Who controls nursing? Lisa wrote: This is such a broad question that

Who controls nursing?
Lisa wrote:
This is such a broad question that it is difficult to answer.  The nursing profession and practices are controlled by multiple agencies and policies.  In Texas for example, we have the Texas Board of Nursing, and then the National Council of State Board of Nursing.  The policies, rules and regulations these boards enact are governed by evidenced-based practice and our state/federal laws.  In a hospital setting, the control comes from multiple levels to include your Charge Nurse, then the Nurse Unit Manager, then the House Supervisor (usually a nurse), up to the CNO of the hospital.  These levels work best together as a team, however, more often you have several working best for the nursing staff and others working toward bettering the hospital bottom line.
Jeniffer wrote:
The question “who controls nursing?” is a very broad question that has multiple aspects to consider.  In the state of Texas, the governing body of nursing is the Texas Board of Nursing.  Our BON ‘controls nursing’ by setting standards and parameters of what nurses can and cannot do within their practice.  Legislative bills have or attempted to have control over nursing. For example, The Affordable Care Act created healthcare policies and requirements for hospital organizations to follow.  With financial stipulations at stake, hospitals changed their policies and procedures.  These mandates trickled down to nurses affecting their nursing practice and patient outcomes. Hospital administrations control nursing by adequately or inadequately providing staffing and resources for nurses to safely care for their patients.  At the bedside, however, professional nurses have the ultimate control of their license and practice by choosing to incorporate evidence-based research into their nursing and stay within the parameters set forth by the Nurse Practice Act.