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Summary
Nursing licensure has evolved through three phases, with the current phase since 1971 focusing on expanding registered nurse roles. State nurse practice acts are being revised to support this evolution through new regulations and expanded definitions.
Area of Science:
- Nursing
- Healthcare Policy
- Professional Regulation
Background:
- Nursing licensure has undergone significant evolution since the early 20th century.
- Initial phases focused on basic registration and mandatory licensure, establishing distinct roles like practical and registered nurses.
Observation:
- The current phase of nursing licensure, initiated in 1971, involves the revision of nurse practice acts in numerous states.
- Thirty states have updated their acts to enable expanded roles for registered nurses.
Findings:
- Revisions facilitate role expansion through mechanisms such as new board regulations and broadened definitions of nursing.
- Increased physician delegation power and standardized protocols are also key strategies supporting expanded nursing responsibilities.
Implications:
- These changes indicate a trend towards greater autonomy and responsibility for registered nurses.
- The evolution of licensure supports a more adaptable and comprehensive nursing workforce to meet evolving healthcare needs.