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This is a toolkit from the American Association of Nurse Practitioners that APRNs can use to stay connected to legislative efforts that impact their profession. "Policy" can be a very overwhelming idea, particularly to someone who does not have experience with that realm of healthcare, so the AANP breaks it down for you. There are issue briefs on things like Full Practice Authority and Prescription Drug Monitoring Programs. These briefs give you the bullet points on why the policy is good or bad for our patients and evidence supporting that position. There's other resources as well that can help you find your legislators, find out about federal and state legislation, and get connected to legislative advocacy initiatives in your state. Participating in the legislative process is a really important way that APRNs can advocate for our patients, and this resource will support you in engaging with it.

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In this article, author Lugo discusses the findings of her study relating limits on full practice authority for APRNs to issues of gender equality. She investigated the link between state support of the Equal Rights Amendment (ERA) and laws in these states allowing APRNs full scope of practice and prescribing rights. Her study showed that states that have historically and currently supported the ERA in fact allow greater APRN scope of practice, and thus she draws conclusions about attitudes towards women's equality and the regulation of advanced practice nursing, which remains to be a woman-dominated profession.

In this May 2016 article published in the Online Journal of Issues in Nursing, Dr. Nancy Rudner Lugo argues that advanced practicing nursing viewed through a gendered perspective due to nursing's history as a predominantly female profession; because of this, APRNS in states that are less accepting of women's equality have a more narrow scope of practice. There is not currently a national-level evidence based method used to determine APRN scope, and is instead decided at the state level. The author seeks to explain the cause of the discrepancy between differing APRN scopes of practice in different states by comparing the APRN scope of practice between states that did and did not vote to pass the Equal Right Amendment, positing that states with cultural attitudes that are more equitable between genders reflect this at the legislative level, thus explaining the wider or full practice authority given to APRNs in these states. In conclusion, Lugo advocates for increasing the number of women in legislative positions, forming relationships between women's equality organizations and groups working towards expanded health care access, and emphasizing the skills and competency of APRNs in achieving positive patient health outcomes.

Nurse practice laws and regulations are specific to each state. Check out AANP's quick reference guide below for licensure and regulatory requirements, as well as practice environment details, for all 50 states and the U.S. Territories. Download State Regulatory Map Members get more! Log in for access to State Policy Fact Sheets.

May be helpful for legislation information

This is a link to a visualization of NP scope of practice in each state. Our skillset remains the same in each state, yet our autonomy is variable!

Links to information about legislation, policy, regulation, and licensure of APRNs in Georgia.

This article describes the results of a survey conducted of nurse leaders in Latin America and the Caribbean about their perception and knowledge of advance practice nursing. The results show that the majority of nurse leaders recognize a need for APRNS in order to create better access to care, however, the nursing education and legislation in the majority of the countries does not support APRN practices. This is an interesting introduction of APRNs in Latin America and the Caribbean for anyone who has interest of working in these areas.

The American Association of Nurse Practitioners (AANP) is the largest and only full-service national professional membership organization for nurse practitioners (NPs) of all specialties.

This article examines the documented positive impact of full practice legislation on patient outcomes. Potentially avoidable hospitalizations, readmission rates after inpatient rehabilitation, and nursing home resident hospitalizations were explored. States with full practice of nurse practitioners have lower hospitalization rates in all examined groups and improved health outcomes in their communities.

This article describes past and current barriers to APRN prescribing abilities in the state of Georgia. While legislation has been passed in the state to allow APRN's to prescribe medications to their patients under a collaborating physician, Georgia remains one of the most restrictive states for APRN prescribing. A descriptive study was conducted to analyze the efficacy and safety of APRN prescribing and found that out of approximately 8000 prescriptions written by APRNs, only 0.003% of those were changed by the supervising physician. The study recommended that more data be collected to support the argument for full-prescriptive authority for APRNs in Georgia.

This article looks at how legislative changes in prescriptive authority for APRNs in Georgia has actually panned out in practice and what barriers APRNs are facing in utilizing their prescriptive authority.

This article discusses different stakeholders points of view on the expansion of scope of practice for APRNs.

Discussion of progress and barriers to expanded SOP for NPs, including physician's arguments for mandatory physician oversight.

I found this article very interesting. It talks about the current challenges in midwifery in regards to legislation, reimbursement, physician restrictions, and many other restricting factors. It also discusses the challenges of the education required to become an APRN.

This article discusses the impact of differing scope of practice legislations on healthcare delivery and utilization. Overall, the study found that states with expanded practice fro NPs experienced increased healthcare utilization by patients and improved healthcare delivery.