Exploring the Relationship between Nurse Practitioner Full Practice Authority, Nurse Practitioner Workforce Diversity, and Disparate Primary Care Access

Policy Polit Nurs Pract. 2023 Feb;24(1):26-35. doi: 10.1177/15271544221138047. Epub 2022 Dec 8.

Abstract

In this study, we examine how full nurse practitioner (NP) practice authority affects racial and ethnic diversity of the NP workforce. Specifically, the purpose of our research is to understand the relationship between the racial and ethnic composition of the NP workforce, NP level of practice authority, and the communities they service. In this paper, we compare the ethnic and racial composition of the NP workforce to the composition of the state's population, and then observe if there are any noticeable differences in the patients served by NPs when we compare full practice authority (FPA) and non-FPA states. We also estimate how FPA affects the race and ethnicity of Medicare patients served by NPs.

Keywords: Medicare; full practice authority; inequity; nurse practitioner; primary care; workplace diversity.

MeSH terms

  • Aged
  • Humans
  • Medicare*
  • Nurse Practitioners*
  • Primary Health Care
  • United States
  • Workforce