W#1 MH

Reply separately to two of your peer’s posts (See attached peer’s posts, post#1 and post#2).

I am also attaching “MY INITIAL POST”.

INSTRUCTIONS:

Your responses should be in a well-developed paragraph (300-350 words) to each peer. Integrating an evidence-based resource!!

Note: DO NOT CRITIQUE THEIR POSTS, DO NOT AGREE OR DISAGREE, just add new informative content regarding to their topic that is validated via citations.

• Your reply posts should compare and contrast your state of Florida compared to another state you are reviewing.

Utilize at least two scholarly references per peer post.

Please, send me the two documents separately, for example one is the reply to my peers Post #1, and the second one is the reply to my other peer Post #2.

– Minimum of 300 words per peer reply.

Background: I live in South Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.

POST # 1 GINA

 

The purpose of this discussion is to research my state of Rhode Island’s current scope of practice regarding the role of the PMHNP. Also, to discuss if Rhode Island regulations present a barrier to mental health care and any groups or cultures that are impacted by the state’s current scope of practice regulations. Rhode Island is a small but mighty state when it comes to health care.  Rhode Island Nurse Practitioners have the ability to practice independently with full authority and do not have to collaborate with a physician according to R.I. general laws 5-34-3 (2) (American Association of Nurse Practitioners, 2021; Scope of Practice Policy, 2021). Nurse Practitioners also have full prescriptive authority including all scheduled controlled substances if they are within the role and focus of the population served according to R.I. general laws 5-34-49 (Scope of Practice Policy, 2021). In Rhode Island, Nurse Practitioners can serve as primary care providers according to state law according to R.I. general law 5-34-49 (Scope of Practice Policy, 2021). Psychiatric mental health is one of the recognized specialty areas of Nurse Practitioners by Rhode Island law (American Association of Nurse Practitioners, 2021). According to The National Council of State Boards of Nursing (2021), Rhode Island is one of the few states to have 28 points, and 100 percent implementation of the education, licensure, certification, and accreditation for the APRN consensus model in the United States.  The current regulations in Rhode Island do not present a barrier to mental health care. Due to the fact that Nurse Practitioners are recognized as primary providers, and can practice independently, it opens many opportunities for patients when they are seeking care. Nurse Practitioners have been shown to increase patient satisfaction, lower healthcare costs, and reduce patient morbidity and mortality (Woo et al., 2017). Rhode Island also has a large network of federally funded health centers that provide a wide array of services to patients across the state (Rhode Island Health Center Association, 2021). Our health centers are accessible in densely populated areas where we have underserved populations, and most of these centers have extensive mental and behavioral health services where Nurse Practitioners are providing the majority of the care to patients. This is positive for underserved groups in Rhode Island.

References

American Association of Nurse Practitioners. (2021). Advocacy: Rhode Island. Retrieved May 5, 2021 from https://www.aanp.org/advocacy/rhode-island National Council of State Boards of Nursing. (2021). APRN consensus model. Retrieved May 5, 2021 from https://ncsbn.org/aprn-consensus.htm Rhode Island Health Center Association. (2021). About the health centers. Retrieved May 5, 2021 from http://www.rihca.org/about-the-health-centers/ Scope of Practice Policy. (2021). State overview: Rhode Island. Retrieved May 5, 2021 from https://scopeofpracticepolicy.org/states/ri/ Woo, B., Lee, J., & Tam, W. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review. Human resources for health, 15(1), 63. https://doi.org/10.1186/s12960-017-0237-9