Nursing Practice Act Policy paper

Tionette Banks

UNRS 403 Leadership and Management in Professional Practice

Melissa Muddell MSN/Ed, R.N. DNP

September 20, 2017

Quality Care and Nursing Comment by Melissa Muddell: APAThe title of the paper goes here. Since it is the title, it is not considered a level one header, so therefore it should not be bolded

After reviewing the California Nurse Practice Act (NPA) as well as the hospital policies and procedures, we discover that according to the California board of registered nursing, the NPA is the body of the California law that mandates the board to set out the scope of practice as well as the responsibilities of RNs. The code of regulations also specifies the implementations of the law and the NPA is updated annually since it contains the code of regulations as well as the California business and professions code. The code of regulations contains various provisions which include intervention program guidelines as well as general provisions sections that are helpful for a registered nurse to advance in their professions by provision of quality care in accordance to the law and ethics within the care treatment centers (Aiken, Clarke, Sloane, Sochalski, Busse, Clarke & Shamian, 2001). Comment by Melissa Muddell: APA Comment by Melissa Muddell: Run on sentence Comment by Melissa Muddell: While this is a good start, you do not have any mention about hospital policy and procedures nor do you have a thesis or a purpose statement


The laws regulating nursing that arise from the NPA in California are meant to govern the nursing practice in which the practice requires specialized knowledge and independent decision making. The impact this act will have on the professional status of the nurses is very much positive since all registered regardless of their roles, population or specialty are expected to perform competently and up to the standards. The standards are meant to change owing to the dynamics. The hospital policies and the NPA really impact the way care is given to the patients by nurses making the regulations very much important both for the patients and their families (Reinhard, 2001). Comment by Melissa Muddell: Run-on sentence Comment by Melissa Muddell: Omit then place a comma after positive Comment by Melissa Muddell: This does not make sense Comment by Melissa Muddell: How? This does not explain how they impact the way care is given. What does the NPA do and how does the hospital policies work with the NPA to impact the care? Comment by Melissa Muddell: Awkward phrasing remove “very much”

The legal concerns are meant to shape the working environment in which nursing is supposed to be practiced as well as how documents are shared and kept. The California federal and state laws impact positively on the way nursing is practiced. The regulations in the act and policies must conform to the government and private initiatives. The regulations are meant to govern malpractice in nursing practices hence the laws in the act provide an overview of the legal standards of care for the nurses and the impacts of the nursing practice. The main functions of these bodies require that, as mandated in the law, the NPA as well as the hospital policies require the nurses to stop ordinary negligence as well as nursing malpractices that might affect the conduction of nursing practice as provided by the statutes (Reinhard, 2001). Comment by Melissa Muddell: What legal concerns? Comment by Melissa Muddell: comma Comment by Melissa Muddell: this sentence needs to be omitted as it says nothing of substance and does not add to the paper Comment by Melissa Muddell: according to whom? This sentence need a citation, because actually the NPA is the law Comment by Melissa Muddell: what bodies? Comment by Melissa Muddell: I have no idea what exactly this sentence is saying.

A registered nurse must read all the provisions in the act as well as the hospital policies so that they can adhere with the set regulations in the nursing practicum. The legal definition of nursing standard of care is guaranteed in the general nursing knowledge where the registered nurses must treat patients according to the rules and regulations of the nursing practices. Comment by Melissa Muddell: This paragraph does not make sense. I feel you are going around and around and are not saying anything. What is the legal definition of standard of care? Had you actually stated that, then there would be substance. What rules and regulations are you referring to??


Advanced practice nursing seeks to eliminate negligence as a nursing malpractice which is the main function of the NPA as well as the hospital policies which assess and monitor the conduct of these nurses as well as use proper communication strategies to make sure that efficient care is given to these patients (Reinhard, 2001). Comment by Melissa Muddell: What patients? How does hospital policies assess and monitor APNs? Hospital policies cannot monitor anything, they are rules that a nurse must follow

Other functions of NPA and hospital policies are meant to remove any elements of nursing malpractice that might deteriorate the health standards of the community health centers as well as public and private treatment centers. Minimizing the risks of malpractice is therefore every much important after reviewing the NPA as well as the outlined policies that are put in place to protect patients and their families and give them the right to proper and professional treatment by these registered nurses (Hadley, 1989). The policy also talks of the legal considerations which include the privacy act as well as Health Insurance, Portability and Accountability Act that must be embraced by these nurses in their quest of following the ethics in the nursing practicum. Comment by Melissa Muddell: What does this mean? How do hospital policies remove elements of malpractice? Especially in community health centers if they are hospital policies?? Comment by Melissa Muddell: Awkward phrasing Comment by Melissa Muddell: I do not understand what you are trying to say here Comment by Melissa Muddell: What policy? Comment by Melissa Muddell: What nurses are you speaking of?

