21: REFLECTIVE RESPONSE 2 ■ 481
their license to all 50 states. The Future of Nursing outlined suggestions to enhance the
ability of nurses to promote health.
State boards dictate NP licensing requirements and these typically include the type
of education and certification required (Blackwell & Neff, 2015). According to Blackwell
and Neff, numerous state boards of nursing have ambiguous scope of practice regula-
tions resulting in the NP education and certification being the determinants for scope
of practice. Education requirements are a graduate degree in all but two states (Indiana
and South Dakota; AANP, 2016). At this writing, all but three states require certification
for NP licensure (California, Kansas, and New York; AANP). State boards of nursing
must approve the NP certification examinations (Blackwell & Neff, 2015). The ABCC
certification examination is not approved for NP licensure and no information suggests
that any state plans to do so. States have either adopted or are moving toward full adop-
tion of the approved NP roles as defined in the Consensus Model. The ABCC certifica-
tion is not consistent with the Consensus Model NP roles. This is likely to pose a barrier
to getting state approval for the examination.
The aforementioned reasons provide a strong argument as to why the consensus
of multiple NP stakeholders and organizations should prevail and the ABCC’s DNP
examination should not be adopted as a certification.
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