Remove Barriers to Nurse Practitioner`s Ability to Practice M P

RemoveBarriers to Nurse Practitioner’s Ability to Practice


Module7: Policy Advocacy

Theuniversity of Texas at El Paso

RemoveBarriers to Nurse Practitioner’s Ability to Practice

Theability of nurses to practice efficiently has been curtailed by theregulations that have been laid down by the Centers for Medicare andMedicaid Services. Nurse practitioners have the qualification andexpertise to execute the functions assigned to them by healthcareproviders. However, the nurse practitioners have been unable to workentirely to the level of their knowledge resulting in a lack ofutilization of their potential as healthcare providers. There is aneed for Congress to pass a law that would enable the nursepractitioner to handle duties assigned to them without thelimitations that are currently impeding practice.


TheAmerican Nurses Association has stipulated a scope of practice thatall of the nurses are mandated to operate within. However, despitethe guidelines provided by the American Nurses Association, Medicaredoes not allow the nurse practitioners to carry out assessments thatwould see to it that the patients are admitted to nursing facilitiesdespite enabling them to order for skilled nursing care. Further, thenurses are not authorized to provide the certification for hospicecare even though they have been authorized to act as providers.Further, the nurses are allowed to carry out the face to faceexaminations, but Medicare approves of the same for as long as aphysician has documented that the individual nurse practitioner hasbeen certified to conduct the evaluation.


Thedecision to have nurses practice to the full capacity of thelicensure would result in them carrying out some functions that mayrequire extra skills. For example, there is the aspect of allowingthe nurses to conduct examinations. The training received by thenurses may not be sufficient enough for the nurses to conduct suchassessments in a professional way. Allowing the nurses to practice tothe full capacity means that they get to handle cases that may bebeyond their scope. Medicare has strict guidelines when it comes tothe provision of healthcare services that nurses need to adhere.

Rebutof the claims

TheAmerican Nurses Association has outlined the scope of practice andstandards of professionalism that are expected of the nurses toadhere. Removing the barriers to service will seek to enhance theability of the nurses to discharge functions in a professional waybecause they are trained to do so. The nurse practitioners have therequired educational qualifications that enable them to execute thefunctions that they have been limited to undertake. Further, thenurse practitioners have been licensed to offer a full range ofservices (American Association of Nurse Practitioners, 2015). For thesame reason, there is a need for such barriers to be removed as a wayof utilizing the nurse practitioners capability to full (VanBuege &ampWalker, 2014).


Thereis a need to change legislation when it comes to the scope ofpractice of nurse practitioners. Congress needs to deliberate theissue and outline on the level of care the nurse practitioners canprovide to the patients. In pondering the issue, it could be vital toconsider the standard of certification the nurses have according tothe American Nurses’ Practitioner Association in addition to otherregulatory agencies. Information from the same should guide inascertaining the ability of nurses to carry out some of the functionsthey have been barred from practicing (Brassard, 2014). Congressshould then pass a law based on professional guidance from all thestakeholders affected Medicare included.


AmericanAssociation of Nurse Practitioners. (2015). Issues at a glance: Fullpractice authority.


Brassard,A. (2014). Transition to full practice authority for APRN. AmericanNurse, 46(4),


VanBuege,S., S., &amp Walker, T. (2014). Full practice authority-Effectingchange and improving

accessto care: The Nevada journey. Journalof the American Association of Nurse Practitioners, 26(6),309-313.

PublicationSource and Author Criteria




  • Article type – Brief Report – Turabian format with limited to 600 words.

  • Abstract less than 100 words with tables

  • Professionalism and integrity of research demonstrated

  • Authors- Andrea Brassard of the AARP Public Policy Institute and Mary Smolenski who is a Consultant

  • Authors declare no conflict of interest in the journal

  • Copyright, authors must complete a journal publishing agreement.

  • Authors given a choice of their research.

  • Ethics committee in charge of regulation on issues about informed consent for any of the participants

  • Manuscripts have been written in The English language.

  • Articles are through an on-line submission system, correspondence sent by e-mail.

(JNP(2016). Retrieved from