Response

Response

Hi Aliyah,

Your discussion does a fantastic job describing how collaborative practice agreements can both promote and restrain APRN practice. A key aspect worth considering is that although CPAs may offer organizing and regulation, over-regulation might lead to poorer access to healthcare, especially in underserved neighborhoods where APRNs can be the most common healthcare provider. The literature indicates that states with less restrictive practices have had better access to care and patient outcomes as a result of increased provider availability (Johnson et al., 2025). Also, the presence of administrative tasks, including chart reviews and prescribing restrictions, can lead to workflow inefficiencies and slow down treatment decisions, which adversely impact timely care provision. Collaboration and autonomy are essential to guarantee patient safety and enable APRNs to practice according to their education level (Uysal & Ekiz, 2025). The increase of practice authority without a decrease in collaboration can enhance efficiency and care quality.

References

Johnson, A. H., Zaniletti, I., Miller, J., Popejoy, L. L., & Rantz, M. J. (2025). Solution to improve state health outcomes and access to care for Medicare beneficiaries: full practice of APRNs. Journal of the American Medical Directors Association, 26(6), 105585. https://doi.org/10.1016/j.jamda.2025.105585

Uysal, D. A., & Ekiz, E. (2025). The role of professional autonomy in a healthy work environment: a mixed-methods study on intensive care nurses. BMC Nursing, 24(1), 1388. https://doi.org/10.1186/s12912-025-04034-4

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How can reducing restrictive elements of collaborative practice agreements (CPAs) improve healthcare access and efficiency for APRNs, particularly in underserved areas, while still maintaining effective collaboration and patient safety? In your response, include at least two scholarly sources published within the last 5 years to support your discussion.