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Week 5 Discussion

As a Family Nurse Practitioner (FNP) student and future practitioner, the three top concerns regarding credentialing are: (1) the impact of legislation and regulation on scope of practice; (2) unequal legislation regulating FNP scope of practice in various states: and (3) FNP practice reimbursement issues with some insurance companies refusing to pay for the services offered by them. Restrictive scope of practice and licensure are noticed to contribute to more rigid policies restricting APRNs ability to practice independently, and this is especially the case in Florida (American Association of Nurse Practitioners, 2013). Such restrictions of the FNP scope of practice in Florida is a paradox because Florida is the state with the most critical problems in the primary care sector (American Association of Nurse Practitioners, 2013). While Florida residents badly need quality, safe, and cost-effective primary care that FNPs can provide, the state legislators seem to be blind to the citizens’ basic human needs. To address these concerns, I suggest two strategies explained below. 

The first approach is communication by media campaigns to outline the FNP role and the value of FNP care in promoting patient access to healthcare, improving quality, and safety of patient care. My second suggestion is proactive lobbying to change restrictive APRN regulations by the Government. Highlighting and demonstrating the impact of APRN care can also assist in promoting APRN care that is consistent with education, training and scope of practice. Demonstrating the value of APRN care by implementing innovative models that portray APRN skill, knowledge and experience can also be used as a strategy to strengthen the role of the APRN (American Association of Nurse Practitioners, 2013).


American Association of Nurse Practitioners. (2013). Legislation/ regulation. Retrieved from https://www.aanp.org/legislation-regulation

Hamric, A.B., Hanson, C.M., Tracy, M.F., & O’Grady, E.T. (2014). Advanced practice nursing: An Integrative approach (5th ed.). Elsevier Saunders: St Louis, MO.

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