State health and the level of practice authority for nurse practitioners

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook Pub Date : 2025-01-01 DOI:10.1016/j.outlook.2024.102319

Jacqueline Dunbar-Jacob PhD, RN, FAAN, Jeffrey M. Rohay PhD, MSIS

{"title":"State health and the level of practice authority for nurse practitioners","authors":"Jacqueline Dunbar-Jacob PhD, RN, FAAN, Jeffrey M. Rohay PhD, MSIS","doi":"10.1016/j.outlook.2024.102319","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Studies show positive outcomes for nurse practitioner care compared with physicians, in a variety of clinical settings. Of unique interest is the relationship of nurse practitioner level of practice authority (NP-LPA) and population health.</div></div><div><h3>Purpose</h3><div>Does state population health differ by NP-LPA?</div></div><div><h3>Methods</h3><div>United Foundation Annual Reports (2019 and 2021) provided data on state health rankings. The American Association of Nurse Practitioners website (2021) provided data on NP-LPA. Analyses used Fisher’s exact test to compare the top 25 v. the bottom 25 ranked states.</div></div><div><h3>Results</h3><div>Full NP-LPA states ranked higher than reduced or restricted on overall state health, health outcomes, clinical care, quality of care, access to care, number of primary care providers per 100,000 population, and childhood immunizations.</div></div><div><h3>Discussion</h3><div>States with legislated full NP-LPA showed better population health. The data suggest full NP-LPA could address shortages in primary care while achieving greater population health.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102319"},"PeriodicalIF":4.1000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing Outlook","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0029655424002124","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Studies show positive outcomes for nurse practitioner care compared with physicians, in a variety of clinical settings. Of unique interest is the relationship of nurse practitioner level of practice authority (NP-LPA) and population health.

Purpose

Does state population health differ by NP-LPA?

Methods

United Foundation Annual Reports (2019 and 2021) provided data on state health rankings. The American Association of Nurse Practitioners website (2021) provided data on NP-LPA. Analyses used Fisher’s exact test to compare the top 25 v. the bottom 25 ranked states.

Results

Full NP-LPA states ranked higher than reduced or restricted on overall state health, health outcomes, clinical care, quality of care, access to care, number of primary care providers per 100,000 population, and childhood immunizations.

Discussion

States with legislated full NP-LPA showed better population health. The data suggest full NP-LPA could address shortages in primary care while achieving greater population health.

查看原文本刊更多论文

国家卫生和执业护士的执业权威水平。

背景：研究表明，在各种临床环境中，与内科医生相比，执业护士的护理效果更好。独特的兴趣是执业护士水平的执业权威（NP-LPA）和人口健康的关系。目的：不同NP-LPA的州人口健康状况不同吗？方法：联合基金会年度报告（2019年和2021年）提供了各州健康排名的数据。美国执业护士协会网站（2021年）提供了NP-LPA的数据。分析使用Fisher的精确测试来比较排名前25位和排名后25位的州。结果：在整体健康状况、健康结果、临床护理、护理质量、获得护理的机会、每10万人中初级保健提供者的数量和儿童免疫接种方面，完全NP-LPA州的排名高于减少或限制的州。讨论：通过立法全面实施NP-LPA的国家显示出更好的人口健康状况。数据表明，全面的NP-LPA可以解决初级保健短缺问题，同时实现更大的人口健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.