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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.

This article talks in depth about the position statement from NAPNAP on the scope of practice for Acute Care PNP.

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

This article discusses the transition from student to an NP's first job. Patterns identified included isolation, loss of relationships, changes in professional relationships, and loss of control. Positive aspects of the transition included gains in personal satisfaction and a professional network.

Discusses aspects of negotiating scope of practice and provides copies of collaborative practice agreements, as well a list of questions that ACNP's should be asking themselves and prospective employers when considering accepting a position.

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This article discusses the Pros and Cons of using APRNs in both outpatient and inpatient settings. One of the positives is that there are more jobs for the APRN and now APRN's can specialize much like physicians. The downside to that is that there are not as many NPs doing primary care, which is leaving a gap.

This is research article discussing if the "residency" programs that are starting to pop up for new grad APRNs are helpful. I found this interesting because we briefly discussed the residency positions during the new job panel.

This article discusses APRNs working in Title X Family Planning Clinics, what lead them to practice in these clinics, and why they remain practicing in these clinics as new opportunities for APRNs arise. APRNs are described by the authors as 'critical safety nets', as they play a major role in reproductive health services and provide care to vulnerable populations and rural communities. The findings of this study, which collected data through an online survey, can and will be used during policy change decisions to improve APRN satisfaction and retention.

Thought this article could be useful as we begin to develop our elevator speeches. Many tips exist for developing elevator speeches in the business environment, however, fewer exist for securing a position in healthcare so I found this article to be helpful.

Impact out of how PCNP's in palliative care are making a positive and sometimes neutral (no negative) impact in healthcare and healthcare cost. There are better articles (from abstract alone), but no full length available for some reason via Emory Database/CINAHL/google (just not free/inaccessible).

This article touches on a topic of particular interest to me, specifically how APRN's can help fill a critical shortage of primary care providers in HIV medicine. The article validates that APRN's (NP's) are more than capable of providing high quality care to those living with HIV. Moreover, we are well positioned to fill the provider shortage that is only expected to grow over the next decade and beyond.

As NPs, many of us who have not practiced as nurses, it might be difficult to get your foot in the door of that first job. This is a personal strategy that I came up with to try and help mitigate that for myself, I'm obviously hoping that it works! For those of us who know where we want to work, for me that's in HIV medicine, I think it's important to develop the competencies that your employer will be looking for when you walk in the door. This article does a nice job of laying those out for entry level NPs looking to get into HIV medicine. What I'm trying to do is add as many of these skills to my resume while I'm attending school. My hope is that will give me an edge over NPs that I'm competing with who may not have been in the specialty specific time. If you can identify your desired areas of practice then its just a matter of looking for opportunities to add to your skillset. Look for faculty that have a shared interest, see if you can work on a research project with them. Look for nursing organizations in that specialty. There are two HIV specific organizations for APRNs looking to get into HIV medicine (ANAC and AAHIV). Join them and start networking. Take as much CNE as you can in your specialty topic - much of its free and can be done online at your own pace.

This article looked at the factors that affect the role transition from student to NP. It found a positive relationship when the individual received formal orientation. The study found no difference in those who had prior RN experience and those who did not.

The role of APRNs continues to expand when current gaps in patient care management and outcomes are identified. Central Arkansas Veteran Healthcare System created the role of Abnormal Radiology Findings APRN with the aim of improving patient outcomes by decreasing the length of time between abnormal radiology findings and decrease of care for our veterans. During the year of research since the advent of this position, the days until decision dropped on average from 38 to 7 demonstrating the efficacy of the role and the ways APRN are well placed within the health care system to provide patient-centered care.

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 looks at the impact APRNs in the Emergency Department have on cost, quality of care, satisfaction and wait times. The study concludes that Emergency Nurse Practitioners have a positive influence on quality of care, satisfaction and wait times in the ER, but is inconclusive on their impact on cost.

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.

A very interesting article going in detail on the expansion of the role of advanced nurse practitioners and the potential rewards and risks associated with it. There is a shortage of primary care providers. Pondering upon the topic of role expansion brings about the important consideration of liability but also has a positive side that includes being able to provide primary care to more people. This article brings up great discussion points.

Here is another brief, yet insightful read on the evolution of midwifery in the US.

This is a brief summary of the history of midwifery and beginnings of nurse-midwifery in the United States.Though the statistics are a bit dated, the article also has some recent data on the positive impact of the recent resurgence of midwifery practice since it began declining in the late 19th and early 20th centuries. It also discusses the profession of nurse-midwifery's close ties with public health and under served communities.