The act of social networking is therefore very much important since it will impact positively in provision of proper care after adhering to the NPA and the health policies that govern California State. Other acts include the health quality improvement as well as professional practice acts which breed upon the general view of the legal aspects of nursing. The functions of these acts and policies have therefore been outlined to make registered nurses get to know all the information about the rules and regulations that govern nursing practice in California. The major functions of these two entities have therefore impacted positively on the community making it very much possible for improvements in healthcare delivery as well as the adherence to the outlined ethical standards in the nursing practicum (Hadley, 1989). Comment by Melissa Muddell: Awkward phrasing Comment by Melissa Muddell: What does this mean? How will social networking impact the provision of “proper care” Comment by Melissa Muddell: omit Comment by Melissa Muddell: remove


Being that nursing is a very much dynamic field, these policies and the NPA has made it possible to provide very clear legal authority for the functions and procedures that are done by the registered nurses to have some common acceptance in care centers as well as usage. This will help people that come up with potential health problems as well as ensure their safety and comfort in all possible areas ranging from the proper illnesses as well as their family protections (Factor, Whitney, Zywicki, Schuchat, Morin, Phan & Farley, 2000). Comment by Melissa Muddell: omit Comment by Melissa Muddell: omit Comment by Melissa Muddell: omit Comment by Melissa Muddell: omit this and end the sentence after nurses


Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J. A., Busse, R., Clarke, H., … & Shamian, J. (2001). Nurses’ reports on hospital care in five countries. Health affairs, 20(3), 43-53.

Factor, S. H., Whitney, C. G., Zywicki, S. S., Schuchat, A., Morin, C., Phan, Q., … & Farley, M. (2000). Effects of hospital policies based on 1996 group B streptococcal disease consensus guidelines. Obstetrics & Gynecology,95(3), 377-382.

Hadley, E. H. (1989). Nurses and prescriptive authority: A legal and economic analysis. Am. JL & Med., 15, 245.

Reinhard, S. C. (2001). Consumer directed care and nurse practice acts. New Brunswick, New Jersey: Rutgers Center for State Health Policy.


I have to say I was very confused reading this paper. So much so, I am wondering if you understood the assignment and what you wrote. The guidelines for the assignment were as follows: Requirements: Students will review the California Nurse Practice Act (NPA) and a literature review on hospital policies and procedures and write a brief essay describing the major functions of each. The majority of the essay should be a reflection on the impact that the Act (or a specific part of the NPA) and hospital policies will have on your professional status as a registered nurse

The assignment was for you to simply write that the NPA is the state law that dictates how registered nurses are permitted to practice within each state. Additionally, hospital policies are very specific rules that give great detail on how an R.N. may practice. For example, the NPA tells us we must provide care, comfort and safety for our patients. One way to keep them safe is by preventing infection through handwashing. The hospital policy will then detail how long we have to wash our hands, with what type of water (warm), with what type of solution, and how frequently. In addition to this there will be a separate policy on the use of the antibacterial hand gel. What you have in this paper was so confusing and very vague that I am left wondering if you understand what exactly the NPA is and what exactly the hospital policies are. Additionally, your paper had many APA, grammar, and structural errors and you did not have a thesis or a purpose statement. I do appreciate your effort, but I would like to meet with you to help you with your writing.

Grading Rubric:

Does not meet

Partially meets


More than meets










Writing is extremely limited in communicating knowledge, voice/point of view. Doesn’t appropriately respond to the purpose of the writing task. Difficult to determine what is topic.

Writing is limited in communicating knowledge; voice/point of view is confused in the purpose of the writing task. Topic is randomly presented and difficult to follow.

Writes 5 related, quality paragraphs. Uses voice/point of view. Has some awareness of the purpose of the writing task. Ideas are clear but not specific.

Writing is purposeful and focused with strong voice/point of view. Focuses on the purpose of the writing task, though not clearly stated. Ideas are clear, but some gaps in presentation and reasoning.

Writing is confident and clearly focused with a distinct, unique voice/point of view. Establishes a strong purpose statement in the introductory paragraph and focuses on the purpose of the writing task. Paper is clear and rich in details.



Writing is disorganized and undeveloped with no transitions or closure.

Writing is confused and loosely organized. Transitions are weak and closure is ineffective.

Uses correct writing format. Incorporated a coherent closure.

Writing includes a strong beginning, middle and end, with some transitions and good closure.

Writing includes a strong beginning, middle and end. Clear transitions and focused closure.



Careless or inaccurate word choice, which obscures meaning.

Language is trite, vague or flat. The reader often asks: “what did you mean by this?”

Uses a variety of word choice to make writing interesting.

Purposeful use of word choice.

Effective and engaging use of word choice to capture imagination and attention. Professional jargon used correctly.


Language mechanics

Frequent run-ons or fragments, no variety in sentence structure. Part of speech shows lack of agreement. Frequent errors in mechanics.

Many run-ons or fragments. Little variety in sentence structure. Inconsistent agreement between parts of speech. Many errors in mechanics.

Uses simple, compound and complex sentences. Maintains agreement between parts of speech. Uses correct punctuation, capitalization, etc.

Frequent use of varied sentence structure. Consistent agreement between parts of speech. Few errors in mechanics.

Consistent variety of sentence structure throughout. Use consistent agreement between parts of speech. Few, if any, errors in mechanics.


Editing & APA

Little or no evidence of spelling strategies. Lacks evidence of editing. Knowledge and use of APA not apparent.

Some evidence of spelling strategies, come evidence of editing. APA format has many errors and presented inconsistently.

Applies basic grade level spelling. Uses structural analysis for phonetic spelling. Incorporates the entire writing process using resources. APA style not followed consistently, though citations and reference page are present.

Consistent use of spelling strategies. Consistent evidence of editing. APA correct, with less than 5 errors and all required citations present with cover page and reference page.

Creative and effective use of spelling strategies. Skillfully edited. APA correct, with less than 2 errors, all citations, cover page, and reference page present.



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