pursuing my Master's degree to remain current with nursing st&ards of practice. My ADN provided me with the technical education to perform as a nurse. My BSN provided me with more of a theory based way of thinking. Nurses gain insight to ask appropriate questions in order to determine the nature of a patient's complaint using theory & principles learned with advanced education (McHugh & Lake, 2011). If every State had the same education requirements , this would be a step in the right direction to more smoothly regulate the role of the APN. Jenica

References Chamberlain College of Nursing. (2015). NR510 Leadership & Role of the APN: Week 6 lesson.[PowerPoint slides]. St. Louis, MO: Online Publication. McHugh, M. & Lake, E. (2011). Underst&ing clinical expertise: Nurse education, experience, & the hospital context. Research in Nursing & Health, 33 (4), 276-287. doi:10.1002/nur.20388 Stanley, J. (2012). Impact of new regulatory st&ards on advanced practice registered nursing: The APRN consensus model & LACE. Nursing Clinics of North America, 47, 241- 250. doi:10/1016/j.cnur.2012.02.001 Show Less Kasey Shipp 8/11/2016 11:35:53 PM Week 6, Part 2 Dr. Duncan & Class, According to Hain & Fleck, (2014), NP practice is influenced by four policy & regulation initiatives: The Consensus Model, the Doctor of Nursing Practice Movement, the IOM report, & the Patient Protection & Affordable Care Act. The main goal is to have Full Practice Authority, meaning the ability to evaluate patients, diagnose, order, & interpret diagnostic tests, initiate & manage treatments (such as prescribing medication). Additionally, it is expected that NPs will meet his or her licensing state's educational & 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 & 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.html Show Less Nicole Cassedy 8/12/2016 1:51:11 AM Part Two There 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, & 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 & education (LACE) is essential.