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With increasing interaction between governing bodies and cultures this article explores the APRN scope of practice on a global scale. It also examines access to care as a global issue postulating the need to standardize the scope of the Nurse Practitioner.

I found this article to be very interesting in that it highlights the importance of transitioning and caring for the geriatric population. As part of my AGACNP program and future career i will be working with many elderly patients.

This article discusses the challenges in standardizing the APRN scope and practice in order to increase the mobility between states for practicing APRNs. It also would increase access to APRN care nationwide. After the signing of the Affordable Care Act, there was an increase in care provided and the need for nurse practitioners increased with that.The Federal Trade Commission found that mandatory physician supervision for nurse practitioners led to higher costs and reduced quality of care.

Diverse regulatory criteria, such as variable accreditation standards, disparate certification and licensing requirements, inconsistent population foci, and scopes of practice, represent barriers to optimized APRN function within today's complex healthcare system and, ultimately, reduced access to safe, quality care for patients. The Consensus Model for APRN Regulation promises to unify APRN education, practice, and licensure, promoting greater mobility among nursing professionals. Elimination of inconsistencies in APRN licensure, education, certification, and accreditation requirements will promote greater value and mobility for the APRN within the healthcare system. Rounds, L. R., Zych, J. J. and Mallary, L. L. (2012), The consensus model for regulation of APRNs: Implications for nurse practitioners. Journal of the American Academy of Nurse Practitioners. doi:10.1111/j.1745-7599.2012.00812.x