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The case for full practice authority.

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  • 1Olivia Holmes is the chief acute care nurse and Shanieka Kinsey-Weathers is a nurse manager for primary care at the Overton Brooks VA Medical Center in Shreveport, La.

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Granting full practice authority to advanced practice registered nurses (APRNs) can help meet the primary care needs of millions. Evidence shows APRNs provide high-quality independent care, improving healthcare access under the Affordable Care Act (ACA).

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Area of Science:

  • Healthcare Policy
  • Nursing Practice
  • Public Health

Background:

  • The Institute of Medicine (IOM) recommended in 2010 that Advanced Practice Registered Nurses (APRNs) play a key role in healthcare delivery under the Affordable Care Act (ACA).
  • Current state laws restrict APRNs, particularly Nurse Practitioners (NPs), from practicing to the full extent of their education and training, limiting independent practice and reimbursement.
  • Less than half of U.S. states have enacted full practice authority laws for APRNs.

Purpose of the Study:

  • To discuss how granting full practice authority to APRNs nationwide can address the primary care needs of millions of Americans.
  • To provide evidence supporting the high quality of independent care delivered by APRNs.

Main Methods:

  • Review of existing literature and policy analysis regarding APRN practice authority.
  • Examination of the impact of state-level restrictions on APRN practice.
  • Analysis of evidence demonstrating the efficacy of APRN-led primary care.

Main Results:

  • State-specific limitations on APRN practice hinder their ability to respond effectively to evolving healthcare demands.
  • Granting full practice authority nationwide can expand access to primary care services.
  • Evidence supports that APRNs can independently provide a high standard of patient care.

Conclusions:

  • Full practice authority for APRNs is essential for meeting the primary care needs of the U.S. population.
  • Removing practice barriers for APRNs will optimize healthcare delivery and patient access, particularly under the ACA.
  • Policy changes supporting APRN full practice authority are crucial for a responsive and effective healthcare system.