State The Problem

1340 WordsDec 5, 20166 Pages
Step 2: State the problem Inability to practice to the full extent of APRN education and licensure Of the many obstacles that presently affect APRN practice uniformity, the most prevalent problems are the inability to practice to the full extent of APRN education and licensure, the inability of APRNs to practice across state lines, and the inequality of the reimbursement scale for payment of services. “Such lack of uniformity has had unintended consequences, including decreased mobility for APRNs, which in turn has reduced access to health care for patients” (Chornick, 2010, p. 58). The most concerning issue is the one concerning full practice authority. Inability to practice across state lines One disheartening problem with practice authority is that it varies from state to state. “Variability in state regulation of NP practice limits the full deployment of these proven healthcare providers, threatens the quality and safety of NP-delivered care, and limits consumer choice in healthcare access” (Lowery, 2015). Some states allow full practice independence for APRN practice, while other states command all-inclusive dependency on a collaborating physician. The states that require the collaborating physician also have some variances, as some locations require the physician to physically be inside the same building with the practicing APRN and other locations require the physician to be within a certain number of miles of the practicing APRN. “Scope of practice for NPs is
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