Ch 2-7, 9-17
The 9 Nurse Practitioner Core Competencies
Scientific Foundations
Leadership
Quality
Practice Inquiry
Technology and Information Literacy
Policy
Health Delivary System
Ethics
Independent Practice
Facilitating factors for growth of the NP role:
Consumer demand
Acceptance of APN role
Emergence of PMHNP role
Decreasing stigma
Emphasis on integrated healthcare services
Constraining factors for growth of NP role:
,Growing competition in job market
Reimbursement issues: Medicaid/private insurance
Overlapping scopes of practice with other NPS
Concerns regarding reimbursement fraud and abuse in coding and billing
Scope of practice and need for collaborative dr.
What are the state legislative statues regarding NP practice
State legislative statues grant legal authority for NP practice, provide title protection (who can be called
NP), define advanced practice, our state laws define scope of practice, place restrictions on practicesand
set NP credentialing requirements.
Grounds for disciplinary action by our state legislature statues:
Practicing without valid license, falsifying records, Medicare fraud, inappropriate nursing judgement,
inaccurate documentation, failure to follow accepted nursing standards.
Collaborative agreement
AKA protocol that describes what types of drugs may be prescribed and defines oversight for NP
practice.
Statutory laws for NPs
Regulation differ by state, they further define scope of practice and may provide restrictions in practice
unique to that specific state.
, Licensure
Process by which a government agency authorizes individuals to work in a given occupation
Credentialing
Process used to protect the public by ensuring a minimum level of professional competence.
Certification for NPs
Provides title protection, determines scope of practice, determines the NP has met specified standars,
assures public the NP has mastery of a specific body of knowledge and skills to function in that specialty.
ANCC American Nurses Credentialing Center
is a subsidiary of the ANA and is the only certifying body for psychiatric APN.
Scope of practice:
Defines NP roles and actions, identifies competencies asumed to be held by all NPs in a particular role,
varies broadly from state to state. For PMHNP they are identified in the PMHNP scopes and standards of
practice.
Standards of practice:
authoritative statements regarding quality and type of practice that should be provided, provide a way
to judge nature of care provided, reflect professional agreement focused on minimum levels of accepted