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State-granted practice authority: do nurse practitioners vote with their feet?
1Economics Program, Centre College, 600 West Walnut Street, Danville, KY 40422, USA.
Nursing Research and Practice
|December 11, 2012
Summary
Nurse practitioners with greater practice authority are less likely to relocate. Expanded practice rights help retain nurse practitioners, strengthening the workforce.
Area of Science:
- Health Policy
- Labor Economics
- Nursing Workforce Studies
Background:
- Nurse practitioners (NPs) play a vital role in the US healthcare system.
- Regulatory changes have granted NPs increased practice authority across states.
- Understanding the impact of these regulatory changes on NP labor markets is crucial.
Purpose of the Study:
- To investigate the labor market impact of expanded nurse practitioner (NP) practice authority.
- To analyze how state-level regulatory changes affect NP retention.
- To determine if greater practice authority influences the likelihood of NPs moving from a state.
Main Methods:
- Utilized data from the National Sample Survey of Registered Nurses.
- Incorporated a dataset on state-level NP prescribing authority.
- Performed multivariate estimation to analyze the relationship between practice authority and NP relocation.
Main Results:
- NPs in states granting expanded practice authority were less likely to move.
- The effect of expanded practice authority on NP retention was statistically significant.
- The findings indicate a meaningful economic impact on NP migration patterns.
Conclusions:
- Expanded practice authority for nurse practitioners is associated with increased retention rates.
- States that empower NPs through regulatory changes tend to retain a larger NP population.
- This study reinforces the link between NP autonomy and workforce stability.
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