[Lack of foresight in nursing legislation. Insufficient nursing manpower and nursing legislation].
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Many state boards of nursing are currently examining advanced nursing practice and determining a process to recognize and regulate it appropriately. In 1999, Minnesota state law was altered to define and provide title protection for advanced practice registered nurses. After passage of the new law, the Minnesota Board of Nursing convened 4 task forces, representing each of 4 advanced practice nursing groups, to develop recommendations regarding issues of certification, criteria for determining acceptable certifying organizations, procedures in the event of examination failure, and a process for communicating this information to the nursing community. This article provides an overview of the legislation and describes the process used to obtain and operationalize the new law. The process undertaken in the clinical nurse specialist task force is also described, including the key issues that emerged and lessons that were learned.
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Making sense of the European Union (EU) and its institutions rests largely on the understanding that essentially all its endeavours are an attempt to guarantee the four freedoms of movement--of goods, services, labour and capital--that are the pre-requisites for the creation of an economic area without internal frontiers and the establishment of economic and social union. With the ratification of the Treaty on European Union (Maastricht Treaty) the EU also aims to assert its identity on the international scene; strengthen the protection of the rights and interests of the nationals of its Member States; develop close cooperation on justice and home affairs; and maintain in full the acquis communautaire (the evolving legacy of EU developed principles and laws). It is the four freedoms of movement, however, that remain the dynamo that drives EU thinking. To disregard this fundamental concept is to ensure that the EU will for ever remain a mystery.
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