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Scope of Practice Barriers for Advanced Practice Registered Nurses: A State Task Force to Minimize Barriers
Maria A Lofgren1, Susan K Berends, Jimmy Reyes
1Authors Affiliations: Director of Advanced Practice Providers (Dr Lofgren) and Nurse Practitioner (Dr Berends), University of Iowa Hospitals and Clinics, Iowa City; Associate Director of Practice and Education, Iowa Board of Nursing, Des Moines (Dr Reyes); Assistant Professor of Nursing, Clarke University, Dubuque (Dr Wycoff); Advanced Practice Registered Nurse, Mercy Medical Center, Des Moines (Ms Kinnetz); Vascular Nurse Practitioner/Care Coordinator, Mercy Heart and Vascular, Mason City (Ms Frohling); Director, Advanced Practice Nursing, Unity Point Health-Des Moines (Ms Baker); Advanced Practice Registered Nurse and Therapist, Hillcrest Mental Health Center, and Counselor and Coordinator, School Based Youth Services Program, Dubuque (Ms Whitty); and Professor and Assistant Dean for Graduate Practice Programs, The University of Iowa College of Nursing (Dr Dirks); and Certified Registered Nurse Anesthetist, University of Iowa Hospitals and Clinics (Dr O'Brien), Iowa.
Abstract:
Collegial relationships, administrative champions, and persistence are key components to breaking down barriers to advanced practice RN (APRN) practice. This article addresses how Iowa APRNs in a state-sanctioned task force identified barriers for practicing at the top of their licensure in a full practice authority state including defending the right to control the scope of nursing practice in court.
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