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JenicaReferencesChamberlain College of Nursing. (2015). NR510 Leadership and Role of the APN: Week 6 lesson.[PowerPoint slides]. St. Louis, MO: Online Publication.McHugh, M. & Lake, E. (2011). Understanding clinical expertise: Nurse education, experience, and the hospital context. Research in Nursing and Health, 33(4), 276-287. doi:10.1002/nur.20388Stanley, J. (2012). Impact of new regulatory standards on advanced practice registered nursing: The APRN consensus model and LACE. Nursing Clinics of North America, 47, 241-250. doi:10/1016/j.cnur.2012.02.001Show LessKasey Shipp8/11/2016 11:35:53 PMWeek 6, Part 2Dr. Duncan and Class,According to Hain & Fleck, (2014), NP practice is influenced by four policy and regulation initiatives: The Consensus Model, the Doctor of Nursing Practice Movement, the IOM report, and the Patient Protection and AffordableCare Act. The main goal is to have Full Practice Authority, meaning the abilityto evaluate patients, diagnose, order, and interpret diagnostic tests, initiate
and manage treatments (such as prescribing medication). Additionally, it is expected that NPs will meet his or her licensing state's educational and practice requirements or certification. Some states fail to have full practice authority. Also, restrictive payer policies restrict some NPs from practicing independently. Finally, another barrier is the restriction to prescribe controlled substances.To better achieve better quality of care, it is essential that NPs deliver quality, efficient primary care in which NPs establish relationships with physicians and take an active role in care of patients.Hain, D & Fleck, L.. (2014). Barriers to NP Practice that Impact Healthcare Redesign. The Online Journal of Issues in Nursing; 19: 2. iodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.htmlShow LessNicole Cassedy8/12/2016 1:51:11 AMPart TwoThere is an extreme shortage of primary care providers in the United States, with a projected deficit of about 40,000 primary care doctors over the next ten years (Flaskerud, 2010, p. 816). Advanced practice nurses (APNs) have the ability to improve access to primary care in our country, and research has shown that primary care provided by an nurse practitioner(NP) produces comparable outcomes to primary care provided by a physician (Flaskerud, 2010, p. 817). In order to improve access to care across the country, a streamlined system for nurse practitioner licensure, accreditation, certification and education (LACE) is essential. At this time, each state has its own regulatory agency for APN practice, prescribing authority and licensure (Watson & Hillman, 2010, p. 25). These various regulations make it difficult for APNs to move across
state boarders in order to take another position or move to another area. The convoluted process of obtaining licensure in various states can prevent APNs from bringing much needed primary care services to populations in need. The National Council of State Boards of Nursing (NCSBN) helped to develop the Nursing Licensure Compact (NLC) which allows nurses to be