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This article discusses the current issue of supply and demand in healthcare. At a time with a shortage of primary care providers, it is important for nurse practitioners to be able to practice to their fullest extent in order to bridge the healthcare gap.

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

This article addresses the increased need for APRN's in Primary Care Settings and evaluates their role and outcomes compared to Physician's in Primary Care.

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

Connects efforts for full practice authority for NPs to the ratification of the Equal Rights Amendment by various states. States that ratified the ERA and therefore have a more egalitarian view of women are more likely to have full scope of practice laws for NPs, CNMs, and CRNAs

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.

This study looks at trends in state scope-of-practice regulations.

This is a report from the National Gerontological Nursing Association (NGNA) and the Gerontological Advanced Practice Nurses Association. The article discusses the history of the gerontological nursing and advances made in the specialty. In addition, the article discusses the AGNP scope of practice in both primary and acute care settings, relevant competencies, and maintaining certification.

Article about certification for APRN practice. I think it makes some important distinctions between licensure and certification

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

This is an older but fascinating article about a midwife working in Gardener, Massachusetts in the 19th century. Hanna continued to attend births of mostly the immigrant population of the city despite being told by courts to cease. She was convicted of "practicing medicine without a license" and had to pay many fines and spend 3 months in a correctional facility. Note that the charges brought against her were never from clients, but from the physicians working in the area.

This article reviews the origins of nurse-midwifery in the United States during the early decades of the 20th century and explores professional expansion between 1940 and 1950. Nurse-midwifery emerged from the vision of public health nurses, obstetricians, and social reformers concerned about high maternal and infant mortality rates at the turn of the century.

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.

Recently published article in NEJM that pulls together some of the exciting things coming for NPs and RNs in continuing expanded roles to meet primary care needs in our health care system.

Here is an article that provides information about ENP certification. This was written in 2013, which is the same year that the ANCC approved ENP certification.

Hoyt, K. Sue PhD, RN, FNP-BC, CEN, FAEN, FAANP, FAAN; Ramirez, Elda G. PhD, RN, FNP-BC, CEN, FAEN; Proehl, Jean A. RN, MN, CEN, CPEN, FAEN Section Editor(s): Hoyt, K. Sue; Proehl, Jean A.

Role of FNP

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.

This article reflects on the progressive changes in the redesign of healthcare and how the role of the APRN will simultaneously evolve to allow practitioners to practice to the expected level of their capabilities.

Pediatric NP's began training in 1965 in order to enhance the role of the pediatric nurse; however, since then PNP's are seeking increased autonomy from MD's in order to work to the full extent of the knowledge and skills. The article describes how PNP's are aptly trained to assess kid's who are abused, exploited, neglected, or need immunizations. As a result, PNP's have a unique role, separate from MD's, to enhance any practice.

This article is an interesting read about the policy change in North Dakota that brought independent prescriptive privileges to advanced practice nurses. The nurse leaders behind this policy change have shared the experience with other states with the goal of providing an example of an effective model of change.