Determination and Determinants; Negotiating New Hampshire Nurse Practitioner Prescribing Legislation 1973 to 1985

2.50
Hdl Handle:
http://hdl.handle.net/10755/163241
Category:
Abstract
Type:
Presentation
Title:
Determination and Determinants; Negotiating New Hampshire Nurse Practitioner Prescribing Legislation 1973 to 1985
Author(s):
Sampson, Deborah
Author Details:
Deborah Sampson, PhD (c), ARNP, Barbara Bates Center for the Study of the History of Nursing, Philadelphia, Pennsylvania, USA, email: dsampson@nursing.upenn.edu
Abstract:
Purpose: I present findings from historical research about the lengthy and difficult process of enacting nurse practitioner prescribing legislation using New Hampshire as case study. Background: In New Hampshire, nurse practitioners successfully negotiated legislation supporting their prescribing in spite of opposition and changing alliances among nursing, medical, pharmacy, and legislative factions. Yet the negotiations that assured passage of nurse practitioner prescribing legislation came only after several legislative attempts failed. The story of these attempts uncovers political influence and power within multiple layers of stakeholders. I identify events, circumstances, and people instrumental in the process of nurse practitioner practice act development that affected nurse practitioners' prescribing autonomy. Methods (sources, analytic approach): Sociopolitical historical inquiry is a powerful method for understanding the process of legislative development and evaluating the politics of legislation. I analyzed archival sources from state organizations and Boards, legislative archives, and media and obtained oral histories from nursing, pharmacy, and medical organization leaders, members of Boards of Medicine, Pharmacy and Nursing, legislators, nurse practitioners, and physicians. Results: I identify the complex and shifting social and economic factors; analyze the intersects of stakeholders within the health care system, the health professions, the public, and the state affecting the process of nurse practitioner prescribing legislation and professional role determinants; and connect this historical research with clinical practice and state legislative imperatives. Moreover, I provide insights into nurses' political awareness and negotiation skills and elucidate networking strategies needed within and among professional nursing groups. Conclusions and Implications: Without historical perspectives, nurses' political action occurs without complete information and planning proceeds without complete understanding. This historical research provides context for understanding current state-by-state legislative process differences and broadens the knowledge for future legislative initiatives, policy planning, and practice change. The research provides groundwork for nurses who are implementing strategies to change advanced nursing practice acts.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleDetermination and Determinants; Negotiating New Hampshire Nurse Practitioner Prescribing Legislation 1973 to 1985en_GB
dc.contributor.authorSampson, Deborahen_US
dc.author.detailsDeborah Sampson, PhD (c), ARNP, Barbara Bates Center for the Study of the History of Nursing, Philadelphia, Pennsylvania, USA, email: dsampson@nursing.upenn.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163241-
dc.description.abstractPurpose: I present findings from historical research about the lengthy and difficult process of enacting nurse practitioner prescribing legislation using New Hampshire as case study. Background: In New Hampshire, nurse practitioners successfully negotiated legislation supporting their prescribing in spite of opposition and changing alliances among nursing, medical, pharmacy, and legislative factions. Yet the negotiations that assured passage of nurse practitioner prescribing legislation came only after several legislative attempts failed. The story of these attempts uncovers political influence and power within multiple layers of stakeholders. I identify events, circumstances, and people instrumental in the process of nurse practitioner practice act development that affected nurse practitioners' prescribing autonomy. Methods (sources, analytic approach): Sociopolitical historical inquiry is a powerful method for understanding the process of legislative development and evaluating the politics of legislation. I analyzed archival sources from state organizations and Boards, legislative archives, and media and obtained oral histories from nursing, pharmacy, and medical organization leaders, members of Boards of Medicine, Pharmacy and Nursing, legislators, nurse practitioners, and physicians. Results: I identify the complex and shifting social and economic factors; analyze the intersects of stakeholders within the health care system, the health professions, the public, and the state affecting the process of nurse practitioner prescribing legislation and professional role determinants; and connect this historical research with clinical practice and state legislative imperatives. Moreover, I provide insights into nurses' political awareness and negotiation skills and elucidate networking strategies needed within and among professional nursing groups. Conclusions and Implications: Without historical perspectives, nurses' political action occurs without complete information and planning proceeds without complete understanding. This historical research provides context for understanding current state-by-state legislative process differences and broadens the knowledge for future legislative initiatives, policy planning, and practice change. The research provides groundwork for nurses who are implementing strategies to change advanced nursing practice acts.en_GB
dc.date.available2011-10-27T11:03:55Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:03:55Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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