Nurse Practitioner’s Scope of Practice – conclusion

The scope of practice and autonomy are key areas affecting the profession of nursing practitioners. For a long time, NPs and other stakeholder have struggled in quest for more autonomy; to be permitted to employ their skills in the improvement of access and quality of health care delivered to patients. Such clamor has been limited by legislation requiring physician supervision of nurses in some states. To alleviate this limitation, the federal and state authorities should abolish the regulations impeding NPs autonomy. Additionally, professional bodies should reform the current model of certification and accreditation to allow for more realistic and autonomous practice.


Advanced Practice Registered Nurses (APRNs) Joint Dialogue Group (2008). Consensus model for APRN regulation: Licensure, accreditation, certification & education. Retrieved from

Bauer, J. C. (2010). Nurse practitioners as an underutilized resource for health reform: evidence based demonstrations of cost effectiveness. Journal of the American Academy of Nurse Practitioners, 22(4), 228-231, doi:10.1111/j.1745-7599.2010.00498.x

Brown, A. (2010). 50 state survey and analysis on licensure laws for nurse practitioners. Center for Telehealth & e-Health law, retrieved from

Daele, A .T. M. D., Metsemakers, J .F. M., Derckx, E. W. C. C., Spreeuwenberg, C. &VriJhoef, H. J .M. (2009). Nurse practitioners substituting for general practitioners: Randomized controlled trial. Journal of Advanced Nursing, 65(2), 391–401, doi: 10.1111/j.1365-2648.2008.04888.x

De Milt, D.G., Fitzpatrick, J. J. & McNulty, S. R. (2011). Nurse practitioners’ job satisfaction and intent to leave current positions, the nursing profession, and the nurse practitioner role as a direct care provider. Journal of the American Academy of Nurse Practitioners, 23(1), 42–50, doi:10.1111/j.1745-7599.2010.00570.x

Gardner, G., Gardner, A., Middleton, S., Della, P., Kain, V. & Doubrovsky, A. (2010). The work of nurse practitioners. Journal of Advanced Nursing, 66(10), 2160–2169, doi:10.1111/j.1365-2648.2010.05379.x

Keough, V. A, Stevenson, A. Martinovich, Z., Tanabe, R. & Young, P. (2011). Nurse practitioner certification and practice settings: Implications for education and practice. Journal of Nursing Scholarship, 43(2), 195–202, doi:10.1111/j.1547-5069.2011.01395.x

Maylone, M. M., Ranieri, L., Griffin, M. T. Q., McNulty, R. & Fitzpatrick, J. J. (2011). Collaboration and autonomy: Perceptions among nurse practitioners. Journal of the American Academy of Nurse Practitioners, 23(1), 51–57, doi:10.1111/j.1745-7599.2010.00576.x

Paniagua, H. (2011). Advanced nurse practitioners and GPs: What is the difference? Practice Nursing, 22(7), 383-388.

Running, A., Hoffman, L. & Mercer, V. (2008). Physician perceptions of nurse practitioners: A replication study. Journal of the American Academy of Nurse Practitioners, 20(9), 429–433, doi:10.1111/j.1745-7599.2008.00339.x

find the cost of your paper