Independent practice and full practice authority

Nursing practice, and in particular pediatric/child health nursing is ever evolving as a specialty practice. Concepts of practice that are now found our literature such as, “nurse-led,” “nurse-directed” typify the changes evocative advances being made professional In light realms it timely to reflect upon American Nurses Association definition nursing:Nursing protection, promotion, optimization abilities, prevention illness injury, facilitation healing, alleviation suffering through diagnosis treatment human response, advocacy care individuals, families, groups, communities, populations. (ANA, p. 11). This vision rooted long-traditions enables forward-thinking pediatric colleagues envision create nursing-led nurse-directed models for children, youth families. These build concepts integral child-health emerged within scope decades ago long before they were adopted by other disciplines. A few these include family-centered care, parental visitation, primary coordination (Adair, 1969Adair V.S. Patient care–coordination or fragmentation?.45. NLN Publication, 1969: 6-9Google Scholar; Barnsteiner, 2009Barnsteiner J.H. Letter editor.Journal Pediatric Nursing. 2009; 24: 446https://doi.org/10.1016/j.pedn.2008.03.003Abstract Full Text PDF PubMed Scopus (3) Google Beatty, 1972Beatty A. Symposium on setting.Nursing Clinics North America. 1972; 7: 1-3PubMed Felton, 1975Felton G. Increasing quality introducing concept nursing: model project.Nursing Research. 1975; 27-32Crossref Harrison, 2009Harrison T.M. Family-centered care: state science.Journal 25: 335-343https://doi.org/10.1016/j.pedn.2009.01.006Abstract (148) Scholar). foundational have provided framework nurse-led so very unique More recently, promoted advocated effect widespread philosophical approaches child-centered (Coyne et al., 2018Coyne I. Holmström Söderbäck M. Centeredness healthcare: synthesis familycentered person-centered care.Journal 2018; 42: 45-56https://doi.org/10.1016/j.pedn.2019.07.001Abstract (49) Ford 2018Ford K. Dickinson Water T. Campbell S. Bray L. Carter B. Child centred challenging assumptions repositioning children young people.Journal 43 (e39–43)https://doi.org/10.1016/j.pedn.2018.08.012Abstract (20) provide innovations. can be developed, implemented tested their effectiveness protecting promoting preventing along health-illness continuum myriad clinical community-based settings. Rather than viewing work nurses more narrowly defined context institutional boundaries, services re-conceptualized variety Other far-reaching developments will continue dramatic impacts advanced full authority (FPA). According Nurse Practitioners, “Full Practice Authority authorization nurse practitioners (NPs) evaluate patients, diagnose, order interpret diagnostic tests initiate manage treatments—including prescribe medications—under exclusive licensure board nursing” (Issues At-A-Glance: Authority, 2021Authority policy briefs..https://www.aanp.org/advocacy/advocacy-resource/policy-briefs/issues-full-practice-briefDate: 2021Google 2021aAmerican Practitioners Issues at-a-glance: practice.2021Google Currently, FPA exists one categories registered (APRNs) licensure/certification 24 states, District Columbia, Guam Northern Mariana Islands. 16 territories Puerto Rico, Virgin Islands, Samoa contingent “transition practice” requirements. That is, needs her/his monitored following licensure/certification. monitoring varies from just under thousand hours 9000 supervision (American 2021bAmerican State environment.https://www.aanp.org/advocacy/state/state-practice-environmentDate: Ten states restrict which highly populated California, Texas Florida. roles four APRN roles: practitioner (NP), certified midwife (CNM), specialist (CNS), anesthetist (CRNA). Recently, Academy issued position statement entitled, necessary transform (Bosse 2017Bosse J. Simmonds Hanson C. Pulcini Dunphy Vanhook P. Poghosyan Position statement: care.Nursing Outlook. 2017; 65: 761-765https://doi.org/10.1016/j.outlook.2017.10.002Abstract (10) Importantly unequivocally, acknowledgement APRNs independent was asserted supported evidence value benefits improving outcomes recipients with FPA.APRNs education, knowledge, skills, experience basic comprehensive services; ready workforce, ideally positioned improve access contribute disparities reduction efforts, lower cost providing care. Scholar, 761). monumental periods change profession. period require vigilant committed leaders at all levels this movement forward. It going an exciting adventure observe partake evolution. We JPN look forward contributing publishing scholarly evidence-based papers nurse-led, programs.