Texas is home to nearly 10,000 nurse practitioners. Nurse practitioners (NPs) in Texas do not have as many freedoms as NP 's in many other states. In fact, Texas falls at the lower end of the spectrum regarding the freedoms it offers nurse practitioners. House Bill 1885 would grant full practice authority in Texas to all advanced practice registered nurses (APRNs), including nurse practitioners (NPs). It would authorize APRNs to evaluate and diagnose patients; order and interpret diagnostic tests; and initiate and manage treatments; prescribing of medications, these are currently job descriptions of APRNs and NPs that they are already doing, however, it would move these items under the exclusive licensure authority of the Texas Board of Nursing.
Kentucky Board of Nursing mission statement: The Kentucky Board of Nursing protects the well-being of the public by development and enforcement of state law governing the safe practice of nursing, nursing education and credentialing. Law & Regulations: An APRN (licensed by the Board and certified by a national organization in an advanced practice role and population foci) must first determine whether the statutes (the Nurse Practice Act) prohibit the action in question. For example, an APRN designated as a Family Nurse Practitioner may not write a prescription for a Schedule II drug for 30 days. This action would be outside the APRN, designated FNP’s scope of practice. (KRS 314.011(8) (a)
Jessica, I agree with you 100%. The differences and variation in the ANP scope of practice among the nation, does not allow for others especially legislators, to have a clear view of the ANP nurse and what it can be accomplish it all the restrictions and barriers were eliminated. It will also change the public perception and attitudes towards nurse practitioners. I firmly believe that NPs have not only the power, but the ability to improve and make sustaintials changes to our health care system, Excellent
Scope of Practice NP’s scope of practice can vary depending on which state they are licensed in. It is extremely important that the NP is aware of the laws and regulations that their state has implemented. Understanding the scope of practice allows you to understand what you can and cannot do as an NP. In Arizona, NP’s are board certified and are now required to take a national certifying exam (Buppert, 2015). NP’s in Arizona have an expanded scope of practice, they can assess, manage, diagnose, and prescribe medications to patients.
From the research, it is believed by the author, that since the licensing is done at the state level, this is where changes in America should be implemented. APNs need lobbyists to advocate for the changes needed. It appears that in the states where there APNs have restricted practices, it is due to lobbying by the state’s medical board. The legislators should be presented with the facts, APNs provide safe and cost effective care to the patients. Citizens should get involved and write letters to make the legislators aware of the problem.
“Advanced Practice Professionals” means those health care professionals who are not physicians and dentists and who will function within a scope of practice but may practice independently on defined clinical privileges as defined in these bylaws. These professionals include physician assistants (PAs), advanced practice registered nurses (APRNs), certified registered nurse anesthetists (CRNAs), certified registered nurse practitioners (CRNPs), and clinical pharmacist specialists/clinical pharmacist practitioners (CPS/CPPs). Advanced Practice Professionals may have prescriptive authority as allowed by federal regulation, and/or state of licensure statutes and regulations, under the supervision of a credentialed and privileged Licensed Independent Practitioner when required. Unless privileged to do so, Advanced Practice Professionals do not have admitting authority. Advanced Practice Professionals may initiate prescriptions for non-formulary drugs or prescribe controlled substances in accordance with state of licensure statutes and regulations.
As we have been noted the role and the scope of practice of the nurse practitioners in the healthcare system are unmeasurable. The nurse practitioners (NPs) play a tremendous role in providing healthcare to the people in the United States. Their presence has been recognized in developing the health care industry not only in the US but also globally. Despite the role that the NPs have played into the healthcare system, they still encounter some challenges that can impact their practice. One of these challenges is the NP autonomy of practice.
In during the comparison of both the Hippocratic and Nurses oath, there are some similarity in the pledge. Nurses and Physicians promise before God /Almighty to do no harm, not to administer harmful drugs and to pass their life for their profession. Furthermore, maintaining their patient’s confidence and not divulge information. Although, there are some resemblance in which that are on one accord, there are several variances in both oath. The divergence in the oaths were conspicuous in how it relied on history view of woman.
The purpose of this review of literature article was to create a conceptual framework model of practice recommendations and interventions that can be used to acknowledge the benefit of expanding nurse practitioner scope of practice (SOP); develop a uniform nationwide consensus APRN SOP; and reveal evidence that shows that poor patient healthcare outcomes can occur as a result of restricted NP scope of practice due to barriers created by either physician-related, political, and/or organizational opposition. According to Poghosyan, Boyd & Clarke (2015) over a 4-month period articles were used to build the model. Policy papers, research studies, including original research and reviews, and reports focused on nursing workforce in the United
The achievement of the Millennium Development Goals set out by the United Nations is a worldwide ambition and one which calls the nurse workforce to action. These goals and indeed many other health related goals are only achievable if we have well informed health policies and well managed and led action plans. The reality is that the habits of practice rather than those informed by best evidence still persistently get in the way of achieving our goals. Poorly informed decision making is one of the main reasons services can fail to be delivered in an optimal way and can also contribute to variations in practice which make services less efficient, ineffective and inequitable.
Advanced Practice Registered Nurses (APRN) play a vital role in the future of health care irrespective of their specialty .APRNs are often primary care providers and are at the forefront of providing preventative care to the public (Nursing World, n.d.). Advanced practice nursing roles are developing globally, and opportunities for advanced practice nursing are expanding worldwide due to the need for expert nursing care at an advanced level of practice. . The role of the Nurse Practitioner (NP) is shaping the health care and the professional practice environment. Since the emerging of Affordable care Act the vale and the contributions of APRN to improve access to health care services has increased.
there are scopes and standards of practices that the practitioner must not act outside of (ANA, 2016). There are also state regulation scopes of practices that allow for Nurse Practitioners to practice independently, with reduced practice, and with restricted practice. Along with these practice environments, Nurse Practitioners must abide by facility and institutional policy and procedures that outline their scope of practice (ANA, 2016). There are very few states that still allow Nurse Practitioners to practice without a national certification. These states in the future may require the nurses however to in fact take national certification as more employers and third party insurers for malpractice are looking
9. PROFESSIONAL AUTONOMY IN NURSING Nursing has come a long way from being the hand maidens of the physician to having control over nursing knowledge and practice. It now has two essential ingredients of accountability and autonomy. There is more demand from the nurses now than in the past when all they were expected to do was just to provide comfort and care.
It is because the “nursing practice is regulated by each state through a board of nursing established by the state’s government” ( Wright & DeWitty, 2005,p.3) nurse must understand what these laws are and how they dictate their
In the U.S. (and increasingly the United Kingdom), advanced practice nurses, such as clinical nurse specialists and nurse practitioners, diagnose health problems and prescribe
