Biomaterial Database

The journey to independent nurse practitioner practice. 2014

Rebecca Rigolosi, and Susan Salmond

School of Nursing, Rutgers, The State University of New Jersey, Newark, New Jersey.

OBJECTIVE The aim is to achieve a comprehensive understanding of the journey of states that achieved independent nurse practitioner (NP) practice from 2007 to 2011. METHODS Qualitative, retrospective, descriptive study with interviews of NP state leaders in those states as well as literature review. CONCLUSIONS There are key strategies that should be utilized by states when attempting to pass independent NP practice legislation. Strategies that have been tried and tested by states that have successfully passed legislation are collated and presented. CONCLUSIONS Data from key national movements and legislation with release of the 2010 Institute of Medicine Report The Future of Nursing and the passage of the Patient Protection and Affordable Care Act add weight and supportive context to the independent NP legislative process, and were used in addition to and as groundwork for arguments and evidence of a national trend toward increasing access to primary care services and decreasing barriers to practice. Kingdon's model illustrates these research findings and suggests the open window for policy change is now.

UI	MeSH Term	Description	Entries
D009722	Nurse Practitioners	Nurses who are specially trained to assume an expanded role in providing medical care under the supervision of a physician.	Nurse Practitioner,Practitioner, Nurse,Practitioners, Nurse
D011320	Primary Health Care	Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)	Primary Care,Primary Healthcare,Care, Primary,Care, Primary Health,Health Care, Primary,Healthcare, Primary
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012189	Retrospective Studies	Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.	Retrospective Study,Studies, Retrospective,Study, Retrospective
D014481	United States	A country in NORTH AMERICA between CANADA and MEXICO.
D058991	Patient Protection and Affordable Care Act	An Act prohibiting a health plan from establishing lifetime limits or annual limits on the dollar value of benefits for any participant or beneficiary after January 1, 2014. It permits a restricted annual limit for plan years beginning prior to January 1, 2014. It provides that a health plan shall not be prevented from placing annual or lifetime per-beneficiary limits on covered benefits. The Act sets up a competitive health insurance market.	Affordable Care Act,Affordable Care Act (ACA),Health Care Reform Act,Obamacare,PL 111-148,PL111-148,Public Law 111-148,111-148, PL,Act, Affordable Care,Acts, Affordable Care,Acts, Affordable Care (ACA),Affordable Care Acts,Care Act, Affordable,Care Act, Affordable (ACA),Care Acts, Affordable,PL 111 148,PL111 148,Public Law 111 148
D024802	Nurse's Role	The expected function of a member of the nursing profession.	Nurse's Scope of Practice,Nurses Role,Nurses' Role,Nurse Role,Nurse Scope, Practice,Nurse's Roles,Nurses Roles,Nurses Scope, Practice,Nurses' Roles,Practice Nurse's Scope,Practice Nurse's Scopes,Role, Nurse's,Role, Nurses,Role, Nurses',Roles, Nurse's,Roles, Nurses,Roles, Nurses'
D036301	Qualitative Research	Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)	Research, Qualitative