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How nurses can influence healthcare change


Problem: Responsive post to discussion thread

Advanced nursing practice roles developed due to increasing healthcare demands, provider shortages, and the need for improved access to quality care. APRNs became essential in managing chronic diseases, providing preventative care, and serving underserved populations. Need Assignment Help?

Despite these advancements, barriers still exist. Restrictive scope-of-practice laws, reimbursement challenges, and a lack of understanding of the APRN role can limit practice opportunities and patient access to care. Resistance from other healthcare professionals may also impact role expansion. In some states, like Illinois, advanced practice nurses can obtain full practice rights after completing 4,000 hours of working under a physician, and a physician essentially vouches for the APN's safety to practice independently (State Practice Environment, 2026).

The American Association of Colleges of Nursing Essentials (AACN Essentials) provides a framework for advanced nursing education and practice. These competencies focus on person-centered care, evidence-based practice, leadership, quality improvement, interprofessional collaboration, and healthcare technology (AACN Essentials, 2026).

One competency area in which I excel is communication and collaboration with interdisciplinary teams. These skills help me advocate for patients and support positive healthcare outcomes. One area where I have growth opportunities is healthcare policy and advocacy. I would like to become more involved in policy initiatives to better understand how nurses can influence healthcare change.

 

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