Starter Kit for Impacting Change at the Government Level: How to Work with Your State Legislators and Regulators
Resources to assist you in advocating for key issues on the state and federal level.
Table of Contents
1. Introduction – Download
2. How to Use the Tool Kit for Impacting Change – Download
3.Guide to Media Advocacy
- Legislative Fact Sheets-Updated
- State Regulations Fact Sheets-Updated
- FAQs on Consensus Model
4. Model Legislation and Regulations for Scope of Practice and Prescriptive Authority
- Oregon Regulation for CNS
See grandfather language on page three
- Oregon Regulation for CNS Prescriptive Authority
- Indiana Nurse Practice Act – One example of regulations that has worked in state.
- Pennsylvania Legislation for CNS
See Section 8.5, however, it is best to not include national certification as a requirement, since this does not exist for all CNSs at this time.
- Pennsylvania Regulations for CNS
See Certification Requirements for language on certifying CNSs who are not eligible for national certification exam
- IOM Reports on Nursing-Updated
- The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity (2021)
- Assessing Progress on the Institute of Medicine Report-The Future of Nursing (2016)
- Robert Wood Johnson Foundation’s Campaign for Action
- Check your state’s efforts; example: https://campaignforaction.org/state/new-jersey/
- National Council of State Boards of Nursing (NCSBN)
- Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education
- APRN Model Act and Rules
- Grandfathering guidelines
- Examples of successful legislation (with links to law & regs)
- Reading list
- National Association of Clinical Nurse Specialists
- Position Statements
- Legislative and Regulatory update
- Ray MM & Mitttelstadt. Prescriptive Authority and Independent Practice Progress for the Clinical Nurse Specialist-Changes since 2010. Clinical Nurse Specialist, 2016; Sept/October: 302-303.
- Christopher, M.A. et al. (2015) Advocacy for vulnerable patients: How grassroots organizations can influence health policy. The American Journal of Nursing, 115 (3) p. 66-69. Retrieved from http://journals.lww.com/ajnonline/Abstract/2015/03000/Advocacy_for_Vulnerable_Patients___How_Grassroots.32.aspx.
- Davidson, S. et al (2001). Statutory and Regulatory Recognition for Clinical Nurse Specialists in Oregon. Clinical Nurse Specialist 15(6), p. 276-283.
Although old, it provides ideas for working with regulators.
- Hansen-Turton, T., Ritter, A. & Valdez, B. (2009). Developing Alliances: How Advanced Practice Nurses Became Part of the Prescription for Pennsylvania, Policy Politics Nursing Practice 10(7), p. 7-15.
- Hartigan, C. (2011). APRN Regulation: The Licensure-Certification Interface. AACN Advanced Critical Care, 22(1), p. 50-65.
History of licensure and certification
- Hudspeth, R. (2011). Changes for the Valuable Clinical Nurse Specialist. Nurse Administrator Quarterly 35(3), p. 282-284.
- Lyon, B. L. (2003). Advanced Practice Registered Nurse Compact A Call to Action With a Primer on the Regulation of CNS Practice. Clinical Nurse Specialist, 17(4), p. 185-187.
Note: Although written in 2003 it is still relevant and a good explanation of the impact of the APRN consensus model on the CNS and what can be done.
- Ponto, J., Sabo, J., Fitzgerald, M. & Wilson, D. (2002). Operationalizing APRN Legislation, Clinical Nurse Specialist 16(5), p. 263-269.
- Tabak, R. G. et al. (2015). Accessing evidence to inform public health policy: a study to enhance advocacy. Public Health, 129 (6) p. 698-704. Retrieved from http://journals.lww.com/ajnonline/Abstract/2015/03000/Advocacy_for_Vulnerable_Patients___How_Grassroots.32.aspx