In recent years, the advanced practice registered nurse (APRN) role has expanded rapidly in terms of numbers and capabilities, yet no uniform APRN regulation model currently exists across the United States. Thus, each state independently determines such important parameters as legal scope of practice, roles that are recognized, criteria for entry into advanced practice, and minimum certification requirements. These inconsistencies adversely have affected access to care for patients and created a significant barrier for APRNs who wish to move from state to state.

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