The Full Practice Authority Initiative: Lessons Learned From Nevada

Cameron G. Duncan, Kate G. Sheppard

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


A qualitative, multiple-participant case study design was employed to identify legislative barriers to full practice authority legislation and how they were overcome during Nevada's 2013 legislative session. Eight barriers were identified: lack of a clear vision; lack of physician support; inability to address all stakeholders; lack of a strong coalition; lack of vital resources; nurse practitioner role recognition; community and regulatory organizations; and social media. Efforts to overcome these issues are described. The findings may be useful in states vying for full practice authority legislation, and may act as a stepping stone toward addressing the provider shortage in the United States.

Original languageEnglish (US)
Pages (from-to)610-617
Number of pages8
JournalJournal for Nurse Practitioners
Issue number6
StatePublished - Jun 1 2015


  • Autonomous practice
  • Barriers
  • Full practice authority
  • Health policy
  • Legislation
  • Nurse practitioner

ASJC Scopus subject areas

  • Advanced and Specialized Nursing


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