Community Health Nursing New Regulations


CommunityHealth Nursing: New Regulations

Laws at multiplelevels tend to affect community health nurses. Laws that relatespecifically to public health and to the economic and socialenvironments define and limit the community health nurses’services. The nurses can provide these services by defining thelimited practices as well as the available resources to theirclients: individuals, aggregate, families, and communities. A lawthat relates to nursing practices dictates the professionalboundaries of community health nursing practices. Also, laws thatdefine negligence and malpractice apply solely to community healthand hospital-based nursing practices. The paper, therefore,identifies one of the new community health nursing laws, the law’ssponsor by use of one of the sources to outline reasons for thechange.

The “Put aRegistered Nurse in the Nursing Home Act of 2015” is a new lawintroduced that would require all skilled nursing facilities andnursing homes that receives Medicaid and Medicare to have adirect-care RN (Registered Nurse) be on duty 24-hours, 7-days–a-week. The sponsor is Representative Jan Schokowsky whosestatement regarding the introduction of the Bill asked: “Did youknow that any community nursing homes, even with several beds, shouldnot be required to have the RN (Registered Nurse) on duty for 8 hoursor more in a day?” He went ahead and says that currently, thephysically challenged and seniors go for more than 16 hours withoutthe care of a Registered Nurse (RN) in the community homes to helpaddress their medical situation. Therefore, he said that patients arein utmost danger (Hitchcock et al., 2013).

Using statements in the public record, reasons for the introductionof change in the “Put a Registered Nurse in the Nursing Home Act of2015”ensure that there is availability of direct care24-hours-a-day. The enact of this act to law, according to Hitchcocket al., (2013), gives reason for the introduction of change sincenursing facilities has an extremely effective provider availableevery time the care is required.

There is the needfor one Registered Nurse that could not be more urgent. Hitchcock etal., (2013) noted that over the past twenty years, complexity andmedical intensity of medical care in community nursing homefacilities could be increased dramatically. The need for theimplementation of this act is because of the medical innovation thatis highly likely to assist the patients in nursing homes bedischarged at the shortest time possible. The unavailability ofRegistered Nurses for over 16 hours daily means that nobody ispresent that can respond every time the residents’ conditionsdeteriorate or change drastically.

The introduction tochange is prompted by the community nursing home’s inability tomake the kind of intervention required at any given hour in a nursingfacility that is full of weak patients. The need for implementationof this act is also prompted by interaction with other professionalswithin an emergency setting. The act will also allowed RegisteredNurses in community nursing facilities to prescribe drugs (In Lundyet al., 2016).

In conclusion, thesponsor, Jan Schokowsky, emphasizes that the “Put a RegisteredNurse in the Nursing Home Act of 2015” would help address a changethat has since been elusive as far as practices in the communitynursing home are concerned. Here, nurses would be required to altertheir mode of handling their patients and fellow staff. JanSchokowsky also emphasizes that every individual is required to agewith respect and dignity he or she deserves, and thus the law wouldguarantee effective health care, especially in community nursing.


In Lundy, K. S., In Janes, S., &amp Lundy, K. S. (2016). Communityhealth nursing: Caring for the public`s health.

Hitchcock, J. E., Schubert, P. E., &amp Thomas, S. A. (2013).Community health nursing: Caring in action. Australia:Thomson/Delmar Learning.