Impact of COVID-19 pandemic on APRN practice: Results from a national survey.

Autor: Kleinpell R; Vanderbilt University School of Nursing, Nashville, TN. Electronic address: ruth.kleinpell@vanderbilt.edu., Myers CR; University of Tennessee College of Nursing, Knoxville, TN., Schorn MN; Vanderbilt University School of Nursing, Nashville, TN., Likes W; University of Tennessee Health Science Center College of Nursing, Memphis, TN.
Jazyk: angličtina
Zdroj: Nursing outlook [Nurs Outlook] 2021 Sep-Oct; Vol. 69 (5), pp. 783-792. Date of Electronic Publication: 2021 May 11.
DOI: 10.1016/j.outlook.2021.05.002
Abstrakt: Background: The impact of the COVID-19 pandemic on Advanced Practice Registered Nurse (APRN) practice is not well known.
Purpose: This study aimed to describe state practice barriers and explore the effects of the COVID-19 pandemic on APRN practice.
Methods: A descriptive study design used a 20-item web-based survey open from June 1 through September 23, 2020.
Findings: A total of 7,467 APRNs responded from all 50 states, including nurse practitioners (n = 6,478, 86.8%), certified registered nurse anesthetists (n = 592, 7.9%), certified nurse-midwives (n = 278, 3.7%), and clinical nurse specialists (n = 242, 3.2%). A number of barriers to practice prior to the pandemic were identified. Most respondents (n = 6334, 84.8%) identified that practice barriers limited the ability of APRNs to provide care during the pandemic.
Discussion: Barriers to APRN practice continue to restrict aspects of patient care and patient access to care, even in states with Full Practice Authority (FPA), during the COVID-19 pandemic and with state executive orders waiving practice restrictions. The study findings can be used to advocate for policy changes to support APRN practice authority.
(Copyright © 2021 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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