Tracy Klein
Assistant Professor, Vancouver 360-546-9142 VLIB 210G 14204 NE Salmon Creek Ave., Vancouver, WA 98686

Dr. Tracy Klein is a family nurse practitioner with more than 20 years of experience in policy analysis and development in addition to continuous clinical practice across the lifespan. Dr. Klein’s research concerns the interface between public policy and prescribing patterns as they relate to practitioner, patient and institutional factors.


  • PhD, Washington State University
  • MSN, Oregon Health Sciences University
  • BSN, Linfield College
  • BA, Reed College


Practitioner related: Scope of practice and authority, prescribing competency, medication safety

Patient related: Diagnosis, symptom management and treatment of brain conditions in children and adolescents such as ADHD and post-concussive syndrome

Institution related: Institutional policies, regulatory development, and legislation specific to advanced nursing practice parameters


  • American Association of Nurse Practitioners Region X (OR, WA, AL, ID) Board of Directors, 2014-2020
  • American Academy of Nurses, Fellow, 2013 (Induction)
  • Institute of Regulatory Excellence, Fellow, 2012 (Induction)
  • American Association of Nurse Practitioners, Fellow,  2009 (Induction)
  • American Association of Nurse Practitioners, Oregon NP of the Year, 2009 (Awarded)
  • Sigma Theta Tau, Beta Psi and Delta Chi Chapter, 1991 (Induction)


Knowledge, Practices and Attitudes Regarding Marijuana for Medical Conditions Among Washington State Healthcare Providers and Certified Medical Marijuana Consultants. PI Louise Kaplan, PhD. Co-Is Tracy Klein, PhD and Marian Wilson, PhD. DMAc Grant, State of Washington November 2017-November 2018.

Prescribing Practices for Children with ADHD. Co-PIs Tracy Klein, PhD and Teri Woo, PhD. Fellows of the American Association of Nurse Practitioners June 2017-June 2018.

Nurse Practitioner Prescribing Standards: College of Registered Nurses of British Columbia. Contractor Tracy Klein, PhD, College of Registered Nurses of British Columbia.

The Scope of Inclusion of Academic Medical Center Conflict of Interest Policies. PI Tracy Klein PhD, Washington State University.

Development of Nurse Practitioner Competencies for Prescribing Controlled Substances. Contractor Tracy Klein, PhD, College of Registered Nurses of British Columbia.

Prescribing Competencies for Autonomous APRN Prescriptive Authority: What Do Nurse Prescribers Need to Know? Tracy Klein, PhD. Institute of Regulatory Excellence, National Council of State Boards of Nursing.


Bucholtz, S., Klein, T., Cooke, C., Cook, M., Kinestrick, J. & Dickens, K. (May, 2018). Introduction to four systematic reviews addressing critical topics identified by the 2015 nurse practitioner research agenda roundtable priorities. Journal of the American Association of Nurse Practitioners. Doi: 10.1097/JXX.0000000000000035.

Klein, T., & Lugo, Rogelio (2018, accepted). Evaluation of prescribing within nurse practitioner residency and fellowship programs. Journal for Nurse Practitioners.

Klein, T., & Graves, J. (2018). The scope of inclusion of academic conflict of interest policies. Journal of Academic Ethics, 1-14.

Graves JM, Klein TA, Panther SG, Moore M, Abshire DA, Graham JY (2018, in press). Nurse practitioners’ recommendations for pharmacotherapy in the management of adolescent concussion. Journal of the American Association of Nurse Practitioners.

Panther, S., Knotts, A., Odom-Maryon, T., Daratha, K., Woo, T., & Klein, T. (November-December, 2017). Off-label prescribing trends for ADHD medications for young and very young children on Medicaid. The Journal of Pediatric Pharmacology and Therapeutics. Vol. 22, No. 6, pp. 423-429.

