Being an Advance Practice Nurse you encounter many issues that may be political, legal or economic. One issue that specifically encompasses all of these is the nurse practitioner state practice acts. A review of the state practice acts reveals one challenge facing nurse practitioners: limitation to practice across the United States. These state specific acts affect the role of the nurse practitioner. Fairman (2011) states, “The critical factors limiting nurse practitioners' capacity to practice to the full extent of their education, training, and competence are state-based regulatory barriers.” This is an issue because nurse practitioners area unable to practice to there full abilities which affects the care that the patients receive.
Limitations …show more content…
With health reform and the Affordable Care Act it is known that there will be an increase need in providers and nurse practitioner would be the one to fulfill the need (Hain 2014). As the Doctorate of Nursing Practice is becoming more popular it is evident education is beginning to transform to prepare nurse practitioners to practice in the role of primary care providers (Hain 2014). Payment for services is affected by the practice acts as well. Hain (2014) determines, “Expanded healthcare coverage mandated by the Affordable Care Act (ACA) will impact healthcare providers, policymakers, and payers as the demand for services escalates.” This affects employers, advance practice nurses and patients. “Commercial health plan payment policies may vary and often don't recognize NPs as primary care providers. In addition, these payers may be resistant to credentialing or directly paying NPs for services they provided” (Hain 2014). If nurse practitioners are receiving less payment or reimbursement for care they may be limited to employment opportunities and to accepting certain patients based on their type of payment. This can be stressful for both nurse practitioners who have already been practicing and for new practitioner for are trying to get
Limitations …show more content…
With health reform and the Affordable Care Act it is known that there will be an increase need in providers and nurse practitioner would be the one to fulfill the need (Hain 2014). As the Doctorate of Nursing Practice is becoming more popular it is evident education is beginning to transform to prepare nurse practitioners to practice in the role of primary care providers (Hain 2014). Payment for services is affected by the practice acts as well. Hain (2014) determines, “Expanded healthcare coverage mandated by the Affordable Care Act (ACA) will impact healthcare providers, policymakers, and payers as the demand for services escalates.” This affects employers, advance practice nurses and patients. “Commercial health plan payment policies may vary and often don't recognize NPs as primary care providers. In addition, these payers may be resistant to credentialing or directly paying NPs for services they provided” (Hain 2014). If nurse practitioners are receiving less payment or reimbursement for care they may be limited to employment opportunities and to accepting certain patients based on their type of payment. This can be stressful for both nurse practitioners who have already been practicing and for new practitioner for are trying to get