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Related Experiment Videos

Perceived barriers to rural nurse practitioner practice.

L L Lindeke1, T R Bly, R A Wilcox

  • 1School of Nursing, University of Minnesota, Minneapolis, USA. linde001@tc.umn.edu

Clinical Excellence for Nurse Practitioners : the International Journal of NPACE
|July 18, 2001
PubMed
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Barriers for nurse practitioners (NPs) persist, with public and physician misunderstanding of the NP role being a primary obstacle. Rural NPs face additional challenges due to isolation and lack of peer support.

Area of Science:

  • Nursing Practice
  • Healthcare Policy

Background:

  • Consistent barriers to nurse practitioner (NP) practice have been documented for over two decades.
  • Previous research has not specifically compared barriers encountered in rural versus urban NP practice settings.

Purpose of the Study:

  • To identify and compare perceived barriers to nurse practitioner (NP) practice in urban and rural settings within a midwestern state.
  • To inform strategies for improving NP practice environments.

Main Methods:

  • A descriptive study collected data from 292 nurse practitioners (NPs) in one midwestern state.
  • Data were gathered through surveys, with a response rate of 60% (229 urban NPs, 63 rural NPs).

Main Results:

  • A significant barrier for all NPs was the general public's and physicians' lack of understanding regarding the NP role and scope of practice.

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  • Rural NPs reported additional barriers, including a lack of peer support and professional isolation, negatively impacting practice success.

    • Conclusions:

    • Continued education for the public and healthcare professionals about NP roles is essential.
    • Media campaigns can enhance public understanding of NP practice.
    • Strategies to mitigate rural NP isolation, such as electronic communication, are recommended to support rural nursing practice.