Issues with receiving medical care at the Veterans Health Administration (VHA) have been ongoing for some time and remains a policy battle within the government.
Comparisons between the practices of Advanced Registered Nurses and Physicians has also been ongoing and will continue to be an ongoing issue in the future as healthcare remains a forefront issue in this country. Combining these two issues certainly leaves people taking strong stances.
Even though currently the District of Columbia and twenty-one states allow for full practice by Advanced Registered Nurse Practitioners giving the same full practice to advanced nurses in the VHA has provoked an intense argument. Full practice as stated by the American Association of Nurse Practitioners (n.d.) provides for all nurse practitioners to evaluate patients diagnose order and interpret diagnostic tests initiate and manage treatmentsincluding prescribe medicationsunder the exclusive licensure authority of the state board of nursing (AANA n.d.). Medical associations were quick to oppose advanced nurses at the VA having these full practice rights suggesting that the care would not be safe for the Veterans. The American Society of Anesthesiologists extended on the discussion of primary care and said nurses taking over surgeries lowers standards and risks veterans lives (Mindock 2016).
However as provided by the American Association of Nurse Anesthetists researchers have yet to find a difference in safety of care between Certified Registered Nurse Anesthetists and Anesthesiologists (Researchers Find No Differences n.d.). Also in a published systematic review by Swan Ferguson Chang Larson and Smaldone (2015) care practices were compared between advanced nurse practitioners working alone and phy
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