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Kenyatta University *

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Nursing

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Nov 24, 2024

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Response to Sandeep Kaur Hello Sandeep, thanks for the interesting discussion. Indeed, APRNs is a topic gaining significant discussion within healthcare systems worldwide. This is due to the fact that APRN scope of practice is regulated by a range of health care laws and regulations which sometimes hinder these professionals from practicing to the full extent of their education and qualification. In California, APRN practice is regulated with specific rules. While they have certain limitations, their role in primary care and patient management remains pivotal. However, there is potential for further enhancing their scope of practice to align with the growing demand for healthcare services. Indeed, enabling APRNs to practice independently can have substantial benefits for the healthcare system, patient care, and accessibility to services. According to research, independent practice for APRNs means increased accessibility to healthcare services, especially in underserved or remote areas where physician shortages are prevalent. By allowing APRNs to work without direct oversight from physicians, patients can receive timely care, reducing wait times and improving health outcomes (DePriest et al., 2020). In addition, with the ability to practice independently, APRNs can manage routine care, conduct assessments, prescribe medications, and provide preventive services which in turn improves patient outcomes and satisfaction. Reference DePriest, K., D’Aoust, R., Samuel, L., Commodore-Mensah, Y., Hanson, G., & Slade, E. P. (2020). Nurse practitioners’ workforce outcomes under implementation of Full Practice Authority. Nursing Outlook , 68 (4), 459–467. https://doi.org/10.1016/j.outlook.2020.05.008

Response to Melissa Joseph Hello Melissa, thanks for the informative and interesting post. It is evident that having restricted practice for nurse practitioners, as seen in New Jersey, poses several disadvantages. While they do have some autonomy, the requirement for collaboration with a licensed physician limits their ability to independently provide care. This dependence on physician supervision can potentially delay patient access to crucial treatments, especially in scenarios where physician oversight might not be readily available. On the contrary, full practice authority and APRNs can leverage their education and experience to deliver timely and comprehensive care without unnecessary restrictions. This is particularly crucial during emergencies or times like the COVID-19 pandemic. According to research, access to quality healthcare services stands as a cornerstone of societal well-being. Implementation of full practice authority for nurse practitioners in New Jersey will mark a critical juncture in healthcare delivery, amplifying patient access, elevating care quality, and streamlining healthcare systems. Full practice authority dismantles barriers to healthcare access, particularly in underserved or remote areas where physician shortages persist (Kleinpell et al., 2023). Reference Kleinpell, R., Myers, C. R., & Schorn, M. N. (2023). Addressing barriers to aprn practice: Policy and regulatory implications during COVID-19. Journal of Nursing Regulation , 14 (1), 13– 20. https://doi.org/10.1016/s2155-8256(23)00064-9

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