Name of Class:

NURSING 660- Primary Health Care of

Adult/Older Adult in the Family
TITLE OF PRESENTATION
BARRIERS TO PROVIDING EFFECTIVE
PRIMARY CARE: NPs PRESCRIBING
AUTHORITY LIMITATION

BARRIERS TO PROVIDING EFFECTIVE PRIMARY CARE: NPs PRESCRIBING AUTHORITY

LIMITATION

BY
CHRISTIANA IKOME

WHAT ARE SOME OF THE

PROBLEMS?
Scope of practice
Payment
Competition vs..

Collaboration
Licensure/Certificati
on
Autonomy
Prescriptive
authority

The fight to give nurses more

power : www.youtube.com

What NPs Can Do

Diagnosing, treating, evaluating, managing

acute and chronic illness and disease

Prescribing pharmacologic treatments and
therapies for acute and chronic illness
(extent of prescriptive authority varies by
state regulations)
Providing prenatal care and family planning
services

What NPs Can Do

Providing primary and specialty care

services, health-maintenance care for

adults, including annual physicals

Providing care for patients in acute and

critical care settings

Counseling and educating patients on

health behaviors, self-care skills, and

treatment options

U.S. Health Care Workforce

Selected Primary Care Clinician Supply

ource: Cooper RA, et al JAMA 1998; 280:788-94 and COGMEs Eighth Report, November 19

Whats the issue

OPPOSITION TO EXPANDING NURSE
PRACTITIONERS' ROLE

NP SCOPE OF PRACTICE CHART

BY STATE

See chart
www.bartonassociates.co
m

nursesparticularly effective at improvisation, invention.

REFERENCES

http://www.bartonassociates.com/nurse-practitioners/nurse-practitioner-scope-of-practice-

laws/#sthash.hLatOCVE.dpuf
www.youtube.com
AANPs Federal Office: federalpolicy@aanp.org

Klein, T. (2011). Prescribing competencies for autonomous APRN prescriptive authority:

What do nurse prescribers need to know?

Kleinpell, R. M., Hudspeth, R., Scordo, K., & Magdic, K. (2012). Defining NP scope of
practice and associated regulations: Focus on acute care. Journal Of The
American Academy Of Nurse Practitioners, 24(1), 11-18. doi:10.1111/j.17457599.2011.00683.x

Nettina, S. (2008). Overcoming hurdles: Maryland NPs welcome legislative changes that
break down barriers to care. Nursing Spectrum -- DC, Maryland & Virginia
Edition, 18(14), 16.

Villegas, W. J., & Allen, P. E. (2012). Barriers to Advanced Practice Registered Nurse
Scope of Practice: Issue Analysis. Journal Of Continuing Education In Nursing,
43(9), 403-409. doi:10.3928/00220124-20120716-30

Stanley, J. (2012). Impact of New Regulatory Standards on Advanced Practice Registered

Nursing: The APRN Consensus Model and LACE. Nursing Clinics Of North
America, 47(2), 241-250.

QUESTIONS