[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-328249-en":3,"doc-seo-328249-105":31,"detail-sidebar-cat-0-en-105":99},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":14,"update_tm":29,"read_time":30,"preview_page_count":4},328249,1099523882367,"Jordan Avery","https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc",8,"Research & Report","State-level scope of practice regulations for nurse practitioners impact work environments: Six state investigation","Nurse practitioner scope of practice policies vary across the United States, and their effects on NP work environment within healthcare organizations were not well established. Using a cross-sectional survey design, the study analyzed responses from 1244 NPs in six states (2018–2019) with different SOP regulations. Results showed higher NP-Administration Relations, Independent Practice and Support, and Professional Visibility scores in full SOP states, while NP-Physician Relations showed no association.","UCSF  \nUC San Francisco Previously Published Works  \nTitle  \nState‐level scope of practice regulations for nurse practitioners impact work environments: Six state investigation  \nPermalink  \n[https://escholarship.org/uc/item/6t08z4x2](https://escholarship.org/uc/item/6t08z4x2)  \nJournal  \nResearch in Nursing & Health, 45(5)  \nISSN  \n0160-6891  \nAuthors  \nPoghosyan, Lusine  \nStein, Jordan H Liu, Jianfanget al.  \nPublication Date  \n2022-10-01  \nDOI  \n10.1002/nur.22253  \nPeer reviewed  \n[eScholarship.org](eScholarship.org) Powered by the California Digital Library  \nUniversity of California  \nAuthor Manuscript Author Manuscript Author Manuscript Author Manuscript  \n\n| | HHS Public Access\u003Cbr>Author manuscript\u003Cbr>Res Nurs Health. Author manuscript; available in PMC 2023 October 01. |\n| --- | --- |\n\nPublished in final edited form as:  \nRes Nurs Health. 2022 October ; 45(5): 516–524. doi:10.1002/nur.22253 .  \nState-level scope of practice regulations for nurse practitioners impact work environments: Six state investigation  \nLusine Poghosyan 1 , Jordan H. Stein 1 , Jianfang Liu 1 , Joanne Spetz2 , Zainab T. Osakwe3 , Grant Martsolf4  \n1School of Nursing, Columbia University, New York, New York, USA  \n2School of Nursing, University of California, San Francisco, California, USA  \n3College of Nursing and Public Health, Adelphi University, Garden City, New York, USA  \n4School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA  \nAbstract  \nNurse practitioner (NP) scope of practice (SOP) policies are different across the United States.  \nLittle is known about their impact on NP work environment in healthcare organizations. We investigated the association between SOP policies and organizational-level work environment of NPs. Through a cross-sectional survey design, data were collected from 1244 NPs in six states with variable SOP regulations (Arizona, New Jersey, Washington, Pennsylvania, Texas, and California) in 2018–2019. Arizona and Washington had full SOP—NPs had full authority to deliver care. New Jersey and Pennsylvania had reduced SOP with physician collaboration requirement; California and Texas had restricted SOP with physician supervision requirement. NPs completed mail or online surveys containing the Nurse Practitioner Primary Care Organizational Climate Questionnaire, which has these subscales: NP-Administration Relations (NP-AR), NP-Physician Relations (NP-PR), Independent Practice and Support (IPS), and Professional Visibility (PV) . Regression models assessed the relationship between state-level SOP and practice-level NP work environment. NP-AR scores were higher in full SOP states compared to reduced (β = 0.22, p \u003C 0.01) and restricted (β = 0.15, p \u003C 0.01) SOP states.  \nSimilarly, IPS scores were higher in full SOP states. The PV scores were also higher in full SOP states compared to reduced (β = 0.16, p \u003C 0.001) and restricted (β = 0.12, p \u003C 0.05) SOP states. There was no relationship between SOP and NP-PR score. State-level policies affect NP work environment. In states with more favorable policies, NPs have better relationships with  \nCorrespondence: Lusine Poghosyan, School of Nursing, Columbia University, 560 W 168th St, Office 624, New York, NY 10032, [USA. lp2475@columbia.edu](USA. lp2475@columbia.edu).  \nAUTHOR CONTRIBUTIONS  \nDr. Poghosyan was responsible for conceptualizing the study. Drs. Poghosyan, Martsolf, and Liu determined the methodology of the study. Dr. Liu conducted the data analysis. Dr. Spetz provided expert methodological expertise and provided feedback on the study methodology. Dr. Poghosyan drafted the manuscript and Dr. Stein assisted with result interpretation. Dr. Osakwe provided NP  \nperspective to be incorporated in the discussion. All authors reviewed the manuscript and contributed to the writing. CONFLICT OF INTEREST  \nThe authors declare no conflict of interest.  \nPEER REVIEW  \nThe peer review history for this article is available at [https://publons.com/publon/10.1002/nur.","cbCaihha3di8M0kq","https://ap.wps.com/l/cbCaihha3di8M0kq","pdf",602152,12,1,15,"English","en",105,"# Abstract\n# Introduction and Background\n## Scope of practice differences across states\n## Policy barriers and their implications\n## Study focus and rationale","[{\"question\":\"What was the study investigating about nurse practitioner scope of practice?\",\"answer\":\"It examined how state-level SOP policies are associated with organizational-level NP work environment measures in healthcare settings.\"},{\"question\":\"How was the data collected and from how many participants?\",\"answer\":\"A cross-sectional survey collected data from 1244 NPs across six states during 2018–2019.\"},{\"question\":\"Which work-environment subscales were linked to state-level SOP policies?\",\"answer\":\"NP-Administration Relations, Independent Practice and Support, and Professional Visibility were higher in full SOP states, while NP-Physician Relations showed no relationship.\"}]","State-level scope of practice regulations for nurse practitioners impact work environments: Six state investigation | 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