1. Nurse practitioners are a very important group of advanced practice nurses who deliver primary care in the United States. They receive extensive training after nursing school to transform into advanced care practitioners. By allowing full practice authority for nurse practitioners this would allow for high-quality, cost-effective health care. However, a complete picture for utilizing full practice authority for nurse practitioners across all fifty states still needs to be established. Only 22 states allow for full practice authority in the unites states which means we as future nurse practitioners need to come together and lobby or a consistent scope of practice throughout all fifty states (Zwilling et. al., 2020).
One benefit of the coronavirus pandemic is that is ushered a new era and new practices for the advanced practice registered nurse. Nurse practitioners were able to practice in ways they have not before due to emergency, regulatory and policy changes. Nurse practitioners were able to work to the full extent of their education and training. These changes however were only temporary. Because of this change, Nurse Practitioners now have the opportunity to educate others and lobby for themselves to their role and advocate for these permanent legislative changes (Stucky et. al., 2021).
Ways Nurse practitioners can fight for their rights in obtaining full practice authority is by lobbying with legislators, coming together to create websites, emails and letters that reach above and beyond our local senators. By Senate becoming aware of how beneficial nurse practitioners were during a global pandemic is one step closer to us gaining full practice authority in all 50 states.
Stucky, C. H., Brown, W. J., & Stucky, M. G. (2021, January). COVID 19: An unprecedented opportunity for nurse practitioners to reform healthcare and advocate for permanent full practice authority. In Nursing Forum (Vol. 56, No. 1, pp. 222-227).
Zwilling, J. G., & Fiandt, K. (2020). Where are we now? Practice-level utilization of nurse practitioners in comparison with state-level regulations. Journal of the American Association of Nurse Practitioners, 32(6), 429-437.
2. Our group project focused on the topic of the nursing shortage and specifically the healthcare workforce resilience Act HR2255. This project and the class overall have taught me that as future APRNS we have a responsibility to our patients, communities, stakeholders, and profession to be responsively active in promoting and supporting an agenda that benefits everyone. Not only in healthcare facilities but also in the rules that guide our practice, we have a moral and ethical commitment to be proactive in protecting our patients and communities. The ANA’s Code of Ethics (2015) emphasizes advocacy under provision 3: The nurse promotes, advocates for, and safeguards the patient’s rights, health, and safety (Horton et al., 2019). Leading by example encourages others to follow suit. Advanced Practice Nurses (APNs) have the unique capacity to communicate not only from a nursing standpoint but also from the perspective of a Primary Care Provider (PCP). Policy changes do not happen quickly or easily; in fact, most take years to develop. In order to develop, promote, and progress our ever-changing healthcare delivery, APNs and other nursing professionals must remain attentive and unyielding. The COVID-19 pandemic is a great example and illustration of how quickly priorities and requirements can shift, potentially resulting in the difference between life and death.
The lack of PCPs in California is getting worse. According to Spetz, “Physician supply in California will meet less than half of demand for primary care in 2030 but this gap can be addressed by expected expansion in Nurse Practitioners. Policy leaders point to the elimination of unnecessary barriers to Nurse Practitioner care as a means to address this primary care shortfall, especially in rural and underserved areas” (Spetz, 2019).
Horton, S. E. B., Todd, A. T., Johnson, K. E., Gaskamp, C. D., Guillet, N., & Murray-Chavez, J. (2019). Public health policy simulation. Journal of Nursing Education. , 58(3), 178–181. https://doi.org/10.3928/01484834-20190221-10
Spetz, J. (2019). California’s Nurse Practitioners: How scope of practice laws impact care. Retrieved from https://www.chcf.org/publication/californias-nurse-practitioners/

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