记录在田纳西州追求完全实践权威的追求:为前进的道路提出建议
Carole R Myers1, Elizabeth Lund2, Mavis N Schorn3
1University of Tennessee, Knoxville, College of Nursing, Knoxville, TN.
Nursing outlook
|August 30, 2024
概括
田纳西州高级实践注册护士 (APRNs) 长期以来一直在寻求完全实践权限 (FPA),但进展仍然停滞不前. 实现FPA对于改善田纳西州的初级保健准入和社区经济活力至关重要.
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:
- 在田纳西州,为高级实践注册护士 (APRNs) 寻求完全实践权限 (FPA) 始于20世纪60年代末.
- 尽管最初有承诺,但田纳西州FPA的立法进展几十年来一直停滞不前.
- 目前,在田纳西州为APRN推进FPA的前景似乎不利.
研究的目的:
- 为了记录田纳西州APRNs的FPA运动的历史进展.
- 批判性地分析影响FPA停滞不前发展的因素.
- 为田纳西州未来的FPA计划提出战略建议.
主要方法:
- 来自不同来源的历史数据审查,以追踪田纳西州FPA的轨迹.
- 对当前医疗保健环境的分析,以确定FPA的必要性.
- 确定战略方法和利益相关者参与,以成功实施FPA.
主要成果:
- 田纳西州仍然是少数缺乏APRN的FPA的州之一,这影响了初级保健的可访问性.
- 没有FPA给田纳西州社区的经济健康带来了挑战.
- 对于修订战略和共同努力来实现FPA,存在着至关重要的需求.
结论:
- 实现田纳西州FPA的道路需要方法的战略转变和新利益相关者的参与.
- 提出了具体的,可行的建议,以指导未来对FPA的努力.
- 克服立法障碍对于扩大APRN角色和改善田纳西州的医疗保健服务至关重要.
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