UnderstandingScope of Practice

UnderstandingScope of Practice

Thehealthcare system has reformed and evolved over the years in uniqueways. It has given rise to the development of nurse practitioners whohave helped improve the healthcare outcomes. Nurses are considered asadvocates for the care of the population within the healthcaresystem. Therefore, this essay will examine the scope of nursingpractice as related to the certification and licensure.

Nursepractitioners encounter certain clinical and practice issues as wellas barriers that need to be examined carefully for better solutions.One of the clinical practice issues that the new Nurse Practitionerwill need to consider and address with the certification andlicensure regards the changes in law between states. The licensureand practice laws vary from state to state (Fairman, 2011). The lawinhibits full practice authority where a nurse practitionerdiagnoses, initiates, and subsequently manages treatments as well asinterpreting the diagnostic tests. Only a third of the America`spopulation has adopted full practice authority.

Anotherclinical issue regards the payer policies. These policies are, inmost cases, connected to the state practice regulation and licensure(Lyndia, 2003). When the scope of practice is restricted, theindependence of the nurse practitioner is also diminished.

AcuteCare, Family Practice, and Adult-Gerontology Primary Care NursePractitioner practice have a similar scope with regard to knowledgeand training. However, there are also some educational andenvironmental differences. Both of the practices are accredited bythe Commission on Collegiate Nursing Education or the AccreditationCommission for Education in Nursing. Both have the capability ofprescribing medications. Acute Care practice recommends treatmentoptions for acutely ill patients, such as specialist treatment.Adult-Gerontology Primary Care Nurse Practitioner, on the other hand,conducts assessments of adults to old age and manages chronicillnesses (Fairman, 2011). The clinical practice varies from onestate to another. Therefore, the nurse practitioners haveprescriptive privileges in some states. They are only capable ofprescribing controlled substances in the approved states, which arefew.

Graduatesof FNP and AGPCNP need to be recruited in the appropriate settings ofclinical practice. These can be a hospital- based primary careclinics and Home health care. The hospital-based primary care clinicsallow the students to use their experience and skills to focus on thecentral medical and non-medical practice (Marx, 2010). Theinpatient’s home care enables the skilled practitioner to providenursing care, medical social services, and professional care. Nursingpractice has improved the health condition of the population. It isimportant for nurse practitioners to understand the regulationpolicies in order to provide standard patient care.


Fairman, J. A. (2011). Broadening the Scopr of Nursing Practice. Chicago: University of Chicago Press.

Greenberg, S. (2011). The future of nursing: Leading change, advancing health. Washington DC: The National Academic Press.

Lyndia, F. (2003). Nurse Practitioners: Growing Competition for Family Physicians. Cambrdige : Cambridge University Press.

Marx, S. (2010). The evolution and future of advanced practice. New York: Springer Publishing Company.