A multistate analysis of nurse practitioner delegation regulations.

John D Gonzalez, Kristin H Gigli
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引用次数: 0

Abstract

Background: Nurse practitioners (NPs) are essential to meeting the demand for primary care and improving quality. Variation in primary care work environment has implications for outcomes. One opportunity to better support NP practice includes increasing NP access to support staff. However, given statutory regulation of NP's ability to delegate to unlicensed personnel, there may be limited effect of these interventions.

Purpose: To describe state regulations on NP delegation to unlicensed personnel and consider implications of NP delegation regulations on opportunities to improve NP work environment.

Methodology: We conducted a cross-sectional, six state policy surveillance of state nursing regulations related to NP delegation to unlicensed personnel. Using an iterative data identification process, we review of documents from six state boards of nursing. Analysis included nominal and textual data.

Results: Five states prohibited NPs from delegating medication administration to unlicensed personnel. One state permitted delegation of mediation administration to unlicensed personnel but only in community settings.

Conclusions: Delegation limitations prevent NPs from practicing to the full extent of their education. Nurse practitioners must be aware of the delegation regulations when working with unlicensed personnel to prevent disciplinary actions. Nurse practitioner-specific delegation regulations can facilitate greater use of unlicensed personnel in NP-led primary care.

Implications: Boards of Nursing should consider NP delegation regulations that promote public safety, minimize unintended consequences, and increase access to NP-led primary care.

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期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
期刊最新文献
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