PEER RESPONSE ON AN ARTICLE

 

MAKE A PEER RESPONSE or REVIEW 

  • A minimum of 150 words per post, not including references
  • Citations: At least one high-level scholarly reference in APA per post from within the last 5 years

 

The Nurse Practitioner (NP) scope of practice, licensure laws and regulations incorporate the evaluation, diagnosis, order, and interpretation of test to manage patients. Each state has their individual rules and regulation on how Nurse Practitioners (NP) delivery care to patient population in their state. The importance of this discussion post is to determine my state’s practice environment color and research the state process of independence or restriction on how (NP) deliver care. I will also further elaborate on barriers to care and strategies on addressing the barriers for the state of Florida.

The care delivery guidelines that each state implements for (NP) (E. Peterson, MS, APRN, AOCNP, 2017) have their own individualized importance. Each state has its own license, certification, accreditation, and academic education, or the process from practice (NP) to care provided by LACE (Ortiz et al., 2018). As well, each state has a different set of rules for basic entry-level practicing guidelines. The state’s basic LACE requirements are not universally applicable across the entire range of care. Florida is a restricted practice state for the (NP) and requires a long-term contract for oversight by a license doctor (Ortiz et al., 2018). This process means there will always be a higher license than that of the (NP) that will oversee the medical and clinical judgment of patient care (Phoenix & Chapman, 2020).

Becoming (NP) a restricted state of personal practice means limiting the availability of healthcare providers. The (NP) is highly trained and works in a wide spectrum of patient care management. One of the obstacles to why (NP) does not practice alone is due to the reimbursement model. As a (NP), reimbursement rate is lower than that of a physician. This event calls for limited availability for the Nurse Practitioner to practice alone, especially when the (NP) can get a healthy salary by going under an umbrella of a physician. Increasing this ratio to match what doctors are acquiring and removing the state of relying on practice restrictions will increase ease of practice (NP).

In conclusion, (NP) is well trained in their scope of practice. By reducing Florida’s independent practice rules and regulations, (NP) availability will be increased. Providing uniformity with the accreditation, licensure, and education across the board would encourage the consistency and stability for the scope of the (NP).

Reference

E. Peterson, MS, APRN, AOCNP, M. (2017). Barriers to Practice and the Impact on Health Care: A Nurse Practitioner Focus. Journal of the Advanced Practitioner in Oncology, 8(1). https://doi.org/10.6004/jadpro.2017.8.1.6

Ortiz, J., Hofler, R., Bushy, A., Lin, Y. L., Khanijahani, A., & Bitney, A. (2018). Impact of Nurse Practitioner Practice Regulations on Rural Population Health Outcomes. Healthcare, 6(2), 65. https://doi.org/10.3390/healthcare6020065

Phoenix, B. J., & Chapman, S. A. (2020). Effect of state regulatory environments on advanced psychiatric nursing practice. Archives of Psychiatric Nursing, 34(5), 370–376. https://doi.org/10.1016/j.apnu.2020.07.001

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