Synthesis in Advanced Nursing Practice Care

• Review practice agreements in your NEBRASKA is my state
• Identify whether your state requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are.
• Research the following:
o How do you get certified and licensed in your state?
o What is the application process for certification in your state?
o What is the primary nurse licensure office resource website in your state?
o How does your state define the scope of practice of a nurse practitioner?
o What is included in your state’s practice agreement?
o How do you get a Drug Enforcement Agency (DEA) license?
o How does your state describe a nurse practitioner’s controlled-substance prescriptive authority and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?
o In what legislative and advocacy activities are your state nurse practitioner organization(s) involved?
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Post a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.

SAMPLE SOLUTION

Synthesis in Advanced Nursing Practice Care
Healthcare providers have an ethical and moral mandate to accord patients with quality care. One way to achieve this role is through nurse-physician collaboration and general teamwork. The nurse-physician collaboration improves patient’s safety, increases job satisfaction and can help reduce healthcare costs (Clevette et al., 2007). To ensure that practicing nurses are more competent in their responsibilities, physician supervision is key. It is the mandate of supervising physicians to continually direct and review the records and works of nurse practitioners to ensure that they provide healthcare services that are consistent with state standards. This work looks at the physician supervision of nurse practitioners in the state of Nebraska.
Physician Collaboration/Supervision for Nurse Practitioners in Nebraska
In Nebraska, the collaborative practice agreement (CPA) which required an integrated practice agreement between physicians and nurse practitioners was stopped in 2015. The state followed nineteen other states which argued that the supervision for practice nurses was not necessary since the nurses themselves are competent enough….