The Role of Nurses to assure policy change for advanced practice registered nurses
One issue is the variations in the scope of practice for NPs from state to state. What is permitted for NP practice varies a lot amongst states. All nurses should be permitted to practice to the full extent of their education and training, but now, the focus is on permitting NPs to practice to the full extent of their training (Bekemeier et al., 2021). By 2021, it was envisioned that these concepts would be adopted by all governments, resulting in uniform state settings. It does not seem likely that way. However, advancements are being made. You want the nurse practitioners to be able to exercise their entire scope of practice because they are qualified to do so (Bekemeier et al., 2021). They want APRNs to be allowed to practice independently, providing them autonomy, so you first want to locate states like North Dakota that have successfully passed legislation and then follow in their footsteps (Bekemeier et al., 2021). It varies from state to state; thus, whatever policy you want to implement should be for your state.
The state nurse practitioner association started this procedure with assistance from the state board of nursing (BON). The chosen lawmaker had a track record of working on health- related legislation and was well-respected, so the next step was to choose the ideal legislator to sponsor the measure (Delaney & Vanderhoef, 2019). Then, this group settled on a reputable lobbyist, a lawyer with experience in government regulation, health legislation, and professional concerns who had also worked with the BON. The NP group and the lobbyists spent much time at the legislature speaking with lawmakers, responding to their inquiries, and forging alliances.
The national data and the BON’s detailed statistics on the rarity of disciplinary issues supported this claim. Four NPs and BON representatives prepared and gave testimony in support of the bill. The bill was successful thanks to this meticulous planning and effective strategic execution (Delaney & Vanderhoef, 2019). These adjustments are necessary to ensure that the healthcare system is transformed to improve patient populations’ access to care.
The Role the Affordable Care Act (ACA) plays in addressing workforce shortages in rural communities.
Many Americans, especially those without insurance, struggle to obtain employment opportunities and health care in rural settings. The Supplemental Nutrition Assistance Program (SNAP) and other entitlement programs cover a substantial portion of rural regions in the United States. These programs help many people keep their health insurance and improve their financial security, but they usually lack the funds required to assist everyone who requires help (Behr et al., 2022). According to The American Prospect, “about one-third to one-half of all rural inhabitants do not have health insurance,” which creates a sizable gap in their access to healthcare and employment opportunities (Behr et al., 2022). As a result, some people find it difficult to adequately manage chronic conditions that could be treated with more affordable care through Medicaid or other DSH programs or full-time employment.
The ACA directly supports the growth of educational possibilities and training resources provided by traditional and non-conventional sources, such as colleges, vocational institutions, and many others. It also incentives businesses by offering tax benefits for competitively priced insurance to workers or job seekers through regulated exchanges (Behr et al., 2022). Several measures in the Affordable Care Act (ACA) address the labor shortage in rural areas. The ACA contributes to solving the human resources crisis in rural areas in several ways.
Firstly, the ACA offers financial aid to assist rural towns in luring and keeping medical professionals. In order to coordinate and enhance access to care in rural areas, the ACA also establishes a federal office for rural health policy. Additionally, the ACA invests in training programs to support the growth of primary care physicians in rural areas. The ACA also helps rural healthcare providers hire and retain workers by offering financial support (Behr et al., 2022). Moreover, it aims to enhance care synchronization between rural and urban health care professionals. Additionally, the ACA mandates that every healthcare provider notify the state workforce agency of job openings (Iglehart, 2018). This aids in ensuring that all open positions are published and that competent candidates have the chance to apply.
The Affordable Care Act (ACA) is to blame for the worker shortages in rural areas as businesses struggle with the new mandate to provide their employees with affordable health care coverage. While some companies have voiced concerns about the cost of offering health insurance and the restrictions on enterprises, other companies have reported increased recruiting, positive staff morale, and lower employee turnover rates. Another justification for lowering the number of workers required to fill unfilled positions is that seasonal labor has resulted in lower salaries and longer unemployment spells (Iglehart, 2018). This issue can only be remedied by performing additional research on the best workplaces for workers.
Behr, C. L., Hull, P., Hsu, J., Newhouse, J. P., & Fung, V. (2022). Geographic access to federally qualified health centers before and after the Affordable Care Act. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-022-07685-0
Bekemeier, B., Kuehnert, P., Zahner, S. J., Johnson, K. H., Kaneshiro, J., & Swider, S. M. (2021). A critical gap: Advanced practice nurses focused on the public’s health. Nursing Outlook, 69(5), 865-874. https://doi.org/10.1016/j.outlook.2021.03.023
Delaney, K. R., & Vanderhoef, D. (2019). The psychiatric mental health advanced practice registered nurse workforce: Charting the future. Journal of the American Psychiatric Nurses Association, 25(1), 11-18. https://doi.org/10.1177/1078390318806571
Iglehart, J. K. (2018). The challenging quest to improve rural health care. New England Journal of Medicine, 378(5), 473-479. https://doi.org/10.1056/nejmhpr1707176
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