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In the United States, scope of practice law is determined by the states' legislatures and regulatory boards. [1] [3]According to the National Conference of State Legislatures, non-physician health care providers are providing increasing levels of service to patients, especially in rural and other underserved communities.
The legal scope of practice for mid-level practitioners varies greatly among jurisdictions, with some having a restricted and well-defined scope, while others have a scope similar to that of a physician. Likewise, the training requirement for mid-level practitioners varies greatly between and within different certifications and licensures.
In the US, scope of practice is determined by jurisdiction. Each has its own laws, rules, and regulations that describe what nurses with a given qualification may provide. Many jurisdictions have adopted the Model Nursing Practice Act and Model Nursing Administrative Rules created by the National Council of State Nursing Boards (NCSNB). [21]
A 2019 study in the Journal of Nursing Regulation looked specifically at the effects of scope-of-practice reforms on Medicaid recipients. They found that outpatient costs were 17% lower and ...
The CNO's definition for a nurse's scope of practice is: "The practice of nursing is the promotion of health and the assessment of, the provision of care for, and the treatment of health conditions by supportive, preventive, therapeutic, palliative, and rehabilitative means in order to attain or maintain optimal function". [15]
Nurse licensure is the process by which various regulatory bodies, usually a Board of Nursing, regulate the practice of nursing within its jurisdiction. The primary purpose of nurse licensure is to grant permission to practice as a nurse after verifying the applicant has met minimal competencies to safely perform nursing activities within nursing's scope of practice.
Scope of practice for nurse practitioners is defined at four levels: 1) professional, 2) state, 3) institutional, and 4) self-determined. [3] At the professional level, nursing organizations such as the AACN and the ANCC regulate nursing certification and publish guidelines for the scope and standards of practice for ACNP's.
The first step to becoming a psychiatric-mental health nurse practitioner is becoming a registered nurse (RN). First, it is required to earn a Bachelor of Science in Nursing (BSN) from an accredited program (typically 4 years, or alternatively, an Associate Degree in Nursing (ADN) followed by a Bachelor of Science in Nursing Completion (BSN completion) program.