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DISCUSSION RESPONSE- There are several ways in which the lack of autonomy for APRNs impacts the rural population. APRNs are comprehensively trained and educated according to their specializations and have a role in diagnosing, treating, and providing care to patients (Nickitas et al., 2019). However, some states limit their APRNs by not allowing them to fully exercise their roles, necessitating the need for a physician for care to be comprehensively provided. The lack of autonomy restricts APRNs from practicing as per their education and training. Restrictions from practicing negatively limit access to high-quality healthcare for people living in rural areas (Schorn et al., 2022). Provision of care to rural populations is also delayed since the APRNs, although they have enough education and training, cannot make their own decisions. Healthcare access in rural areas is also significantly reduced when APRNs are limited from practicing independently (Nickitas et al., 2019). Infections can easily spread in rural areas when care is delayed, and many unpreventable deaths occur. In Virginia, the resources that can be utilized to guide changing policies that impact APRNs include rural populations in collaboration with stakeholders, media, data collection, and research. Research on the impact of APRNs’ autonomy in rural
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