Although these nurses didn't get everything they asked for, their inquiry did culminate in a broadening of their nursing practice, as I'll explain in more detail shortly. The rules governing nursing practice are created by numerous shareholders in health care. So, before posing a scope of practice question, you need to find out the source of the rule in question. The following list indicates the hierarchy of authority for nursing practice. A lower authority can't grant privileges or responsibilities denied at a higher level.
Federal statutes are the highest authority.
State statutes, such as the nurse practice act, are specific to nursing practice in each state. The nurse practice act defines the composition and authority of that state's board of nursing. Rules and regulations are promulgated by a governing body, such as the board of nursing. They're not laws, but you're still bound by them. Because they don't involve formal legislation, they're usually easier to change than a statute.