Scope Of Practice Case Study

First, the state licensure regulates NP practice and it has been a big issue since NPs are not able to practice to the fullest extent despite of their education and training. NPs practice is regulated by state licensure and only about one-third of the nation has adopted full practice authority licensure and practice laws for NPs (Hain & Fleck, 2014). The American Association of Nurse Practitioners (AANP) reports that, under a full practice authority model, NPs are still required to meet

In 2008, the coalition of members from the Alliance for Advanced Practice Credentialing and the National Council of State Boards of Nursing (NCSBN) created the Consensus Model for Advanced Practicing Registered Nurses (APRN’s). This model creates a framework for APRN’s in licensing, accreditation, certification, and education in the United States (Alleman & Houle, 2013). The establishment of this Consensus Model has developed a bases for the ARNP’s comprehensive knowledge base, ability for clinical reasoning, cultural, and ethical competencies, establishing a model of practice for ARNPs in which to follow. These concepts will be further discussed in this paper.

Scope of practice is defined as the actions, tasks, procedures, etc that are permitted by law for a specific profession. The scope of practice in nursing "outlines restrictions to what the law permits, based on education, training and experience qualifications" (Anderson, 2013). The Boards of Nursing in the United States, for example the California Board of Registered Nursing, where I practice, has defined the scope of nursing practice in the California Nursing Practice Act.

“Barriers to Nurse Practitioner Practice that Impact Healthcare Redesign” is the article written by two physicians, Debra Hain and Laureen M. Fleck. The two physicians explain the barriers and setbacks that the scope of practice prevents APNs from practicing from. This article also gives suggestions of what steps they think should be taken in order to completely make the scope of practice fair for everyone who has been trained to practice specific skills. This will be extremely beneficial to my proposal because Hain and Fleck describe the same steps to completely even the scope of practice that I am proposing. I will be using this article mainly in my first and second body paragraph so the readers know quickly what I am proposing and that there is support from physicians on my side as well. This will hook the readers quickly and they will instantly want to know more about how the scope of practice should be made completely even. The article also gives examples about how the future of APNs education will look after the scope is made completely equal. While talking about the future of education, the article mentions The Robert Wood Foundation. This foundation was previously talked about in my call-to-action essay, when I first discussed the scope of practice in nursing. With

Defining the scope of practice for an advanced practice nurse (APRN) can be a difficult task. Currently, in the United States, each state has its own policies regarding APRN scope of practice. State policies/laws vary from restrictive to independent. States under a restrictive policy of APRN scope of practice may have strict physician collaboration regulations. For example Missouri requires the collaborating physician to review a percentage of charts and be within so many miles of the APRN’s work place. Restrictive scope of practice can also limit prescriptive authority and decrease reimbursement of services (Hain & Fleck, 2014). States with more independent scope of

Expanding the scope of practice for APRN remains a controversial issue in Missouri, where I currently reside. Expanding the scope of practice also remains an issue for the health care field nationwide. Stakeholders that I can identify include The American Association of Colleges of Nursing (AACN), The National Organization of Nurse Practitioner Faculties (NONPF), APRN Consensus Work Group, National Council State Boards of Nursing (NCSBN), APRN Advisory Committee, along with other health care organizations, health care educators, and health care providers nationwide (IOM Report., n.d., p. 133). Focusing in on Missouri, the stakeholders for this endeavor include health care

As resistant as some states’ legislative and regulatory bodies are to grant APNs autonomy of practice, the damage being done by over-regulation is clear (Safriet, 1992). Physicians are forced into a position to either supervise the APN’s practice or be constantly consulted for approval of their practice decisions. Safriet (1992) described that in and of itself, this constant supervision may appear to patients that the APN is not competent to provide adequate or care equivalent to that of a physician. If the role of the APN is to bridge gaps in health care by relieving the medical establishment of some of the patient load by performing the same function as a physician in a primary care setting, it seems wholly unnecessary to restrain their scope of practice in those areas. This type of restrictions affect cost and patient care accessibility (Safriet, 1992). This was a problem stated in the article, however 25 years later, populations of patients remain unseen or cared for and APNs continue to be underutilized (Safriet, 1992). Rigolosi and Salmond (2014) cite the American Association of Nurse Practitioners (AANP) when they state that not utilizing nurse practitioners due to practice restrictions costs $9 billion annually in the US (p. 649).

The scope of practice changes from state to state and it is good that we have the Nurse Practice Act of the state that we practice at the tip of our fingers because these laws are written by the board of that state to implement the standards of practice that is required. Further more, Federal too have their laws

In Georgia, Nurse Practitioners practice is regulated by the nursing board and is restricted. NPs are not allowed the same autonomy as other states and their capability to practice independently is not supported. According to American Associate of Nurse Practitioners (2017), restricted practice is when state practice and licensure law install limitations on the NP’s ability to practice to the full extent of their training and education. Today Georgia’s NPs are required to work collaboratively with a physician which restricts their ability. I believe that NPs are educated and competent to deliver quality care without physician oversight. Removing practice barriers can promote optimal role fulfillment and assessment for the NP providing

MSN have a Scope of Practice that set out in Ontario, such as identifying the limits and conditions under which all nurses can perform controlled acts and describing the four standard statements to be considered before performing certain procedure. The goal of MSN is to promote, restore and maintain the client 's health.

In my opinion, the APRN scope of practice should be more detailed in its wording in the Nurse Practice Act because this act is used to seek guidance, accountability and clarification when problems, issues and questions arise. Institutional Policies and Procedures and the Nurse Practice Act are used first if the nurse confronts a Scope of Practice problem (Nursing World, 2008). The Nursing Professional Scope of Practice is then used to review the language in the scope and standards to make an informed decision. Morse detailed language would be more spelled out. Therefore, a more refined with detail, scope of practice, would help to provide a clearer decision as the APRN seeks to find their ultimate responsibility and accountability. Using these

Without full practice authority for nurse practitioners, there are a number of disadvantages that will be experienced by both NPs as providers and their patients. The Affordable Care Act and Medicaid expansion has made healthcare more affordable and accessible. While this is a great step to improving the overall health of America, a shortage of provider continues to be a problem. With more people utilizing healthcare services, it is important for NPs to be given full practice authority. The Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorizations Act is one legislations that has partially addressed this issue.

The scope of practice for advanced practice nurses in various specialties defines what the nurse can and cannot do from a legal perspective (Hamric, Hanson, Tracy, & O'Grady, 2014, p. 561). It is essential to know the scope when it comes to practicing as a nurse practitioner as it defines what you can delegate and what you are responsible for. The scope of practice holds the APRN accountable for the care provided. Currently, the scope of practice differs between states, which makes it more important to be aware of what is expected in

The prime purpose of defining the scope of nursing practice as in registration of nurses is the protection of the public. The public must be assured that nursing care, from the simplest to the most complex, is provided by properly qualified people who know what they are doing, their limits and work within those limits.

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