The APRN Policy and Practice Task Force is comprised of APRNs (CNP, CNS, CRNA, and CNM) across the state and across all settings of care who work collaboratively with the Hawai‛i State Center for Nursing to accomplish the goals of the Task Force.

Goals of the Task Force

The Task Force was established to:

  • Address professional issues relating to APRNs (including, but not limited to, compliance with national licensing, accreditation, certification and education requirements; practice barriers, assessing the need for statutory and administrative rule amendments;
  • Provide historical background of the APRN movement in Hawai‛i; to ensure the current generation of APRNs’ experience and knowledge acquired in the past decades can be passed on to the next generation
  • Update information relating to the issues to keep all stakeholders apprised of who APRNs are and what their role is and will be in health care both in Hawai‛i and the Nation; and
  • Provide a central venue for APRNs to share concerns and update information.

APRNs: Removing Scope of Practice Barriers

The people of Hawai‛i should have access to high quality, cost effective health care. Evidence from nationwide studies indicates that primary care services can be provided by APRNs as safely (and more cost effectively) as by physicians. A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome. The Institute of Medicine (IOM) 2010 report on the Future of Nursing: Leading Change, Advancing Health recommended the removal of scope-of-practice barriers. It further stated, “Advanced practice registered nurses should be able to practice to the full extent of their education and training.” Federal and state-based regulations must be amended and coverage expanded to include advanced practice registered nurses. The HSCN APRN Policy and Practice Task Force is committed to identifying and breaking down these barriers.

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