National Governor’s Association explored three questions and provided the answers in The Role of Nurse Practitioners in Meeting Increasing Demand for Primary Care. The questions focused on the variance across the states for how nurse practitioners are allowed to practice, how the ability to practice varies from evidence about their practice, and what the impact of changes would be on quality and access to care. The suggestion at the end of this report is that states consider changing the ability to practice so it is uniform and allows nurse practitioners to practice as they are prepared.
The National Institute for Health Care Reform
Released a research brief in February, 2013 focused on primary care and how nurse practitioners can help meet the needs. The article is titled “Primary Care Workforce Shortages: Nurse Practitioner Scope-of-Practice Laws and Payment Policies“. Two significant issues are scope of practice and reimbursement.
The National Council of State Boards of Nursing presents some ideas to consider.
Scope of practice is often seen as something that concerns only nursing professionals. This brief document(PDF) explains why those who receive care from nurses need to take part in the discussion about scope of practice for advanced practice nurses.
Information about APRNs for consumers(PDF) from the National Council of State Boards of Nursing
The Robert Wood Johnson Foundation working with AARP is supportive of nursing, including advanced practice registered nurses.
Improving patient access to high-quality care provides information about APRN preparation and challenges these educated professionals face. This brief provides examples of innovative models of care.
Implementing the IOM Future of Nursing Report – Part II discusses collaborative care utilizing nurses. On the first page of this brief is a picture and brief story using Phoenix Baptist Hospital as an example. There is also discussion about the benefits of education with students preparing to enter multiple healthcare professions.
Part III (PDF) of the series focusing on the future of nursing emphasizes how nurses are able to support patients through the care they provide. There is special focus on the function of nurses, including APRNs, in primary care as part of a team approach.
Another brief, Nursing’s Prescription for a Reformed Health System, provides information about how nurses, and APRNs, can help expand access to healthcare.
AARP Public Policy Institute, October 2009, Creating a 21st Century Nursing Workforce to Care for Older Americans: Modernizing Medicare Support for Nursing Education (PDF). Medicare beneficiaries are receiving more care outside of the hospital. NPs are able to provide primary care that is effective and efficient.