Seventeen states enacted executive orders expanding advanced practice nurses' scopes of practice during the first 21 days of the COVID-19 pandemic

Feyereisen, Scott; Puro, Neeraj

doi:10.22605/rrh6068

Cited by 6 publications

(6 citation statements)

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“…Some states allowed them to practice to the full extent of their license whilst others did not. Findings about advanced practice nurses in this study support other US based studies about this role during the pandemic ( Feyereisen and Puro, 2020 ; Kleinpell et al, 2021 ; O’Reilly-Jacob and Perloff, 2021 ) as well as the United Kingdom-based findings from Wood et al (2021) . With multiple states reducing or eliminating scope of practice barriers, a natural experiment has occurred that can provide the data to determine if these policy changes should remain permanent ( Feyereisen and Puro, 2020 ).…”

Section: Discussionsupporting

confidence: 87%

“Should I stay or should I go?” Nurses' perspectives about working during the Covid-19 pandemic's first wave in the United States: A summative content analysis combined with topic modeling

Squires

Clark-Cutaia

Henderson

et al. 2022

International Journal of Nursing Studies

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Section: Discussionsupporting

confidence: 87%

“Should I stay or should I go?” Nurses' perspectives about working during the Covid-19 pandemic's first wave in the United States: A summative content analysis combined with topic modeling

Squires

Clark-Cutaia

Henderson

et al. 2022

International Journal of Nursing Studies

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“…In the United States, there has been a movement toward increasing supply, utilization and autonomy of advanced practice nurses (APNs) since the early 2000's (Feyereisen et al, 2018; Feyereisen & Goodrick, 2020; Feyereisen & Puro, 2020; Gadbois et al, 2015). APNs have more education and are often more specialized than Registered Nurses.…”

Section: Background and Theorymentioning

confidence: 99%

Physician dominance in the 21st century: Examining the rise of non‐physician autonomy through prevailing theoretical lenses

Feyereisen

McConnell

Thomas

et al. 2021

Sociology Health & Illness

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Theories of physician dominance are a foundational contribution of medical sociology to the study of health care, but must be revisited in the light of ongoing changes in medicine. As non‐physician specialists like nurse practitioners grow in number and acquire more autonomy, increasing medical profession differentiation presents a challenge for traditional physician dominance theories. After evaluating potential theoretical explanations for subordinate occupations' autonomy gains, we conduct a state‐level quantitative analysis of variation in nursing policies across U.S. states. We construct our dependent variable, nursing autonomy, using seven state‐level advanced practice nursing policies adopted from 2001–2017. Using an ordered scale, we code nurse practitioner, nurse anaesthetist, nurse midwife and clinical‐nurse‐specialist practice and prescription polices according to each policy's autonomy level. We then use time‐series regression to examine theory‐driven propositions regarding nursing autonomy change. Nursing autonomy has increased over time, signalling a general erosion of physician dominance. However, we find differential patterns of policy adoption, indicating that erosion is not uniform. Physicians have maintained dominance in relatively prestigious specialties (e.g. anaesthesiology) while dominance declined in others (e.g. obstetrician). Factors external to the profession, such as consumer power, continue to influence within‐profession dynamics. Examining ongoing professional differentiation in medicine illustrates how physician dominance depends on shifting social and professional contexts.

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“…Nurse practitioners describe how they were deployed to various clinical areas and took on other roles to ensure patient care during staff shortages and stress. Feyereisen and Puro (2020), Stucky et al (2021), and Poghosyan et al (2022) explain the impact of policy and regulatory changes because some jurisdictions in the United States temporarily removed scope of practice restrictions leaving nurses without a safety net. This is particularly concerning because when transparent organizational policies and regulations are removed, nurses cannot deliver good quality, safe care.…”

Section: Introductionmentioning

confidence: 99%

Experiences of nurse practitioners working during the COVID-19 pandemic: A metasynthesis of qualitative studies

Twist

Moxham

Tillott

et al. 2023

J Am Assoc Nurse Pract

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Background:The impact of the COVID-19 pandemic forced global changes to how nurses practice. Nurse practitioners adjusted their scope, changed how they delivered their service, and worked with limited resources. For some services, patient access was also compromised.Objectives:To synthesize, combine, and present current evidence on the experiences of nurse practitioners working during the COVID-19 pandemic.Data sources:CINAHL, Embase, and MEDLINE electronic databases were used to perform a structured search strategy.Conclusion:During the COVID-19 pandemic, health care services had to leverage their workforce skills to accelerate COVID-19 identification, treatment, and care. Nurse practitioners rapidly found themselves at the forefront and were concerned about infecting others. They also identified the need for support and were able to adapt to the changing environment. Nurse practitioners also recognized the impact on their well-being. Having insight into nurse practitioner's experiences during the pandemic is valuable for future health care workforce planning. Understanding how they coped will help with critical preparedness and response actions to other health care crises.Implications for practice:Having insight into nurse practitioner's experiences during the pandemic is valuable for future health care workforce planning because, as we know, the nurse practitioner workforce is one of the most rapidly growing professions in primary health care. Any future work in this space will help inform future nurse practitioner education and also help by informing critical preparedness and response actions to future health care crises, whether global or local or clinical or nonclinical.

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Seventeen states enacted executive orders expanding advanced practice nurses' scopes of practice during the first 21 days of the COVID-19 pandemic

Cited by 6 publications

References 0 publications

“Should I stay or should I go?” Nurses' perspectives about working during the Covid-19 pandemic's first wave in the United States: A summative content analysis combined with topic modeling

“Should I stay or should I go?” Nurses' perspectives about working during the Covid-19 pandemic's first wave in the United States: A summative content analysis combined with topic modeling

Physician dominance in the 21st century: Examining the rise of non‐physician autonomy through prevailing theoretical lenses

Experiences of nurse practitioners working during the COVID-19 pandemic: A metasynthesis of qualitative studies

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