Mathews Barbara P, Boland Mary G, Kim Stanton Barbara
School of Nursing and Dental Hygiene, University of Hawai’i at Ma- noa, Honolulu, HI 96822, USA.
Policy Polit Nurs Pract. 2010 Nov;11(4):260-5. doi: 10.1177/1527154410383158.
An informal coalition of nurses, educators, health care providers and policy makers recognizing that administrative rules for advanced practice registered nurse (APRN) practice limited consumer access to care in Hawai'i, developed an initiative to bring about legislative and regulatory change using the National Council of State Boards of Nursing APRN Scope of Nursing Practice and Standards Related to the APRN. The authors report on the process including challenges and keys to success toward the passage of Hawai'i Act 169 (2009). The authors also discuss key components of the legislation, which removed barriers to full scope of practice for APRNs. The potential for comprehensive reform was realized due to the actions of a broad coalition in support of increasing access to care for underserved and rural populations in Hawai'i.
护士、教育工作者、医疗服务提供者和政策制定者组成的一个非正式联盟认识到，高级执业注册护士（APRN）执业的行政规定限制了夏威夷消费者获得医疗服务的机会，于是发起了一项倡议，利用美国国家州护士委员会的APRN护理实践范围和与APRN相关的标准来推动立法和监管变革。作者报告了这一过程，包括在夏威夷第169号法案（2009年）通过过程中面临的挑战和成功的关键因素。作者还讨论了该立法的关键组成部分，这些部分消除了APRN全面执业的障碍。由于一个广泛联盟的行动，全面改革的潜力得以实现，该联盟支持增加夏威夷服务不足和农村人口获得医疗服务的机会。
