Progress of advanced practice nursing and strategies to help overcome these barriers

Describe three barriers that have slowed down the progress of advanced practice nursing and strategies to help overcome these barriers. (Saunders, 2014)

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Three Barriers to the Progress of Advanced Practice Nursing:

  1. Scope of Practice Restrictions:

    • Barrier: State-level laws and regulations often restrict the scope of practice for APRNs, limiting their ability to practice to the full extent of their education and training. These restrictions may include limitations on prescribing medications, ordering diagnostic tests, and providing independent care.
    • Strategies to Overcome:
      • Advocacy: APRNs and professional organizations can advocate for state-level legislation that removes unnecessary barriers to practice and allows APRNs to practice to the full extent of their education and training

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      • Collaboration: Collaboration with physicians and other healthcare providers to develop and implement interprofessional practice models that maximize the contributions of APRNs.
      • Data Collection and Research: Collecting data on the positive impact of APRN-led care can help demonstrate the value of expanded scope of practice and support legislative efforts to remove barriers.
  • Reimbursement Issues:

    • Barrier: Inadequate reimbursement for APRN services can limit access to care for patients and create financial barriers for APRNs. Reimbursement rates for APRN services may be lower than those for physician services, making it difficult for APRNs to establish and maintain sustainable practices.
    • Strategies to Overcome:
      • Advocacy: Advocate for fair and equitable reimbursement rates for APRN services at the state and federal levels.
      • Direct Billing: Explore opportunities for direct billing and payment for APRN services, which can improve reimbursement rates and increase patient access to care.
      • Value-Based Reimbursement Models: Advocate for the adoption of value-based reimbursement models that reward high-quality, patient-centered care, regardless of the provider’s profession.
  • Physician Resistance:

    • Barrier: Some physicians may resist the expansion of APRN roles due to concerns about job security, professional identity, and the potential impact on physician income.
    • Strategies to Overcome:
      • Education and Collaboration: Promote interprofessional education and collaboration between physicians and APRNs to foster mutual respect and understanding.
      • Data-Driven Approach: Demonstrate the value of APRN-led care through research and data analysis, highlighting the positive impact on patient outcomes and healthcare costs.
      • Focus on Shared Goals: Emphasize the shared goal of improving patient care and access to healthcare services.

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