Date of Award


Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)


Yale University School of Nursing

First Advisor

Judith Kunisch


In response to the national call to increase the healthcare provider workforce, states are enacting more laws to give APRNs full practice authority. However, the approach is incremental and often politically motivated, leading to wide variation in state laws. A significant area of regulatory variability relates to the point at which APRNs have full practice authority. Some states never allow it for one or more APRN roles; some states have a transition to practice, where, following licensure there is a period of oversight or supervision; some states allow full practice authority upon licensure. Full practice authority for APRNs upon licensure is defined in the uniform Consensus Model and supported by extensive peer-reviewed research. Legislators are justified in adopting uniform laws and full practice authority upon licensure for APRNs. Uniform regulation resolves the interstate regulation disorder, improves APRN mobility, and provides greater access to safe, high quality care for the public.

Open Access

This Article is Open Access