Strategies for continuity between regulatory boards Acceptance of APRN consensus model by all regulatory Boards Lobbying of legislators for unification of APRN regulatory requirement in all states Evaluation of the impact of APRN restrictive practices by states Continuation of advocacy for full practice for APRN’s by nursing associations (National Council of State Boards of Nursing, 2018) (Hain & Fleck, 2014)
Opinion regarding Independence practice Although Independent practice is not allowed in Ohio Ohio has reduced practice authority Ohio APRN sign collaboration contract with Physicians (Ohio Board of Nursing, 2018) Independent practice enables more and easy accessibility to health care APRN with independent practice are directly accountable to the public and board of Nursing It enables Reduction in health care cost Independent practice allow APRN to bill Insurance (Hain & Fleck, 2014)
Opinion Regarding Independent practice Decreased Morbidity and mortality Reduces shortage of Primary care Quality of care and patient satisfaction (Gadbois, Edward, Tyler, & Intrator, 2015). May open Nurse practitioners to more legal suits Lack of Clarity about NP practice (Hain & Fleck, 2014)
Conclusion Education, training and practice of Nurse practitioners can be divided into four LACE. There are differences in scope of practice for different states Restrictive and reduced practice authority creates barrier to practice for Nurse practitioners In order to resolve health care crisis, APRN should be allowed to have full practice APRNs should be involved in advocating for full license practice in their states by joining their local organizations (Hain & Fleck, 2015) (National council of state boards of Nursing, 2018)
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