¶ … inconsistencies among states regarding to APRN restrictions on scope of practice
The state of Utah gives APRNs a great deal of leeway regarding the provision of primary care. APRNs can function as primary care providers in autonomous practice settings. APRNs are also authorized to prescribe medications and offer physical therapy independent of physician collaboration, delegation, or supervision. APRNs can sign death certificates, issue handicap parking permits, and oversee worker compensation claims. From the point-of-view of the profession, APRNs are increasingly being called upon to fulfill the roles of physicians: this is a cost-effective approach to care and also an acknowledgement of the additional training that APRNs go through. However, from the point-of-view of other healthcare providers, such as physicians and licensed and registered nurses, there may be tensions because of a perception that APRNs are 'straddling the line' between the different professional boundaries of medicine and blending two different approaches. Physicians may feel their roles are being encroached upon; other nurses may feel what is special about nursing may be lost.
Additionally, academic institutions and nursing associations and professional organizations must acknowledge the...
"Education, certification and licensure of an individual must be congruent in terms of role and population foci" (The new APRN regulatory model, 2013, AACN). State boards, certification, and accreditation bodies must likewise be vigilant that the needed requirements for practice are rigorous enough given the expanded duties of APRNs. "Advanced practice registered nurses will be licensed independent practitioners who are expected to practice within standards established or recognized by a licensing body. Licensure will be required because these APRNs will be practicing in a role beyond that of the Registered Professional Nurse" (The new APRN regulatory model, 2013, AACN). State representatives, legislators and lobbyists must balance the needs of patients, providers, and also the justice system in framing legislation. Because Utah's allowances are so broad for APRNs, APRN responsibilities are particularly great and may expand in the future, thanks to the needs of the healthcare profession.
Variables which may impact the implementation process of APRNs taking on the roles…
