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Clinical nurse specialist prescriptive authority and the legislative process

J J Baltimore¹, P Gillett

¹Department of Nursing, Mayo Medical Center, Rochester, Minnesota, USA.

Advanced Practice Nursing Quarterly

|January 6, 1999

Summary

Clinical nurse specialists face barriers to practice, including denied prescriptive authority. This article details New Mexico

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Area of Science:

Nursing Practice
Health Policy
Advanced Practice Nursing

Background:

Clinical nurse specialists (CNS) are advanced practice registered nurses with graduate education.
Many states restrict the scope of practice for CNS, denying them prescriptive authority.
These restrictions limit the contributions CNS can make to healthcare delivery.

Purpose of the Study:

To describe the process by which the New Mexico Council of Clinical Nurse Specialists obtained prescriptive authority.
To inform other CNS and nursing organizations about strategies for legislative change.
To encourage political activism among CNS to expand their scope of practice.

Main Methods:

The article details the formation of the New Mexico Council of Clinical Nurse Specialists.
It outlines the lobbying efforts and engagement in the legislative process.
Strategies for political involvement and policy change are discussed.

Main Results:

The New Mexico Council of Clinical Nurse Specialists successfully navigated the legislative process to gain prescriptive authority.
The experience highlights the importance of organized advocacy and political engagement.
Restrictive policies can be challenged and changed through dedicated efforts.

Conclusions:

Clinical nurse specialists must become politically active to overcome practice barriers.
Collaboration with state nurses associations is crucial for policy reform.
Expanding prescriptive authority for CNS enhances their role in patient care and the healthcare system.

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