State regulations related to Advanced Practice (AP) have a significant effect on the nurse’s role, cost and access to healthcare. AP can be defined as nursing that includes advanced knowledge, experience and clinical judgement in the diagnosis and management of patient health problems (Marriner-Tomey & Alligood, 2018). Each state has its own rules about what constitutes AP for nurses; these regulations include elements such as scope of practice, controlled substance prescribing authority and collaborative practice agreements (American Nurses Association [ANA], 2020).
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