Original Article

Barriers to Advanced Practice Registered Nurse Scope of Practice: Issue Analysis

Whitney J. Villegas, RN, BSN, CCRN; Patricia E. Allen, EdD, RN, CNE, ANEF, FAAN

  • The Journal of Continuing Education in Nursing
  • September 2012 - Volume 43 · Issue 9: 403-409
  • DOI: 10.3928/00220124-20120716-30
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Abstract

Advanced practice registered nurses (APRNs) have the unique potential to affect the changing needs of health care in the United States, but are restricted in care provision by varying state regulations and reimbursement policies. Although research shows APRN care to be safe, cost-effective, and of high quality, most medical professional organizations continue to oppose the removal of scope-of-practice barriers, citing patient safety concerns. Nursing organizations at the state and national levels have already begun to invest the time and resources needed for policy change. However, empirical evidence of APRN quality of care must be shared with policymakers, funding entities, and the public. Additionally, support must be garnered from the public and other health care disciplines. Scope-of-practice policy change will occur through the emergence of strong individuals within nursing professional organizations and the joining together of organizations to form one voice.

 

 

AUTHORS

Ms. Villegas is Graduate Student and Dr. Allen is Professor and Director, Center for Innovation in Nursing Education, Texas Tech University Health Sciences Center, School of Nursing, Lubbock, Texas.

The authors have disclosed no potential conflicts of interest, financial or otherwise.

Address correspondence to Whitney J. Villegas, RN, BSN, CCRN, Texas Tech University Health Sciences Center, School of Nursing, 5017 Bomford Drive, Fort Worth, TX 76244. E-mail: whitney.villegas@ttuhsc.edu.

Received: January 18, 2012
Accepted: June 21, 2012
Posted Online: July 23, 2012

doi: 10.3928/00220124-20120716-30

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