Columbia University School of Nursing, New York, NY.
George Washington University School of Nursing, Ashburn, VA.
Nurs Outlook. 2022 Jan-Feb;70(1):28-35. doi: 10.1016/j.outlook.2021.07.012. Epub 2021 Aug 7.
During the COVID-19 pandemic, federal and state governments removed the scope of practice restrictions on nurse practitioners (NPs), allowing them to deliver care to patients without restrictions.
To support policy makers' efforts to grant full practice authority to NPs beyond the COVID-19 pandemic, this manuscript summarizes the existing evidence on the benefits of permanently removing state-level scope of practice barriers and outline recommendations for policy, practice, and research.
We have conducted a thorough review of the existing literature.
NP full scope of practice improves access and quality of care and leads to better patient outcomes. It also has the potential to reduce health care cost.
The changes to support full practice authority enacted to address COVID-19 are temporary. NP full practice authority could be part of a longer-term plan to address healthcare inequities and deficiencies rather than merely a crisis measure.
在 COVID-19 大流行期间，联邦和州政府取消了对执业护士（NP）的执业范围限制，允许他们不受限制地为患者提供护理。
为了支持决策者在 COVID-19 大流行之外授予执业护士全面执业权限的努力，本文总结了关于永久取消州级执业范围障碍的现有证据，并概述了政策、实践和研究方面的建议。
我们对现有文献进行了全面审查。
执业护士全面执业范围可以提高医疗服务的可及性和质量，并改善患者的治疗结果。它还有可能降低医疗保健成本。
为应对 COVID-19 而采取的支持全面执业权限的改革措施是临时性的。执业护士全面执业权限可以作为解决医疗保健不平等和缺陷的长期计划的一部分，而不仅仅是危机措施。
