(Answered) NRS 440 Week 4 Assignment 1


As you have discovered through this course, nurses are influential members of the community and the political system. Therefore, for the purposes of this assignment you will identify a problem or concern in your community, organization, etc. that has the capacity to be legislated. You will conduct research and state a proposal. Through the legislative process, your proposal for the problem or concern may influence an idea for change into a law.

First, refer to the “How a Bill Becomes a Law” media.


Then, view the “Bill to Law Process” to watch the scenario.

After viewing the scenario, refer to the “Legislative Assignment.” You will need to save the document first in order to use it.

Submit the assignment to the instructor. You also reserve the right to submit your completed proposal to the respective government official. However, this is optional. If you select to submit your proposal as a part of the legislative process, refer to “Find Your Representative” or research the contact information on your own.


A Bill Becoming a Law

Any concern that relates to the healthcare structure in the United States (US) impacts the whole community at large. In a number of instances, various bills are introduced to the Congress for integration into the American laws. The healthcare sector has a number of policies, standards and laws and regulations that guide and govern the practice as well as the practitioners. Most of the laws have passed through the process of changing from a proposal, to bill and to a law. The fact that the US allows for any person to draft a bill and sponsor it, regardless whether it is from a private citizen or public civil rights group, enables all citizens to feel entitled in identified the issues that surround or are within nursing practice and try to develop ideas/ proposals for change and improvement.

As a private citizen, the concern/ problem I identified is the existence of regulatory scope-of-practice barriers which prevent the advanced practice registered nurses (APRNs)from performing and practicing to their full capacity and the total scope in light of their education. As such, the outlined proposal is to eliminate the scope-of-practice barriers to allow the APRNs to exploit and practice their training and education extensively. The APRNs in many settings have continued to prove their ability and capacity to deliver accessible, cost-efficient and quality care in the absence of supervision by a doctor. If the above proposal is passed by U.S Congress, it provides an opportunity for the APRNs to autonomously practice in both suburban and urban areas in the absence of supervision by the physicians/doctors. In the contemporary times, the APRNs can practice without doctor’s supervision only in the underserved areas. According to Fealy et al.(2018), APRNs include the certified midwives, clinical nurse specialists, nurse practitioners, and certified registered nurse anesthetics who are in common cases prepared in master’s degree programs. The nurses as adduced by Lofgren et al. (2017) are equally competent as the doctors in carrying out various clinical practices such as performing an endoscopic screening test for colon cancer.