Discussion 9.1: Full Practice Authority and Impact on Health Outcomes 1. Washington has full practice authority for APRNs, whereas Texas has restricted practice. March of Dimes shows that the maternal...

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Discussion 9.1: Full Practice Authority and Impact on Health Outcomes


1. Washington has full practice authority for APRNs, whereas Texas has restricted practice. March of Dimes shows that the maternal mortality rate is 18.5 deaths per 100,000 live births (2021). Washington state, on the other hand, only has about 15.1 deaths per 100,000 live births every year. The infant mortality rate in Washington state is 4.7 deaths per 1,000 live births and Texas has 5.5 deaths per 1,000 live births. The percentage of preterm births in Washington is about 8.5 percent, whereas Texas is 11 percent in 2019. The rate of obesity amongst women of childbearing age in Texas is 32.6 percent and 25.3 percent in Washington. The percentage of women in Washington that take folic acid prenatally is 51.2 percent and 41.4 percent in Texas. It is clear that the rates of prenatal and postnatal outcomes are improved in Washington, which is a state that allows its APRNs full practice authority. As we have discussed in this module, APRNs are best at promoting preventative care. The more influence APRNs have in patient care, the higher likelihood of improving patient outcomes through promotion of preventative care, such as folic acid supplements and weight maintenance interventions. American Association of Nurse Practitioners states that an increase in NP care has lead to improved communication and follow-up, which has improved patient satisfaction and health outcomes (2019).



2. Stephanie Klick, a Texas house member, is already in the process of filing a bill that will allow APRNs full prescriptive authority (Texas Nurse Practitioners: The Fight for Full Practice Authority, 2021). I would encourage her in this endeavor due the rising need for patient care accessibility. First, APRNs improve patient's physical access to care, such as those living in rural areas. We will be able to reach more patients if we have an increased amount of autonomous healthcare providers. Furthermore, the quality of care will improve due to the increase of providers with adequate background. This is supported by the statistical evidence of improved maternal and neonatal outcomes in states that permit APRN full practice authority. Second, AANP recognizes that full practice authority creates efficiency due to the ability to treat patients at point of care (Issues at a Glance: Full Practice Authority, 2021). The outdated regulations in Texas prevent APRNs from practicing within their full scope of skills, which creates more work for both the patients and providers. Lastly, utilization of APRNs in primary patient care decreases costs through a multitude of ways. The cost of service is usually higher for patients when services are having to be duplicated due to restrictions on APRN practice. Furthermore, APRNs have the ability to promote preventative care, which ends up having positive affects on the overall cost of care for patients.

Answered 1 days AfterOct 20, 2021

Answer To: Discussion 9.1: Full Practice Authority and Impact on Health Outcomes 1. Washington has full...

Dr. Vidhya answered on Oct 21 2021
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    I agree with your analysis
and projection of the data about the two regions of the nation. Yes, it is true to state that the interventions of APRNs should be enhanced by all means because that is the only way to develop the patient centred outcomes. The data shows that the implications of quality services are increased in Texas because that state seems to be more liberal than Washington in...
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