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Securing intellectual capital by using scope of practice.

NURSING intellectual capital is a new concept to provider agencies such as hospitals, and many have difficulty identifying and using it. No longer is “a nurse is a nurse is a nurse”a true statement. Many nursing specialties and subspecialties are linked to refined clinical skills and settings, as well as sometimes directly to reimbursement. Nurse administrators and nurses seeking scope of practice clarification or expansion must rely on effective communication with state boards of nursing to ensure practice that is compliant with the law, deemed safe, and meets a recognized standard. Nurse administrators are challenged to oversee the provision of quality care in the face of the shortage, aging workforce, diminished reimbursement, and increased demand from the underinsured and noninsured. At the same time, nurses continue to gain knowledge and develop revenue-generating skills in areas having great value to patients