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New York law offers nurses more recognition, responsibility
Date:7/23/2014

(NEW YORK, NY, July 24, 2014) If past experience is anything to go by, nurse practitioners in New York State are about to get a lot more recognition for their contributions to primary care. In Massachusetts, laws already on the books allowing NPs to provide primary care offer nurses more recognition of their contributions to patient care and better relationships with physicians and administrators, compared with colleagues in New York, according to a study from Columbia University School of Nursing, published in Health Care Management Review.

"This suggests that the practice environment for NPs in New York can improve once the state's NP Modernization Act takes effect," says Columbia Nursing Assistant Professor Lusine Poghosyan, PhD, RN, lead study author. The NP Modernization Act, passed as part of the New York State budget earlier this year, will allow experienced NPs to practice independently, without direct supervision from a physician.

A research team led by Poghosyan surveyed a cross-section of NPs in New York and Massachusetts who worked in a variety of primary care settings to see how state policy and the type of employer influenced NPs' perception of their practice environment. The survey asked NPs about five aspects of their work experiences: physician relations, administration relations, support and resources, visibility and comprehension of their role, and independence of practice. Massachusetts bested New York on every variable.

At the same time, laws are only one piece of the puzzle. In both states, NPs gave a lower score on each variable to hospital-affiliated clinics than they did for physician offices or community health centers. In particular, NPs ranked their ability to practice independently as significantly lower in hospital-affiliated settings. Hospitals generally have large administrative structures, and are governed by multiple committees that may not have NP representation. As a result NPs may
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Contact: Lisa Rapaport
lr2692@cumc.columbia.edu
212-342-3795
Columbia University Medical Center
Source:Eurekalert  

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