iam replying to a peer’s post on policy and practice issuesissues


Week 15 Discussion 1: Policy and Practice Issues

Completion requirements

 Done: Make forum posts: 1

Value: 100 points

Due: Create your initial post by Day 4, and reply to at least two of your peers by Day 7.

Grading Category: Discussions

Note: In this type of discussion, you will not see the responses of your classmates until after you have posted your own response to the following question.

Initial Post

  • Identify one policy issue related to barriers to accessing psychiatric and mental health care that is currently being addressed by your national professional organization and discuss how NPs can become policy-aware, as well as act as patient advocates.
  • Attach a policy white paper to support your statement.


Reply to at least two of your peers. In your reply posts, identify a related barrier in access to care that has not been addressed or that you have experienced in your clinical settings.

Please refer to the Grading Rubric for details on how this activity will be graded.

The described expectations meet the passing level of 80%. You are directed to review the Discussion Grading Rubric for criteria which exceed expectations.Re: Week 15 Discussion 1: Policy and Practice Issues

This is my peer’s post

by Olga Perez-Rodriguez – Thursday, 30 November 2023, 11:02 PM

In the state of California, where I practice, all advanced-practice nurses practice under the California Board of Registered Nurses’ guidelines and certification and are presently not permitted to practice independently. Advanced practice nurses must work under the direction of a physician. Unfortunately, California is one of the few states that does not have independent practice. In our state, this mandate is a great barrier to medical and psychiatric health access (Chapman et al., 2019).

The nursing and physician shortages in our state only increased with the Accountable Care Act, which provided insurance coverage to those individuals who otherwise would not have coverage. This increased the number of patients seeking medical and psychiatric services. The only problem is that the number of providers did not expand at the same rate, leaving even bigger gaps in health access (Phoenix et al., 2016). This negative impact affected the lower socioeconomic communities, where greater disparities already existed (Chapman et al., 2019). The COVID-19 pandemic posed another challenge to the healthcare community. In the middle of the pandemic, many providers experienced burnout due to long shifts and high patient loads. Post-pandemic, we are experiencing higher psychiatric illnesses, specifically depression, anxiety, and PTSD in the community due to the trauma of losing loved ones, financial struggles, and isolation(WHO, 2023).

Having physicians waste their time overseeing Nurse Practitioners takes them away from patient care. If the state allowed NPs to practice independently, this would increase the number of independent providers available to provide medical and psychiatric health care. California passed a recent bill where NPs can apply for independent practice, but the first applications will not be accepted until 2026. Providers must meet the certifications and at least three years of experience in the field requested for independent practice (Phillips, 2021). The bill was passed after many years of nurses coming together and lobbying for policy change. Being part of nursing associations is a way to make our voice stronger. Nurses can propose healthcare legislation or support legislation that can improve our practice (Kapu, 2022).ReferencesChapman, S. A., Toretsky, C., & Phoenix, B. J. (2019). Enhancing psychiatric mental health nurse practitioner practice: Impact of state scope of practice regulations. Journal of Nursing Regulation, 10(1), 35–43. Retrieved January 5, 2023, from https://doi.org/10.1016/s2155-8256(19)30081-xKapu, A. N. (2022). Nurse practitioner (np) advocacy and education: It’s all about excellence in health care! The Journal for Nurse Practitioners, 18(2), 135. https://doi.org/10.1016/j.nurpra.2021.12.017Phillips, S. J. (2021). 33rd annual aprn legislative update. The Nurse Practitioner, 46(1), 27–55. Retrieved January 6, 2023, from https://doi.org/10.1097/01.npr.0000724504.39836.69Phoenix, B. J., Hurd, M., & Chapman, S. A. (2016). Experience of psychiatric mental health nurse practitioners in public mental health. Nursing Administration Quarterly, 40(3), 212–224. Retrieved January 5, 2023, from https://doi.org/10.1097/naq.0000000000000171WHO. (2023). The COVID-19 Pandemic. World Health Organization. https://www.who.int/news/item/02-03-2022-covid-19-pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide


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