Hospital Regulation of Pediatric-Focused Nurse Practitioners: A Multistate Survey

Published:February 20, 2022DOI:


      • Nurse practitioners (NPs) were surveyed on hospital regulation of practice.
      • Organizations can impose stricter regulations than state requirements.
      • Redundancy in organizational regulation may lead to underuse of NPs.
      • Hospital administrators frequently do not understand the NP role and regulations.
      • Collaborating physicians had the greatest understanding of NP role and regulations


      The growing need for pediatric-focused providers remains unmatched by patient demands in acute care settings. Additional organizational restrictions above and beyond state scope of practice laws further limit the ability of nurse practitioners (NPs) to practice to the fullest extent of their training and education. Knowledge of scope of practice is essential for NPs, physicians, and hospital leadership to efficiently use NPs, decrease turnover, and promote access to care. This original research sought to describe hospital-level practice regulation and credentialing patterns across the southeastern United States and inform effective use of NPs at the organizational level.


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      Ashleigh Ficarino Bowman, DNP, CPNP-AC, is an assistant professor, Maternal Child Nursing Department at the University of South Alabama, College of Nursing, and nurse practitioner, Pediatric Emergency Department, USA Health Children’s & Women’s Hospital, Mobile, and can be contacted at [email protected]


      Michelle Borzik Goreth, DNP, CPNP-AC, is an associate professor and director of the Pediatric and Neonatal Nurse Practitioner Tracks Program at the University of Mississippi Medical Center, School of Nursing, Jackson.


      Alexandra Blumenthal Armstrong, MSN, CPNP-AC, is a nurse practitioner, Pediatric Endocrinology, Children’s of Alabama, and adjunct clinical instructor, Dual Pediatric Nurse Practitioner Program at the University of Alabama at Birmingham, School of Nursing.


      Kristin Hittle Gigli, PhD, CPNP-AC, is an assistant professor at the University of Texas at Arlington. In compliance with standard ethical guidelines, the authors report no relationships with business or industry that would pose a conflict of interest.