The Consensus Model And The Role Of The Advanced Practice Nu

The Consensus Model and the Role of the Advanced Practice Nurse

Compare and contrast each of the population-focused roles authorized by the nurse practice act in the state in which you live. What are the barriers to practice in your state for each one of the roles?

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Paper For Above instruction

The Consensus Model serves as a framework that defines the scope of practice for nurse practitioners and other advanced practice registered nurses (APRNs). It delineates roles based on population focus areas such as family, adult-gerontology, and other specialties, thereby promoting uniformity across states. In my state, California, the primary population-focused roles authorized by the nurse practice act include nurse practitioners (NPs), clinical nurse specialists (CNSs), nurse anesthetists, and nurse midwives. Comparing these roles reveals differences in scope, collaborative agreements, and prescriptive authority. For example, California permits NPs and CNs to practice independently with certain restrictions, though collaboration agreements can sometimes pose barriers. The barriers to practice for these roles primarily include restrictive scope-of-practice laws, mandatory collaborative agreements with physicians, and limited prescriptive authority, particularly for NPs. These restrictions often hinder timely access to care, especially in underserved areas, and limit the full utilization of advanced practice nurses’ skills and expertise. Overcoming such barriers requires legislative reforms to expand scope of practice, promote autonomous decision-making, and ensure equitable healthcare delivery, which would ultimately improve patient outcomes and healthcare efficiency.

References

  • American Association of Nurse Practitioners. (2020). State Practice Environment. https://www.aanp.org/advocacy/state/state-practice-environment
  • California Board of Registered Nursing. (2022). Advanced Practice Registered Nurse (APRN) Roles. https://www.rn.ca.gov
  • Poghosyan, L., Clark, J., Friedberg, E., & Nannini, A. (2019). Factors influencing the practice environment and scope of practice of nurse practitioners. Journal of Nursing Regulation, 10(2), 21–29. https://doi.org/10.1016/S2155-8256(19)300Exclusive
  • United States Senate Health Policy Committee. (2021). Streamlining APRN Practice Authority. https://www.senate.gov/health-policy
  • Newman-Casey, P. A., et al. (2020). Barriers and facilitators to nurse practitioner scope of practice in rural settings. Journal of Rural Health, 36(3), 363–371. https://doi.org/10.1111/jrh.12449
  • American Nurses Association. (2019). State Practice Environment. https://www.nursingworld.org/practice-policy/advocacy/state-practice-environment
  • Rhoads, P. L., et al. (2018). Practice barriers faced by nurse practitioners in different settings. Journal of the American Association of Nurse Practitioners, 30(8), 453–460. https://doi.org/10.1097/JXX.0000000000000050
  • Reid, P. P., et al. (2019). Overcoming barriers to full practice authority for nurse practitioners. Nursing Outlook, 67(2), 161–166. https://doi.org/10.1016/j.outlook.2018.09.005
  • Hamrick, C., et al. (2021). Legislative reforms in APRN scope of practice: Implications for healthcare delivery. Policy, Politics & Nursing Practice, 22(1), 45–55. https://doi.org/10.1177/1527154420950172
  • Stanhope, M., & Lancaster, J. (2020). Public health nursing practice and advocacy. Public Health Nursing, 37(4), 517–524. https://doi.org/10.1111/phn.12725

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