Barriers to Advanced Practice Registered Nurse Scope of Practice: Issue Analysis

TitleBarriers to Advanced Practice Registered Nurse Scope of Practice: Issue Analysis
Publication TypeJournal Article
Year of Publication2012
AuthorsVillegas W., Allen P.
JournalThe Journal of Continuing Education in Nursing
Date PublishedSep 2012
ISBN Number00220124
KeywordsAdvanced Practice Nursing – education, Advanced Practice Nursing – standards, Associations, Continuing – standards, Credentialing – standards, Education, Health care policy, Hospitals, Humans, Medicaid, Medicare, Nurse Practitioners, Nurses, Nursing, Nursing – standards, Physicians, Societies, United States, United States–US

Advanced practice registered nurses (APRNs) have the unique potential to affect the changing needs of health care in the United States, but are restricted in care provision by varying state regulations and reimbursement policies. Although research shows APRN care to be safe, cost-effective, and of high quality, most medical professional organizations continue to oppose the removal of scope-of-practice barriers, citing patient safety concerns. Nursing organizations at the state and national levels have already begun to invest the time and resources needed for policy change. However, empirical evidence of APRN quality of care must be shared with policymakers, funding entities, and the public. Additionally, support must be garnered from the public and other health care disciplines. Scope-of-practice policy change will occur through the emergence of strong individuals within nursing professional organizations and the joining together of organizations to form one voice.