祝福和障碍:在佛罗里达州实现自主实践
1Department of Family Nursing, Frontier Nursing University, Versailles, KY.
概括
佛罗里达州高级实践注册护士 (APRNs) 通过众议院法案607在一些初级保健角色中获得了自主权. 然而,许多APRN仍然需要合作协议,这表明需要采取进一步的立法行动来消除实践障碍.
科学领域:
- 医疗保健政策 医疗保健政策
- 护理实践 护理实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 佛罗里达州的高级实践注册护士 (APRNs) 长期以来一直在寻求完全的实践权限.
- 医疗协会历来阻碍了APRNs的实践扩张范围.
- 尽管APRNs多年来一直致力于倡导,但进展有限.
研究的目的:
- 分析最近立法对佛罗里达州APRN实践的影响.
- 确定APRN的完全执业权威的剩余障碍.
- 倡导进一步的政策变化,以支持APRN的自治.
主要方法:
- 审查佛罗里达州的立法行动,特别是众议院法案607.
- 对初级保健护士实践人员实践范围的变化进行分析.
- 对APRN合作实践协议的要求进行审查.
主要成果:
- 众议院在2020年立法会议上通过的第607号法案,授予特定初级保健领域的护士执业人员自主执业权.
- 尽管有这样的进步,佛罗里达州的大量APRN仍然被授权在协作实践协议下运作.
- 立法代表了部分成功,但并没有完全消除实践障碍.
结论:
- 众议院第607号法案的通过是迈向佛罗里达州更大的APRN自治的一步.
- 合作实践协议仍然是许多APRN的重要障碍.
- 需要进一步的立法努力,以实现全州所有APRN的完全执业权.
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