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

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  • Ruth Kleinpell, PhD, RN, FAAN, FAANP (a); Carole R. Myers, PhD, RN, FAAN (b); Mavis N. Schorn, PhD, CNM, CNE, FACNM, FNAP, FAAN (a); Wendy Likes, PhD, DNSc, APRN-BC, FAANP (c) - (a) Vanderbilt University School of Nursing, Nashville, TN; (b) University of Tennessee College of Nursing, Knoxville, TN; (c) University of Tennessee Health Science Center College of Nursing, Memphis, TN

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http://hdl.handle.net/10755/23165
Abstract

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.

Repository Posting Date
2023-05-23T22:38:43Z
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The authors of this work did not submit this material directly to the Sigma Repository. This work is indexed and appears in the Sigma Repository pursuant to a Creative Commons Attribution 4.0 International License attached to the work upon its publication in the journal acknowledged in this record. Please refer to the attached license (the icon at the bottom of this entry) for further information and terms. All terms of the license have been followed. There are no changes in this article from the original posting

Type Information
TypeArticle
AcquisitionIndexed from External Source (Per Rights Granted in Creative Commons License)
Review TypeExternal Review: Previously Published Material
FormatText-based Document
Category Information
Evidence LevelDescriptive/Correlational
Research ApproachQuantitative Research
KeywordsAdvanced Practice Nursing;
COVID-19;
Health Policy;
Healthcare Policy;
Health Workforce;
Nursing Legislation;
Pandemic
Original Publication Info
PublisherElsevier
Date2021-05-11
VersionPublisher’s Version
Citation: Kleinpell, R., Myers, C.R., Schorn, M.N., & Likes, W. (2021, September/October). Impact of COVID-19 pandemic on APRN practice: Results from a national survey. Nurs Outlook, 69(5), 783 792. https://doi.org/10.1016/j.outlook.2021.05.002
ISSN0029-6554
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Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)
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