MN 507 Promoting Optimal Models

MN 507 Promoting Optimal Models and Systems for Health Care Delivery

Legislative policies in nursing play an important role in impacting critical changes in the healthcare. It is only through legislative participation that nurses are able to present problems they experience while handling individuals, family and the community. For instance, in the year 2016 the U.S legislative aimed at passing Title VII which was intended to reauthorize improve and update the nursing workforce which had various state enjoined to represent their interest (National Academies of Sciences, Engineering, and Medicine, 2016). This paper is a legislative proposal to eliminate barriers of practice that is faced by APNs and PNs in various states.

Although APNs and PNs have high levels of training that enables them to provide various services, they are not able to offer their services due to barriers associated with outdated insurance reimbursements, federal policies, as well as state laws coupled with institutional culture and practices (Odom-Forren, 2011). As such, there is need to offer APNs and PNs with privileges, licensure, and reimbursement that is in accordance with their training and education. As a nurse, I propose to the legislative table that there is need to build a common ground based on the scope of practice among other policy and practice issues affecting APNs and PNs. Secondary, there is need to broaden coalition in order to include diverse stakeholders from every state to ensure that APNs and PNs practices are accepted and approved in accordance with their education and practice. The third proposal is to call upon the collaboration of professional groups, community, and policymakers to establish a common ground that will aid to remove the restriction on the scope of practice, enhance interpersonal collaboration and improve the quality of care.

Though significant efforts has been made in some states such as Nevada, Nebraska, Minnesota, and Maryland in changing their laws to allow NPs a prescriptive authority and to grant them full practice, some states still have regulatory impediments (National Academies of Sciences, Engineering, and Medicine, 2016). For instance, in the state of Texas, the hospital licensure law does not recognize APNs and PNs as members of the medical staffs (Odom-Forren, 2011). Therefore, they have no legal rights to admit or discharge patients. As such, there is need to broaden the concept of medical staffs through allowing practitioners to practice in accordance with the state which will help other practitioners including APNs and PNs to carry out their functions in accordance with the scope of practice.

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