2023
DOI: 10.1016/s2155-8256(23)00064-9
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Addressing Barriers to APRN Practice: Policy and Regulatory Implications During COVID-19

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Cited by 17 publications
(4 citation statements)
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“…In this approach, autonomy in the ethical limits of the multi-professional relationship consolidates knowledge as a fundamental value for the action of social agents. This knowledge is built gradually, and with strong historical and cultural adherence, and changes, from this perspective, need solid foundations to be transformed, covering other issues within the scope of the labor, economic and administrative market in each profession ( 19 ) , having a cultural implication that is defined by the health need in each country. It refers to the job market, financial interest and fair and equitable salary recognition, which must come together to valuing and enhancement of professional work ( 10 ) , in which the struggles in favor of this finding characterize the control of the profession in both countries.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In this approach, autonomy in the ethical limits of the multi-professional relationship consolidates knowledge as a fundamental value for the action of social agents. This knowledge is built gradually, and with strong historical and cultural adherence, and changes, from this perspective, need solid foundations to be transformed, covering other issues within the scope of the labor, economic and administrative market in each profession ( 19 ) , having a cultural implication that is defined by the health need in each country. It refers to the job market, financial interest and fair and equitable salary recognition, which must come together to valuing and enhancement of professional work ( 10 ) , in which the struggles in favor of this finding characterize the control of the profession in both countries.…”
Section: Discussionmentioning
confidence: 99%
“…In Portugal, the Ministry of Education, by Decree Law 1999, implements the training regulations for Higher Nursing Schools and brings legislation to ensure the essential elements for their development: autonomy and independence among health professions, non-functional dependence on nurses to other professions and respect for technical autonomy and their own skills ( 1 , 8 , 19 ) . These standards guarantee professional relations, organization and health work in both countries.…”
Section: Discussionmentioning
confidence: 99%
“…In addition, electronic health records that fail to acknowledge APN care obscure the visibility and contributions of these professionals, affecting patient communication and follow‐up care. Inadequate professional recognition, poor relationships with physicians and administrators, and insufficient remuneration and reimbursement further constrain the practice environment for APNs (Kleinpell et al., 2023). These barriers limit the scope of practice for APNs and contribute to disparities in access to healthcare between rural and urban areas, underscoring the urgent need for reform.…”
Section: Overcoming Barriers and Embracing Potentialmentioning
confidence: 99%
“…Other restrictive regulatory policies requiring physician oversite, like authorizing patient referrals to the APN, limit role efficiency and capacity to increase access to timely care (Kleinpell et al, 2023). These policies should be evaluated and revised as needed to ensure optimal utilization of APNs and achievement of patient and health system outcomes.…”
Section: Next Steps For Evolving and Optimizing The Implementation Of...mentioning
confidence: 99%