Important News for Advanced Practice Nurses: The New APRN Regulatory Model Has Been Endorsed and Adopted

The Consensus Model for APRN Regulation: Licensure, Accreditation, Certification and Education has been endorsed and adopted by the American Association of Critical-Care Nurses (AACN) and AACN Certification Corporation Boards of Directors.

The model is the product of substantial work conducted by the Advanced Practice Nursing Consensus Work Group and the National Council of State Boards of Nursing (NCSBN) APRN Committee.

The comprehensive document clearly defines APRN practice, describes the APRN regulatory model, identifies the titles to be used, defines the accountabilities of each component group of the model — Licensure, Accreditation, Certification and Education — and describes the emergence of new roles and presents strategies for implementation.

Due to the interdependence of licensure, accreditation, certification and education, implementation of the model will occur both incrementally and sequentially.

However, because the model was developed through a nationally representative consensus process with participation of APRN certifiers, accreditors, public regulators, educators and employers, it is expected that the recommendations and model delineated will inform decisions made by each of these entities as the APRN community moves toward full implementation of the APRN Regulatory Model and all embedded resolutions by 2015.

AACN’s support of the advancement of APRNs is well documented. For more information, read the following position statements:

Major Advocacy Milestones

Since 1995, when AACN developed and published the Standards of Clinical Practice and Scope of Practice for Acute Care Nurse Practitioners, followed by the document for the Clinical Nurse Specialist in Acute and Critical Care in 2002, the organization has been a key player in advancing the role of APRNs.

Learn more about the key milestones in the evolution of acute care APRN practice and AACN’s advocacy efforts.

Implications for Acute Care Advanced Practice Nurses

Problems which had been identified by both the APRN Consensus Group and the NCSBN APRN panel with the existing regulatory model included lack of common definitions related to APRN roles, lack of standardization in programs leading to APRN preparation, proliferation of specialties and subspecialties and lack of common legal recognition across jurisdictions.

The development of the new regulatory model sought to alleviate these problems and at the same time enhance patient safety, improve consumer understanding of APRN roles, provide ease in regulation and promote interstate mobility of APRNs.

Already in place under the new regulatory model Advanced Practice Registered Nurse (APRN) will be the title utilized for the Certified Clinical Nurse Specialists (CNS), the Certified Nurse Midwife (CNM), the Certified Nurse Practitioner (CNP) and the Certified Registered Nurse Anesthetist (CRNA).

All APRNs are educated in an accredited graduate-level education program in one of the four roles and in one of six population foci, and they must pass a national certification exam that measures APRN-role and population focused competencies.

Find out how the new regulatory model will affect licensing boards, accreditation agencies, certification organizations and educational programs.

Your Feedback