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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.

This is a great systematic review that delves into state by state regulations on scope of practice for APRNs and how restrictive practice ultimately reduces access to healthcare particularly in rural populations. The impact of the ACA and shortage of PCPs to meet this demand is also explored. Enjoy!

This is an article from The Journal of Nurse Practitioners. The IOM is recommending a transition to practice (residency program) for new graduate nurse practitioners; along with a competency tool to assess the effectiveness of such program.

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.

This article gives a great glimpse into the need for ENP programs in order to support our health system in emergency care. It was written in 2011, so before ENP certification was approved by the ANCC.

This article discusses the difficulties APRNs experience while attempting to expand their scope of practice. It explores arguments between nurse practitioners and physicians on how APRNs will contribute to the shortage of primary care providers.

This article is about the scope of practice of midwives and childbirth outcomes. It discusses the relationship between autonomous practice and better birth outcomes. The article suggests there should be future policies to expand the access to midwifery services.

This article describes entry-level competencies for NPs practicing in emergency care - it was the first to define these competencies which is key since the roles of APRNs have expanded. A Nurse Practitioner (NP) Validation Work Team was formed and a Delphi study was conducted to verify and gain consensus on professional and clinical competencies for NPs in emergency care.

NAPNAP Position Statement on Age Parameters for Pediatric Nurse Practitioner Practice

This article details the age and scope of practice for Pediatric Nurse Practioners based on NAPNAP guidelines. This helps to guide both institutions and practioners with an age related scope of practice.

This article asks the question: "Compared to other providers (physicians or teams without APRNs), are APRN patient outcomes of care similar?" The study is specific to USA and includes data regarding NPs, CNRAs, and CNMs. Outcomes were determined by the following: patient satisfaction with provider/care, patient self-assessment of perceived health status, functional status, blood glucose, serum lipids, blood pressure, emergency department visits, hospitalization, duration of ventilation, length of stay, and mortality (p9).

The Mayo clinic offers a form of residency for new grads. Mayo School of Health Sciences educates and prepares allied health professionals. The school enrolls students who excel in academic achievement to become providers of the best care to patients.

Approximately 70 to 80% of healthcare errors are due to poor team communication and understanding. High-risk environments such as the trauma setting (which covers a broad spectrum of departments in acute services) are where the majority of these errors occur. Despite the emphasis on interprofessional collaborative practice and patient safety, interprofessional teamworking in the trauma setting has received little attention.

This article discusses the stressors that a novice NP may face in providing quality care. Many programs provide adequate content and clinical exposure, but mentorship may be an effective strategy for novice NPs to transition into the role of a competent healthcare provider.

J Prof Nurs. 2013 Nov-Dec;29(6):350-8. doi: 10.1016/j.profnurs.2012.10.011.

New advance practice nurses can use these tips to help them face the challenges of their new positions.

Course concentrating on transition to APRN practice

Transitioning from a Student to Nurse Midwife