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 (Poghosyan,Boyd &amp Clarke, 2015).


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 (Duncan &amp Sheppard, 2015).Congress should then pass a law based on professional guidance fromall the stakeholders affected Medicare included.


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


Duncan,C. G., &amp Sheppard, K. G. (2015). Barriers to Nurse PractitionerFull Practice Authority

(FPA):State of the Science. InternationalJournal of Nursing Student Scholarship,2.

Poghosyan,L., Boyd, D. R., &amp Clarke, S. P. (2015). Optimizing full scope ofpractice for nurse

practitionersin primary care: A proposed conceptual model. Nursingoutlook.

PublicationSource and Author Criteria




Thereport has been authored by AndreaBrassard ofthe AARPPublic Policy Institute andMarySmolenski who is a Consultant.Bassard Andrea is currently working with the Center to ChampionNursing in America at AARP. As a way of ensuring that there is noconflict of interest, the authors have declared the same. The articlehas cited any material that is considered unoriginal as a way ofkeeping up with the academic integrity standards.

Thearticle is a brief report that has been written employing theTurabian writing format and it has a total of about 600 words. Thepaper has an abstract that is less than 100 words with tables. Manuscript written is available in English. Authors have emphasizedon professionalism and integrity of research demonstrated in themanner in which they carried out the research to getting thefindings.

Copyrightinformation:Insighton the Issues 55, September, 2011 AARP Public Policy Institute, 601 EStreet, NW, Washington, DC 20049,© 2011, AARP. Reprinting with permission only

Forpurposes of correspondence, one can send them through this email[email protected]

Thereport for discussion was derived from the link stated below: