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Full practice authority—Effecting change and improving access to care: The Nevada journey

VanBeuge, Susan S. DNP, APRN, FNP-BC, CNE, FAANP1; Walker, Tomas DNP, APRN, BC-ADM, CDE2

Journal of the American Association of Nurse Practitioners: June 2014 - Volume 26 - Issue 6 - p 309–313
doi: 10.1002/2327-6924.12116

Purpose: In 2013, Nevada shifted from a collaborative practice model to full practice authority. Given the challenges many states still face, this article provides an outline of the evolution of the “nurse practitioner” (NP) in Nevada. Reviewing the path Nevada took toward full practice authority, we hope to provide insight including lessons learned and opposition encountered to assist other states working toward full practice authority.

Data sources: Literature searches were conducted on PubMed and MEDLINE. Search terms included “autonomous practice,” “nurse practitioner,” and “full practice authority.”

Conclusions: Healthcare reform will require nurse practitioners committed to legislative change. Nurse practitioners have the knowledge and ability to affect the legislative process and improve patients’ access to care. With careful planning, full engagement, and team building, making a statute change is possible and should be seriously considered in states still struggling with collaborative relationships.

Implications for practice: Nurse practitioners are well situated to provide primary care in the United States. Removing barriers to practice through statute change will empower NPs to effect positive change in our struggling healthcare system.

1School of Nursing, University of Nevada, Las Vegas, Nevada,

2Nevada Advanced Practice Nurses Association, Desert Endocrinology, Henderson, Nevada,

(Assistant Professor)

(Vice President)

Received Accepted

Susan S. VanBeuge, DNP, APRN, FNP-BC, CNE, FAANP, Assistant Professor, School of Nursing, University of Nevada, 4505 Maryland Parkway, Box 453018, Las Vegas, NV 89154-3018. E-mail:

© 2014 American Association of Nurse Practitioners
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