Governing Advanced Nursing Practice: Legal Risk Mitigation through Structured Policy Models
DOI:
https://doi.org/10.61978/curatio.v2i1.1395Keywords:
Advanced Practice Nursing, Governance, Malpractice, Legal Risk, Nurse Practitioner, Policy Analysis, Healthcare RegulationAbstract
Advanced Practice Nurses (APNs) and Nurse Practitioners (NPs) are increasingly recognized for their capacity to enhance healthcare delivery, particularly in underserved areas. However, the expansion of these roles raises concerns about legal risk and liability. This study examines how governance frameworks influence malpractice exposure and support safe integration of APNs. A comparative policy analysis was conducted using data from national regulatory bodies, international guidelines, and empirical malpractice records. Key findings reveal that jurisdictions with structured endorsement systems, such as Australia, and states with full practice authority in the United States, report lower malpractice risks and better care outcomes. Malpractice claims against NPs are concentrated in areas like diagnosis and medication errors, particularly in high-volume care settings. The analysis also shows that legal clarity, ongoing education, and collaborative practice environments significantly mitigate liability exposure. The study concludes that effective governance not restrictive practice is essential for maximizing APN contributions while ensuring legal protection. These insights offer a practical governance model for stakeholders aiming to scale advanced nursing roles globally.
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