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Nurse practitioners’ workforce outcomes under implementation of full practice authority
DePriest, K. N., D'Aoust, R., Samuel, L., Commodore-Mensah, Y., Hanson, G., & Slade, E. (2020). Nurse practitioners’ workforce outcomes under implementation of full practice authority. Nursing Outlook, 68(4), 459-467. https://doi.org/10.1016/j.outlook.2020.05.008
Background: Full practice authority laws that permit nurse practitioners (NPs) to practice independently and prescribe medications may influence NPs' workforce outcomes.Purpose: To examine whether implementation of full practice authority laws affect NP self-employment, average earnings, and likelihood of residing in a primary care health professional shortage area (HPSA).Methods: A nationally representative U.S. sample of 9,782 NPs employed in health care during 2010 to 2018 was drawn from the American Community Survey. Difference-in-differences regression was used to estimate covariate-adjusted mean differences in NPs' workforce outcomes after full practice authority implementation.Findings: Among full-time employed NPs, full practice authority was associated with an increased probability of residing in a HPSA (adjusted odds ratio [aO]:2.34, 95%CI 1.14, 4.83) and with a higher mean probability of self-employment (aOR:4.97, 95%CI 1.00, 24.86).Discussion: Full practice authority implementation improves access to primary care providers in health professional shortage areas and may increase practice ownership among NPs.
