Areas would include client education, preventive care, case management and client advocacy. Independent nursing practice would be encouraged by the Agenda and reflected in self-owned businesses, consultants, clinical specialists and nurse practitioners. The variation of state requirements was frequently noted, as was the need for specific requirements outlining education and certification requirements. Definitions need clarification. The anticipated increased demand for advanced practice will require development of new programs.
Prescriptive authority is needed, as direct third party reimbursement.
The important role of advanced nursing practice in primary care was noted. Comments regarding Discipline Several respondents were not sure whether discipline was meant as a profession or as enforcement. Potential legal challenges were noted by those who addressed enforcement. The independent role was noted to have a potential for increasing complaints, making it difficult to identify impaired nurses. An increased opportunity for complaint was also noted, if scopes are not clearly defined.