Explain how the lack of autonomy for APRNs impact patients in rural populations?
Discussion Question: Please start by introducing yourself, you can write on anything personal or professional. Hello, fellow classmates let me start out by introducing myself. I have been a registered nurse for over 17 years and mainly worked adult Oncology and Outpatient Bone Marrow unit in Texas. An ongoing challenge for advanced practice registered nurses (APRNs) has been changing state legislation that allow APRNs to practice to the fullest extent to which they were academically prepared. For this discussion question, contact the Board of Nursing (BON) in your state or access your BON online. Examine laws that govern APRNs in your state. Consider the following: do APRNs in your state have prescriptive authority; is there legislation in place that allows them to practice autonomously; and finally, if a bill has been passed and adopted, which legislator introduced the bill and who were the strongest advocates for the bill? Then post an initial response that addresses the following: Explain how the lack of autonomy for APRNs impact patients in rural populations? As a health care professional in an advocacy role, what resources could you utilize to guide you in changing policies that impact APRNS in your state? Include in your discussion the type of stakeholders and collaborative partners you would seek to guide or assist you on this cause. Learning Materials Nickitas, D. M., Middaugh, D. J., & Feeg, V. D. (2019). Policy and politics for nurses and other health professions: Advocacy and action. (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers. Read Chapters 1, 2, 3, & Chapter 18 (pages 403 – 415). Additional Resources: Cohen, B. E., & Marshall, S. G. (2017). Does public health advocacy seek to redress health inequities? A scoping review. Health & Social Care in the Community, 25(2), 309–328. https://doi.org/10.1111/hsc.12320 Marchildon, G. P., Cafaro, C. S., & Brown, A. (2018). Myths, misperceptions, and policy learning: comparing healthcare in the United States and Canada. Journal of Law, Medicine & Ethics, 46(4), 833–837. https://doi.org/10.1177/1073110518821975 Moquin, H., Seneviratne, C., & Venturato, L. (2018). From apprehension to advocacy: A qualitative study of undergraduate nursing student experience in clinical placement in residential aged care. BMC Nursing, 17(1), 1. http://dx.doi.org/10.1186/s12912-018-0277-z Wasserman, J., Palmer, R. C., Gomez, M. M., Berzon, R., Ibrahim, S. A., & Ayanian, J. Z. (2019). Advancing health services research to eliminate health care disparities. American Journal of Public Health, 109, S64–S69. https://doi.org/10.2105/AJPH.2018.304922 Professional Standards Essential V: Healthcare Policy, Finance, and Regulatory Environments (review proposed legislation affecting health care and provide written comments; participate in advocating for change in policy related to a selected healthcare issue at the local, state, or national level)
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