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State responses to COVID-19: Potential benefits of continuing full practice authority for primary care nurse
Lusine Poghosyan1, Joyce Pulcini2, Garrett K Chan3
1Columbia University School of Nursing, New York, NY.
Background:
During the COVID-19 pandemic, federal and state governments removed the scope of practice restrictions on nurse practitioners (NPs), allowing them to deliver care to patients without restrictions.
Purpose:
To support policy makers' efforts to grant full practice authority to NPs beyond the COVID-19 pandemic, this manuscript summarizes the existing evidence on the benefits of permanently removing state-level scope of practice barriers and outline recommendations for policy, practice, and research.
Methods:
We have conducted a thorough review of the existing literature.
Findings:
NP full scope of practice improves access and quality of care and leads to better patient outcomes. It also has the potential to reduce health care cost.
Discussion:
The changes to support full practice authority enacted to address COVID-19 are temporary. NP full practice authority could be part of a longer-term plan to address healthcare inequities and deficiencies rather than merely a crisis measure.
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