Abstract

The purpose of this presentation is to compare outcomes for states that had full practice authority (FPA) for NPs to those that do not.

The aim of this study was to examine the impact of FPA on patient outcomes. A principal factor in the excess mortality rate of the U.S. is the health disparities that exist in this country, which are influenced by the social determinants of health.

CDC and NIH data were utilized after the official end of the Covid 19 pandemic mortality rates, utilization of services and health status were used to compare states that had full practice authority in 2018 to those who did not. Using SPSS version 29, a comparison of the means was calculated by independent samples T tests.

Notes

Reference list included in attached slide deck.

Description

NPs often provide care for vulnerable populations in the U.S. NP full practice authority was correlated with a decrease in the overall mortality rate due to Covid-19 in those states with NP full practice authority (p=.001) a decrease in unnecessary hospitalizations of Medicare patients (p=.001) and an increase in persons having a regular source of health care (p=.006) were also correlated with full practice authority. It is our duty as nurses to advocate for policies that reduce disparities.

Author Details

Cynthia Sanchez, DNP, MPH, FNP-C, RN - Associate Professor, California State University Dominguez Hills

Sigma Membership

Upsilon Beta

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Policy and Advocacy, Health Equity or Social Determinants of Health, Public and Community Health, Nurse Practitioners, Medical Practice, Health Outcome Assessment

Conference Name

37th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Toronto, Ontario, Canada

Conference Year

2026

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2026-09-25

Click above link to access the slide deck.

Share

COinS
 

NP Full Practice Authority: Does Increasing Access to High Quality Care Make a Difference?

Toronto, Ontario, Canada

The purpose of this presentation is to compare outcomes for states that had full practice authority (FPA) for NPs to those that do not.

The aim of this study was to examine the impact of FPA on patient outcomes. A principal factor in the excess mortality rate of the U.S. is the health disparities that exist in this country, which are influenced by the social determinants of health.

CDC and NIH data were utilized after the official end of the Covid 19 pandemic mortality rates, utilization of services and health status were used to compare states that had full practice authority in 2018 to those who did not. Using SPSS version 29, a comparison of the means was calculated by independent samples T tests.