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One-third of the nation has adopted full practice authority licensure and practice laws for nurse practitioners. These states are: Alaska, Arizona, Colorado, District of Columbia, Hawaii, Idaho, Iowa, Maine, Montana, Oregon, New. Hampshire, New Mexico, North Dakota, Rhode Island, Vermont, Washington, and Wyoming.
To better clarify the unique role of advanced practice nursing, the NCSBN issued a series of position papers between 1986 and 2002 that came to define advanced practice registered nursing as it exists today. Demand for all four APRN roles is strong and likely to continue to increase in the United States.