Full practice authority (FPA) for advanced practice registered nurses (APRNs) like nurse practitioners can have several positive impacts on patient care in states that grant APRN autonomy:
- Increased access to care: APRNs with FPA can practice independently in underserved and rural areas, helping to address primary care shortages and improve access to healthcare services.
- Improved efficiency: FPA allows APRNs to diagnose, treat, and prescribe medications without physician oversight, reducing delays in care and streamlining the treatment process.
- Cost-effective care: Studies have shown that care provided by APRNs is often more cost-effective compared to physician care, potentially lowering healthcare costs for patients.
- Higher patient satisfaction: Research indicates high levels of patient satisfaction with care provided by APRNs, often due to their patient-centered approach and focus on health promotion and disease prevention.
- Expanded choice of providers: Patients in FPA states have more options when choosing a primary care provider, as APRNs can establish independent practices.
- Improved health outcomes: Some studies have found that hospitals with more nurse practitioners on staff have lower mortality rates, shorter lengths of stay, and fewer readmissions.
- Enhanced continuity of care: APRNs with FPA can provide comprehensive, continuous care without the need for physician sign-off, potentially improving care coordination and patient follow-up.
- Increased focus on preventive care: APRNs often emphasize preventive care and patient education, which can lead to better long-term health outcomes.
- Reduced wait times: By increasing the number of available primary care providers, FPA can help reduce wait times for appointments and improve timely access to care.
- Improved healthcare system resilience: As demonstrated during the COVID-19 pandemic, states with FPA for APRNs were able to more quickly mobilize their nursing workforce to meet increased healthcare demands.
It’s important to note that while these benefits have been observed in states with FPA, the impact can vary based on factors such as local healthcare needs, population demographics, and implementation of FPA policies. Ongoing research continues to evaluate the long-term effects of FPA on patient care and health outcomes.