Safriet Federal Options for Maximizing the Value of APRNs

Safriet Paper Review
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Safriet Paper Review Article Overview The article by Barbara Safriet offers knowledge on how state-led limitations about the approved advanced practice nurses (APNs) scopes of practice restrict their full practice (Safriet, 2011). It highlights the policies as limiting provisions to the full exploitation of APNs in medical practice. The paper discusses the advantages of employing APNs to the fullest extent possible and the present constraints that APNs face in their work. As a result, this essay explores two regulatory rules that prevent APNs from being fully deployed in today’s healthcare system and three significant reasons for the present hurdles to removing restrictive policies for NPs. In addition, it discusses the article’s relevant information in APN practice. Regulatory Provisions (Restrictions) to the Deployment of APNs Advanced practice nursing remains limited and has been active for a shorter period. As a result, experts use the medical field to define the scale of individual practice for APNs since the former has been in existence longer. Biases on the concept of medical practice arise in the scale of APNs’ practice, resulting in several frictions and modalities (Moore et al., 2020). Since most physicians in the sector believe that medicine is the highest level of medical care and remain adamant about it, these perceptions have led to regulatory constraints for advanced practice nurses (Peterson, 2017). For instance, in California, the law mandates APNs to collaborate with physicians in their solo or partnered practice. This condition pushes APNs to congregate in physician-led clinics and prevents them from practicing independently, restricting the accessibility and reach of primary care services for more citizens (Parker & Hill, 2017). The strategy contradicts IOM recommendations to increase the reach and reliance of advanced nurse practitioners to satisfy the population’s health care demands. As a result, this regulation limits the APNs’ practice and reduces healthcare availability. Another provision states that new APNs must work for a minimum of 3000 hours with a qualified physician before practicing autonomously. This requirement focuses on more medical training and exposure to a higher level of practice. It remains aligned with people who choose to practice in acute or chronic care environments or pursue greater specialization (Safriet, 2011). Trends indicate that this rule has created a situation where existing physicians influence APNs. Most physicians refuse to oversee APNs since it adds to their heavy workload. As a result, they do not allocate adequate time to teach the nurses. Some physicians also believe that APNs risk their business and professional practice due to increasing competition (Torrens et al., 2020). Such a challenge becomes imminent when APNs gain sufficient medical knowledge for individual practice but stay under physician supervision before venturing into personal practice in retail health clinics (Woo et al., 2017). This issue has become a significant problem since the increasing population will require more medical practitioners pe...