Effect of state regulatory environments on advanced psychiatric nursing practice.

TitleEffect of state regulatory environments on advanced psychiatric nursing practice.
Publication TypeJournal Article
Year of Publication2020
AuthorsPhoenix, BJ, Chapman, SA
JournalArch Psychiatr Nurs
Volume34
Issue5
Pagination370-376
Date Published2020 Oct
ISSN1532-8228
KeywordsAdvanced Practice Nursing, Health Services Accessibility, Health Workforce, Humans, Nurse Practitioners, Practice Patterns, Nurses', Psychiatric Nursing, Scope of Practice, State Government, United States
Abstract

The first key message in the landmark Future of Nursing report is that "Nurses should practice to the full extent of their education and training" (Institute of Medicine, 2011). Although there has been significant progress across states to remove or diminish barriers to the exercise of full scope of practice by advanced practice registered nurses (APRN), state regulations continue to unnecessarily restrict APRN practice in most of the United States. This article integrates data from studies that examine how state and local regulation affects psychiatric mental health APRN practice with the literature on how state scope of practice regulation affects the size and distribution of the broader APRN workforce, access to care, health care costs and prices, and innovation in health care service delivery. Common themes include confusion about regulatory requirements and mixed experiences of mandated physician supervision.

DOI10.1016/j.apnu.2020.07.001
Alternate JournalArch Psychiatr Nurs
PubMed ID33032760
PubMed Central IDPMC7347354