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Why do you think there are so many inconsistencies with practice authority among advance practice nurses...

Why do you think there are so many inconsistencies with practice authority among advance practice nurses across the fifty states and how can this impact patient care delivery?

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Ans) Despite the original report in 2010, we still struggle against some of the same barriers.

- In some states, the battle to practice within the scope-of-practice regulations becomes further impeded by archaic hospital bylaws.

- Nurse practitioners with the same educational preparation and national certification may face a host of restrictions when relocating from one state to another, thus limiting their scope of practice.

- Variations in the scope-of-practice regulations across states have an indirect impact on patient care, as the degree of physician supervision may affect practice opportunities and payer polices for NPs.

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