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Published on: June 14, 2019
Examining changes to statewide NP practice in Connecticut.
Meredith Wallace Kazer1, Cynthia K OʼSullivan, Michelle Leonard
1Meredith Wallace Kazer is a dean and professor at Fairfield University, Egan School of Nursing & Health Studies, Fairfield, Conn. Cynthia K. O'Sullivan is an associate professor and Master of Science in Nursing coordinator at Southern Connecticut State University, New Haven, Conn. Michelle Leonard is a director of allergy/co-owner/NP at Connecticut ENT Sinus & Allergy, Norwalk, Conn.
Connecticut advanced practice registered nurses (APRNs) gained independent practice rights in 2014. This study explored their experiences, practice changes, and recommendations for optimizing this autonomy.
Area of Science:
- Nursing Practice
- Health Policy
- Healthcare Administration
Background:
- In 2014, Connecticut legislation removed the requirement for physician collaboration agreements for advanced practice registered nurses (APRNs) with 2,000 hours of experience.
- This policy change aimed to expand the scope of practice for experienced APRNs.
Purpose of the Study:
- To examine the practice changes experienced by APRNs after the removal of collaborative practice agreements.
- To identify barriers encountered by APRNs in independent practice.
- To gather recommendations for enhancing the implementation of independent practice for APRNs.
Main Methods:
- Qualitative study utilizing focus groups.
- Thirteen nurse practitioners (NPs) participated in discussions about their experiences.
Main Results:
- Focus groups revealed insights into the practical implications of independent practice for APRNs.
- Participants shared challenges and successes related to autonomous practice.
- Recommendations were generated for policy and practice improvements.
Conclusions:
- The removal of collaborative practice agreements has impacted APRN roles in Connecticut.
- Addressing identified barriers is crucial for successful independent practice.
- Further research and policy refinement can optimize APRN utilization.
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