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The journey to independent nurse practitioner practice
Rebecca Rigolosi1, Susan Salmond
1School of Nursing, Rutgers, The State University of New Jersey, Newark, New Jersey.
Summary
States that achieved independent nurse practitioner (NP) practice legislation between 2007-2011 utilized key strategies. These tested strategies are presented to guide future legislative efforts for NP autonomy.
Area of Science:
- Healthcare Policy
- Nursing Practice
- Health Services Research
Background:
- Independent nurse practitioner (NP) practice is crucial for expanding healthcare access.
- Understanding the legislative journey of states achieving NP autonomy is vital for policy development.
Purpose of the Study:
- To comprehensively understand the process and strategies employed by states that enacted independent NP practice laws between 2007 and 2011.
Main Methods:
- Qualitative, retrospective, descriptive study.
- Interviews with state-level NP leaders.
- Literature review of relevant legislation and national reports.
Main Results:
- Identified key, tested strategies for successful independent NP practice legislation.
- Highlighted the influence of national policy shifts, such as the 2010 Institute of Medicine report and the Affordable Care Act.
Conclusions:
- States can leverage proven strategies to advance independent NP practice legislation.
- Current policy climate, exemplified by Kingdon's model, indicates an opportune time for legislative change to enhance primary care access.
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