Abstract
Nurse Practitioners (NPs) are increasingly seen as a solution for reducing shortages in the provision of primary care in the United States. However, not all NPs are legally allowed to practice with the same levels of autonomy. Although many have examined the effects of this variation, few have investigated why these differences exist. We adapt an equifinality approach (Gresov & Drazin, 1997) from the organizational strategy literature to the study of professionals and analyze 15 years of state level data. We consider both the predictors of two different types of autonomy–Diagnosis & Treatment versus Prescriptive Authority–and the different levels of independence within each. We find significant differences in the configuration of variables in predicting Diagnosis & Treatment versus Prescriptive authority as well as in the different levels of autonomy for Diagnosis & Treatment.
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