The relationship of nursing practice laws to suicide and homicide rates: a longitudinal analysis of US states from 2012 to 2016
Abstract Background Nursing resources can have a protective effect on patient outcomes, but nurses and nursing scope of practice have not been studied in relation to injury outcomes. The purpose of this study was to examine whether scope of practice and ease of practice laws for nurse practitioners...
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| Format: | Article |
| Language: | English |
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BMC
2020-03-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-020-5025-x |
| _version_ | 1811215024038871040 |
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| author | Kristen R. Choi Sae Takada Altaf Saadi Molly C. Easterlin Liza S. Buchbinder Shaw Natsui Frederick J. Zimmerman |
| author_facet | Kristen R. Choi Sae Takada Altaf Saadi Molly C. Easterlin Liza S. Buchbinder Shaw Natsui Frederick J. Zimmerman |
| author_sort | Kristen R. Choi |
| collection | DOAJ |
| description | Abstract Background Nursing resources can have a protective effect on patient outcomes, but nurses and nursing scope of practice have not been studied in relation to injury outcomes. The purpose of this study was to examine whether scope of practice and ease of practice laws for nurse practitioners and registered nurses are associated with suicide and homicide rates in the United States. Methods This state-level analysis used data from 2012 to 2016. The outcome variables were age-adjusted suicide and homicide rates. The predictor variables were NP scope of practice by state (limited, partial, or full) and RN ease of practice (state RN licensure compact membership status). Covariates were state sociodemographic, healthcare, and firearm/firearm policy context variables that have a known relationship with the outcomes. Results Full scope of practice for NPs was associated with lower rates of suicide and homicide, with stronger associations for suicide. Likewise, greater ease of practice for RNs was associated with lower suicide and homicide rates. Conclusions Findings suggest that nurses are an important component of the healthcare ecosystem as it relates to injury outcomes. Laws supporting full nursing practice may have a protective effect on population health in the area of injuries and future studies should explore this relationship further. |
| first_indexed | 2024-04-12T06:14:19Z |
| format | Article |
| id | doaj.art-e0d2792ef43b4ce0b837f05547cf0d19 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-12T06:14:19Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-e0d2792ef43b4ce0b837f05547cf0d192022-12-22T03:44:34ZengBMCBMC Health Services Research1472-69632020-03-012011910.1186/s12913-020-5025-xThe relationship of nursing practice laws to suicide and homicide rates: a longitudinal analysis of US states from 2012 to 2016Kristen R. Choi0Sae Takada1Altaf Saadi2Molly C. Easterlin3Liza S. Buchbinder4Shaw Natsui5Frederick J. Zimmerman6National Clinician Scholars Program, Division of General Internal Medicine & Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California, Los AngelesNational Clinician Scholars Program, Division of General Internal Medicine & Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California, Los AngelesNational Clinician Scholars Program, Division of General Internal Medicine & Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California, Los AngelesNational Clinician Scholars Program, Division of General Internal Medicine & Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California, Los AngelesNational Clinician Scholars Program, Division of General Internal Medicine & Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California, Los AngelesNational Clinician Scholars Program, Division of General Internal Medicine & Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California, Los AngelesDepartment of Health Policy and Management, Fielding School of Public Health, University of CaliforniaAbstract Background Nursing resources can have a protective effect on patient outcomes, but nurses and nursing scope of practice have not been studied in relation to injury outcomes. The purpose of this study was to examine whether scope of practice and ease of practice laws for nurse practitioners and registered nurses are associated with suicide and homicide rates in the United States. Methods This state-level analysis used data from 2012 to 2016. The outcome variables were age-adjusted suicide and homicide rates. The predictor variables were NP scope of practice by state (limited, partial, or full) and RN ease of practice (state RN licensure compact membership status). Covariates were state sociodemographic, healthcare, and firearm/firearm policy context variables that have a known relationship with the outcomes. Results Full scope of practice for NPs was associated with lower rates of suicide and homicide, with stronger associations for suicide. Likewise, greater ease of practice for RNs was associated with lower suicide and homicide rates. Conclusions Findings suggest that nurses are an important component of the healthcare ecosystem as it relates to injury outcomes. Laws supporting full nursing practice may have a protective effect on population health in the area of injuries and future studies should explore this relationship further.http://link.springer.com/article/10.1186/s12913-020-5025-xNurse practitionerRegistered nurseScope of practiceInjurySuicidePolicy |
| spellingShingle | Kristen R. Choi Sae Takada Altaf Saadi Molly C. Easterlin Liza S. Buchbinder Shaw Natsui Frederick J. Zimmerman The relationship of nursing practice laws to suicide and homicide rates: a longitudinal analysis of US states from 2012 to 2016 BMC Health Services Research Nurse practitioner Registered nurse Scope of practice Injury Suicide Policy |
| title | The relationship of nursing practice laws to suicide and homicide rates: a longitudinal analysis of US states from 2012 to 2016 |
| title_full | The relationship of nursing practice laws to suicide and homicide rates: a longitudinal analysis of US states from 2012 to 2016 |
| title_fullStr | The relationship of nursing practice laws to suicide and homicide rates: a longitudinal analysis of US states from 2012 to 2016 |
| title_full_unstemmed | The relationship of nursing practice laws to suicide and homicide rates: a longitudinal analysis of US states from 2012 to 2016 |
| title_short | The relationship of nursing practice laws to suicide and homicide rates: a longitudinal analysis of US states from 2012 to 2016 |
| title_sort | relationship of nursing practice laws to suicide and homicide rates a longitudinal analysis of us states from 2012 to 2016 |
| topic | Nurse practitioner Registered nurse Scope of practice Injury Suicide Policy |
| url | http://link.springer.com/article/10.1186/s12913-020-5025-x |
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