When promoting FPA (full practice authority) legislation, collaborating with physicians can have both advantages and downsides. The ability of advanced practice registered nurses (APRNs) to practice autonomously without physician supervision or collaboration can enhance access to treatment and improve health outcomes. Yet, some physicians have resisted FPA legislation, and it may be important to collaborate with them in order to achieve success. The ability to secure physicians’ support for FPA legislation is an advantage of engaging with physicians. Doctors wield considerable sway over healthcare policy and legislation, and their support can provide credibility and validity to FPA initiatives. According to a study by Koo et al. (2021), physician support for FPA legislation is connected with an enhanced possibility of its passage. Partnership with physicians can also assist APRNs comprehend physician concerns and address them in the legislation, so increasing the possibility that other healthcare stakeholders will support the bill. Moreover, collaboration with physicians has the potential to enhance patient care. Collaboration between physicians and APRNs, whose abilities and knowledge are complimentary, can result in more coordinated and thorough patient care. Hain et al. (2020) observed that collaboration between APRNs and physicians in primary care settings enhanced patient outcomes. Cooperation can also assist in addressing workforce shortages and expanding access to care, particularly in rural areas where physician shortages are prevalent.
The advantages and disadvantages of collaborating with physician organizations when pursuing FPA legislation.
Reply to the following discussion.
There are, however, possible drawbacks to partnering with physicians in the pursuit of FPA legislation. A potential downside is that physicians may oppose FPA legislation in its entirety, so impeding the legislative process. Doctors could be concerned about patient safety and care quality, and they might consider APRNs as less qualified to deliver certain types of care. According to research by Winters et al. (2021), physician opposition was a substantial obstacle to the passing of FPA law in certain states. Cooperation with physicians may be required to address their concerns, but it can delay down the legislative process and lead to compromises that weaken FPA requirements. The risk of co-optation or diminution of APRN autonomy is another another potential drawback of collaborating with physicians. Doctors may hold differing opinions regarding the scope of practice for APRNs and may seek to limit their independence or scope of practice through FPA legislation. Partnership with physicians may result in concessions that limit the autonomy of advanced practice registered nurses (APRNs), which can have detrimental effects on patient care and workforce development. Several APRNs reported feeling forced to compromise on FPA regulations in order to get physician support, according to research by Lorenz et al. (2021), which resulted to unhappiness and decreased morale among APRNs.
While seeking FPA legislation, collaboration with physicians can have both advantages and downsides. Physician support can raise the possibility that FPA legislation will pass and improve patient care, but physician resistance can impede the legislative process and lead to compromises that diminish APRN autonomy. Partnership with physicians may be required to address their concerns, but APRNs should be cautious to avoid compromising their autonomy and scope of practice. As FPA law remains a contentious issue, collaboration and communication between APRNs and physicians will be essential to establishing common ground and promoting healthcare policy that benefits all parties.
References
Hain, D., Fleischmann, R., & Kass, J. (2020). Collaborative care model improves patient outcomes in primary care. Journal of the American Association of Nurse Practitioners, 32(12), 856-861.
Koo, D., Lee, J., Lee, H., & Kim, M. (2021). Factors associated with the passage of full practice authority legislation for nurse practitioners in the United States. BMC Health Services Research, 21(1), 1-7.
Winters, J., Poghosyan, L., Steeves, R., & Doorenbos, A. (2021). Understanding nurse practitioner practice authority: A scoping review. Journal of Nursing Regulation, 12(2), 5-14.
Lorenz, S., Albrecht, S., & Decker, B. (2021). Nurse Practitioner Full Practice Authority: An Analysis of State Legislative Processes. Journal of Nursing Regulation, 12(1), 26-33.
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