Regulation of advanced nursing practice: Part One--Second licensure.
OBJECTIVE
To present an overview of the issues relating to second licensure and advanced nursing practice in oncology and to summarize recommendations regarding second licensure from the State-of-the-Knowledge Conference on Advanced Practice in Oncology Nursing.


METHODS
Published journal articles, a position paper and survey prepared by the National Council of State Boards of Nursing, and papers presented at the conference.


RESULTS
The use of second licensure to regulate advanced nursing practice is controversial and has advantages and disadvantages.


CONCLUSIONS
The Oncology Nursing Society should not adopt a position on second licensure until more is known about its advantages and disadvantages.


CONCLUSIONS
Advanced practice nurses must understand how licensure laws affect their scope of practice, their prescriptive authority, reimbursement, and other practice issues.
Cancer Prevention/Early Detection Services, Legacy Health System, Portland, OR, USA.
K E
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Greco
D011307:Drug Prescriptions; D006801:Humans; D008008:Licensure, Nursing; D009720:Nurse Clinicians / Q000193:education* / Q000458:organization & administration; D009722:Nurse Practitioners / Q000193:education* / Q000458:organization & administration; D009859:Oncology Nursing / Q000193:education* / Q000458:organization & administration; D017009:Professional Autonomy; D012051:Reimbursement Mechanisms; D014481:United States