Now is the time to eliminate the outdated regulations and organizational and cultural barriers that limit the ability of nurses to practice to the full extent of their education, training, and competence. The U.S. is transforming its health care system to provide quality care leading to improved health outcomes, and nurses can and should play a significant role. The current conflicts between what APRNs can do based on their education and training and what they may do according to state and federal regulations must be resolved so that they are better able to provide seamless, affordable, and quality care. Scope-of-practice regulations in all states should reflect the full extent not only of nurses but of each profession’s education and training. Elimination of barriers for all professions with a focus on collaborative teamwork will maximize and improve care throughout the health care system (p. 4)

Based on this conclusion statement, select one of the four APRN roles and address the following:  

  • Identify an existing local, state, or national barrier which continues to prevent full scope-of-practice for that role.
  • Determine if there has been at least one change in local, state, or national practice, which has helped advance patient access to the APRN role since the IOM Report (2010).
  • Recommended one change that you think should occur by 2030 to further advance patient access to an APRN.

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