The American Academy of Nursing released a position statement that full practice authority for advanced practice registered nurses (APRNs) is necessary to transform primary care, and that practice restrictions on APRNs should be removed so they may practice to the full extent of their education and training.
"The increasing health care needs of the public, existence of disparities, and decreasing availability of primary care providers are of deep concern to the Academy,” said Academy President Karen Cox, PhD, RN, FAAN. “Allowing APRNs full practice authority can alleviate these challenges while providing quality health care to the community.”
In states where APRNs have full practice authority, benefits have been identified that include significantly fewer emergency room visits for nonemergency health care, lower hospitalization rates, and expanded health care utilization, particularly among the most vulnerable.
Among the Academy’s recommendations is for Congress to reform the public and private payment systems to allow equitable independent reimbursement for APRN practicing in primary care in all settings, allowing direct remuneration from Medicare, Medicaid, and private payers for the care that is provided by APRNs. In addition, State Boards of Nursing should remove restrictions for APRNs in all states and federal agencies and clarify credentialing requirements.