Klein, T., Graves, J., & Graham, J. (2016). Driving following adolescent concussion: Advice by nurse practitioners in absence of standardized recommendations. Journal of Pediatric Health Care. doi: 10.1016/j.pedhc.2016.11.004

Graves, J.M., & Klein, T. (2016, in press). The impact of patient characteristics on nurse practitioners’ assessment and management of adolescent concussion. Journal of the American Association of Nurse Practitioners.

Kaplan, L., Klein, T., Skillman, S., & Andrilla, C. H. (2016). Faculty supervision of NP program practicums: A comparison of rural and urban site differences. The Nurse Practitioner, 41(7), 36-42.

Graves, J. M., & Klein, T. A. (2016). Nurse Practitioners’ comfort in treating work-related injuries in adolescents. (June, 2016, online ahead of print). Workplace Health & Safety. doi: 10.1177/2165079916653612.

Klein, T. & Graves, J. (September 2016, online ahead of print). Psychiatric nurse practitioner diagnosis and cognitive recommendations for mild traumatic brain injury. Journal of the American Psychiatric Nurses Association. doi: 10.1177/1078390316668992.

Wainwright, A., Klein, T. & Daly, C. (August 2016, online ahead of print). Competency development to support nurse practitioner prescribing of controlled drugs and substances in British Columbia. Policy, Politics and Nursing Practice. doi: 10. 1177/1527154416665099.

Klein, T., Panther, S., Woo, T., Odom-Maryon, T. & Daratha, K. (May 2016, online ahead of print) Prescriber variance in childhood ADHD treatment: Findings from Oregon Medicaid 2012. Journal of Child and Adolescent Psychopharmacology. doi:10.1089/cap.2015.0255.

Klein, T. (May/June, 2015). Clinical nurse specialist prescriber characteristics and challenges in Oregon. Clinical Nurse Specialist. doi: 10.1097/NUR.0000000000000125. Klein, T. & Kaplan, L. (2010). Prescribing competencies for advanced practice registered nurses. The Journal for Nurse Practitioners, 6(2), 119-122.

Klein, T. (2014). State implications of the APRN consensus model. In Goudreau, K. and Smolenski, M. Health Policy and Advanced Practice Nursing: Impact and Implications. Springer: New York.

Klein, T. ( Oct-Dec. 2014). Philanthropic dilemmas and the nurse administrator role. Nursing Administration Quarterly, 38(4), 319-326.

Klein, T. (2012). Implementing autonomous clinical nurse specialist prescriptive authority: A competency based transition model. Clinical Nurse Specialist, 26(5). doi: 10.1097/NUR.0b013e318263d753.

Klein, T. (2011). The 1998 curriculum guidelines and regulatory criteria for Family Nurse Practitioners: What should we be teaching nurse prescribers today? The Journal of the American Academy of Nurse Practitioners, 24(1).

Klein, T. (2011). Regulation of prescriptive authority. In Brown, MA & Kaplan, L. The Advanced Practice Nurse as Prescriber. Wiley-Blackwell: Hoboken.

Klein, T. (2010/2013/2016). Legal and professional issues in prescribing. In Woo, T.M. and Robinson, ML. Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4th ed. FA Davis: Philadelphia, PA.

Klein, T. (2010). The Convenient Care Niche: Is it Right for You? Advance for NPs and Pas, 1(1), 41-43.

Buppert, C. & Klein, T. (2008). Dilemmas in mandatory reporting for nurses. Topics in Advanced Practice Nursing eJournal, 8(4). Retrieved from

Klein, T. (2008). Credentialing the nurse practitioner in your workplace: Evaluating scope for safe practice. Nursing Administration Quarterly, 32(4), 273-278.

Klein, T. (2008). The rules of practice: What you need to know as a new NP. Advance for Nurse Practitioners Guide for NP Graduates and Senior Students, 47-48.

Klein, T. (2004). Scope of practice and the nurse practitioner: Regulation, competency, expansion, and evolution. Topics in Advanced Practice Nursing eJournal, 4(4). Retrieved from

updated 9/12/18