• J Am Assoc Nurse Pract · Oct 2015

    Certification and education as determinants of nurse practitioner scope of practice: An investigation of the rules and regulations defining NP scope of practice in the United States.

    • Christopher W Blackwell and Donna Felber Neff.
    • College of Nursing, University of Central Florida, Orlando, Florida.
    • J Am Assoc Nurse Pract. 2015 Oct 1;27(10):552-7.

    Purpose And BackgroundIn 2008, a consortium of advanced practice nursing organizations authored the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification, and Education. The document's aim is to provide guidance for states to adopt uniformity in the regulation of advanced practice registered nurse roles. Despite a target date to complete that work by 2015, there remains an extensive amount of variation in how states define the scope of practice (SOP) for nurse practitioners (NPs).Data SourcesBased on the National Council of State Boards of Nursing online database, state (N = 51 [includes the District of Columbia]) NP practice acts and/or rules and regulations documents were examined for language describing SOP for NPs consistent with the language of the advanced practice registered nurse (APRN) Consensus Model.ConclusionsResults indicated that 18 states and the District of Columbia (37%) had specific regulations defining NP SOP by certification and/or educational preparation while 23 (45%) did not. The remaining nine states (18%) had SOP regulations that were interpreted as being ambiguous in relation to certification and/or educational preparation.Implications For PracticeThe findings suggest much work is needed to ensure NP SOP accurately reflects NP board-certification and graduate educational preparation.©2015 American Association of Nurse Practitioners.

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