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The interface and complexity of licensure and scope of practice issues with professional standards of practice can be very confusing, particularly because the vary from state to state. This article provides an overview of the influences of regulatory boards, professional nursing organizations, and employers on the nursing practice. The roles of both regulatory boards and professional organizations are reviewed, including authority sources and mission differences. The employer's role is reviewed briefly, including attempts to "narrow" the licensed nurse's scope of practice.

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