Regulation of pediatric intensive care unit nurse practitioner practice: A national survey

Journal of the American Association of Nurse Practitioners
Kristin Hittle GigliAnn F Minnick

Abstract

To describe the extent to which organizational regulation of pediatric intensive care unit (PICU) nurse practitioner (NP) practice and prescriptive authority aligns with state scope-of-practice (SSOP) regulations, to examine differences between PICU medical directors' and NPs' report of regulation, and to describe organizational-level restriction of PICU NP practice. A 34-item national, quantitative cross-sectional descriptive survey of US PICU medical directors and NPs included demographic, institutional characteristics, and PICU NP regulation and role-related questions. Invitations to participate were sent between October 2016 and January 2017. Respondents (n = 121, 60 PICU NPs and 61 PICU medical directors) reported that 30% of PICU NPs have additional organizational restrictions beyond their SSOP practice authority and 11% have prescriptive authority regulations that exceed those required by the SSOP regulations. Medical directors and lead NPs showed agreement in reports of NP practice regulation. Variation in organizational-level restrictions of privileging, billing, and reporting structure practices were identified. As more states move to full SSOP regulatory environments, organizational regulation of NP practice can impe...Continue Reading

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Citations

Mar 25, 2020·Critical Care Medicine·Kristin H Gigli, Grant R Martsolf
Jun 21, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Kristin H GigliAnn F Minnick
Aug 20, 2019·Journal of the American Association of Nurse Practitioners·Jana G Zwilling, Kathryn Fiandt
Jun 16, 2021·Policy, Politics & Nursing Practice·Kristin H Gigli, Grant R Martsolf

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