The quality of services rendered by nurse practitioners can be influenced by the practice environment including the governmental policy structures and systems. The latter are referred to as limitations of practice for nurse practitioners.
Missouri operates under the “restricted practice” regulatory structure which requires nurse practitioners to be under career-long supervision. This policy interferes with nurse practitioners’ abilities to provide the care they are trained to provide and also wears on their motivation and job satisfaction.
The National Academy of Medicine sees the “full practice” structure as the way forward for members of this specialty area. The responsibility and autonomy that come with this structure are immensely beneficial for the healthcare system of any state. Nursing professionals are encouraged to join in the advocacy for the implementation of the full practice structure in all states.