Chronicling the pursuit for full practice authority in Tennessee: Recommendations for a path forward

Abstract

Background: The quest for full practice authority (FPA) for Tennessee Advanced Practice Registered Nurses (APRNs) began with promise in the late 1960s. However, progress has stalled in the ensuing time, and prospects for advancing FPA do not look promising.

Purpose: The purpose of this article is to chronicle the pursuit of FPA in Tennessee, offer reflections on what has transpired to date, and suggest a path forward.

Methods: Various data from various sources were used to chronicle the history of FPA in Tennessee, make the case for its need, and identify better approaches for success.

Discussion: As one of a dwindling number of states without FPA, access to primary care health services and the economic vitality of Tennessee communities are of concern.

Conclusion: The path forward for achieving FPA in Tennessee necessitates changes in approach and players. Specific recommendations are offered.

Keywords: APRN practice authority; Advanced practice nursing; Advanced practice registered nurse (APRN); Practice authority; Practice barriers; Scope of practice.