Abstract

BackgroundThe quest for full practice authority (FPA) for Tennessee Advanced Practice Registered Nurses (APRNs) began with promise in the late 1960s. However, progress has stalled in the ensuing time, and prospects for advancing FPA do not look promising. PurposeThe purpose of this article is to chronicle the pursuit of FPA in Tennessee, offer reflections on what has transpired to date, and suggest a path forward. MethodsVarious data from various sources were used to chronicle the history of FPA in Tennessee, make the case for its need, and identify better approaches for success. DiscussionAs one of a dwindling number of states without FPA, access to primary care health services and the economic vitality of Tennessee communities are of concern. ConclusionThe path forward for achieving FPA in Tennessee necessitates changes in approach and players. Specific recommendations are offered.

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