APRN practice in NJ

Full Answer Section

      What I have learned from the Buppert readings and from investigating the New Jersey state BRN website The Buppert readings and the New Jersey state BRN website provide a wealth of information on the current level of practice and practice climate for APRNs in New Jersey. The Buppert readings discuss the history of FPA and the benefits of FPA for patients and healthcare systems. The readings also discuss the barriers to FPA and the strategies for achieving FPA. The New Jersey state BRN website provides information on the licensure requirements for APRNs in New Jersey. The website also provides information on the scope of practice for APRNs in New Jersey. How New Jersey state adopted full practice authority for family nurse practitioners (FPA) New Jersey adopted FPA for FNPs in 2016. The passage of the Nurse Practitioner Full Practice Authority Act was the culmination of years of efforts by APRNs and their advocates. The Buppert readings discuss the key factors that contributed to the passage of FPA in New Jersey. These factors include:

• The growing evidence base on the safety and effectiveness of APRN care
• The increasing demand for APRN services
• The support of key stakeholders, such as patients, physicians, and healthcare organizations

Barriers to full practice authority in New Jersey There are a few remaining barriers to FPA in New Jersey. One barrier is the requirement for FNPs to obtain a collaborative practice agreement (CPA) with a physician in order to prescribe certain controlled substances. Another barrier is the lack of reimbursement parity between FNPs and physicians. In some cases, FNPs are reimbursed at a lower rate than physicians for providing the same services. Eased regulations or expedited licensure due to Covid-19 Due to the COVID-19 pandemic, the New Jersey state BRN has temporarily eased some regulations and expedited the licensure process for APRNs. One of the eased regulations is the requirement for FNPs to obtain a CPA with a physician in order to prescribe controlled substances. During the pandemic, FNPs in New Jersey have been able to prescribe controlled substances without a CPA. Another eased regulation is the requirement for FNPs to complete a certain number of supervised clinical hours before receiving their license. During the pandemic, the New Jersey state BRN has reduced the number of required supervised clinical hours for APRNs. Major barriers to full practice authority in New Jersey The major barriers to FPA in New Jersey are:

• The requirement for FNPs to obtain a CPA with a physician in order to prescribe certain controlled substances
• The lack of reimbursement parity between FNPs and physicians
• The opposition from some physician groups

Conclusion The current level of practice and practice climate for APRNs in New Jersey is generally positive. However, there are a few remaining barriers to FPA, such as the requirement for FNPs to obtain a CPA with a physician in order to prescribe certain controlled substances and the lack of reimbursement parity between FNPs and physicians. The New Jersey state BRN has temporarily eased some regulations and expedited the licensure process for APRNs due to the COVID-19 pandemic. However, it is unclear whether these changes will be permanent. The major barriers to FPA in New Jersey are the requirement for FNPs to obtain a CPA with a physician in order to prescribe certain controlled substances, the lack of reimbursement parity between FNPs and physicians, and the opposition from some physician groups.  

Sample Answer

   

New Jersey is a full practice authority (FPA) state for family nurse practitioners (FNPs). This means that FNPs in New Jersey have the authority to practice independently, without the supervision of a physician. FNPs in New Jersey can diagnose and treat patients, prescribe medications, and order tests.

The practice climate for APRNs in New Jersey is generally positive. APRNs are in high demand in the state, and there are many opportunities for APRNs to practice in a variety of settings, including hospitals, clinics, private practices, and schools.