Dissertation
Advancing The Iowa Advanced Registered Nurse Practitioner Preceptor Tax Credit Bill
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2026
Abstract
Background: Advanced Registered Nurse Practitioners (ARNPs) play a vital role in enhancing healthcare access, quality, and cost-effectiveness across the United States. Despite their growing importance, a shortage of qualified preceptors threatens ARNP education and workforce development. Since 2012, the decline in preceptors has limited clinical training opportunities and contributed to the rejection of qualified applicants. In Iowa, this is especially significant as ARNPs are essential in addressing primary care shortages in rural and underserved communities. Key barriers to precepting include time constraints, reduced productivity, and a lack of compensation. Financial incentives have been identified as the most influential motivator for increasing preceptor participation. While several states have implemented incentive-based initiatives, outcome data evaluating their effectiveness remain limited. Purpose: To address the APRN preceptor shortage by advancing state-level legislation in Iowa that establishes a preceptor tax credit incentive, thereby improving workforce development and access to care. Methods: Kingdon’s Multiple Streams Framework guided this project by aligning the problem, policy, and political streams to create opportunities for legislative advancement. A companion bill was developed and revised using evidence and stakeholder input. Grassroots advocacy strategies were implemented to engage key stakeholders, and data collection focused on advocacy engagement and proposed outcome measures. Findings: Utilization of the ANA Voter Voice platform resulted in substantial outreach, while additional tools, including an infographic and formal sign-on letter, facilitated widespread stakeholder support. These efforts contributed to the bill's advancement in both legislative chambers. Discussion: Coordinated advocacy efforts resulted in strong bipartisan support and broad stakeholder engagement. Although the bill has not yet passed, it remains active, reflecting sustained momentum. Limitations include limited outcome data, state-specific, and the current political climate. Continued advocacy and evaluation are essential to support long-term policy impact. This work highlights the critical role of nurses in leading policy initiatives that improve workforce sustainability and patient care.
Details
- Title: Subtitle
- Advancing The Iowa Advanced Registered Nurse Practitioner Preceptor Tax Credit Bill
- Creators
- Shelby Hinton - University of Iowa
- Contributors
- Dirks Mary (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Family Nurse Practitioner
- Date degree season
- Spring 2026
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2026 Shelby Hinton
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9985217823602771
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