train alongside medical students for two years and get a master’s degree. Before graduating, PA students must complete at least 2000 hours of supervised practice. 

PAs are regulated by state medical boards and must practice under the supervision of a physician, albeit the level of physician supervision varies by state. PAs must maintain their certification in the same way as doctors do: they must complete 100 hours of continuing medical education every two years and take a recertification test every ten years. Although PAs are permitted to write prescriptions in all 50 states, they are not permitted to prescribe restricted medications in Kentucky (Sarzynski & Barry, 2019).

Despite variations in training and license, Advanced practice provider’s APPs’ area of practice overlaps significantly. According to Sarzynski and Barry (2019), APPs provide over half of inpatient medical services at Veterans Health Administration facilities, with minor changes in their duties and administrators’ perceptions of care. Nonetheless, doctors and nurse practitioners have differing perspectives on their separate tasks. NPs, for example, are more likely than doctors to agree that they should have hospital admitting privileges and be compensated equally for performing the same clinical services. Two-thirds of physicians feel that doctors deliver better exams and consultations than NPs, whereas three-quarters of NPs disagree (Sarzynski & Barry, 2019). 

When compared to doctors, NPs are more likely to practice in rural locations and treat Medicaid enrollees and other disadvantaged groups. Furthermore, PAs and NPs frequently function as primary care providers. Furthermore, PAs and NPs frequently function as primary care doctors for underprivileged populations. This brings contravention to the scope of care and roles and responsibilities between physician assistants, advanced nurse practitioners, and doctors.