I have worked in Texas and Washington. The difference in Texas is that we have a peer review process, which I believe is the only state that does it. We did Peer Review for Safe Harbor (if our patient care assignment would endanger the patient) and Incident Based Peer Review. http://www.texasnurses.org/displayco...articlenbr=256
I am not trying to tell you how to do your paper, but an idea would be to take two states side by side, do some comparisons (to simplify) and then show the differences. I really think Texas would be a good state to review in your study because the BON functions a little differently than other states (in regards to its decision making models, delegation and so forth).
I think comparing what one state lets one RN do from another is interesting, but I think looking at the conceptual framework of how each one operates is even more interesting- which would be very time consuming, thus the two states side by side would then unfold differences that would be easier to measure.
When I did Peer Review, I was told that Texas might have to do away with it because no other state participates in that type of process and it is one of the oldest forms of the process of its kind.
Again my opinion:
Interesting topic, I wonder how it would work out at the national level, because each state is responsible for it's own jurisdiction and the Boards of nursing protect at that level.
The state itself covers over the criminal and civil jurisdiction of the state. I think each state would have to agree on a national scope of practice and regulate it within its states borders. That could take forever! I actually think it is a really great idea. If you want to practice in another state, I think the transition might be easier because we as RN's already know what is expected. Then again each states nursing practice act is a lot like the other in terms of wording in the broadest sense, which is to follow the institutional policy in which one is employed.
I am interested in this topic