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Published on: February 16, 2011
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Decreasing barriers for nurse practitioner social entrepreneurship
Dayle B Sharp1, Diane Monsivais
1School of Nursing, University of Texas at El Paso, El Paso, Texas.
Summary
Rural nurse practitioners (NPs) face business challenges in practice ownership, including scope of practice and management skills. Education in financing, legalities, and leadership is crucial for NP clinic success.
Area of Science:
- Healthcare Management
- Rural Health
- Nurse Practitioner Studies
Background:
- Rural nurse practitioners (NPs) play a vital role in underserved areas.
- Transitioning into practice ownership presents unique challenges for NPs.
- Understanding business-related barriers is essential for NP retention and practice sustainability.
Purpose of the Study:
- To identify and describe the business-related difficulties encountered by rural nurse practitioners (NPs) during practice transition.
- To provide actionable implications for enhancing NP practice ownership and management.
Main Methods:
- A focused ethnographic study was conducted using semi-structured interviews.
- Data were collected from 24 rural NPs across the United States.
- Participants shared insights into rural NP practice ownership and associated barriers.
Main Results:
- Rural NPs experience significant difficulties related to scope of practice limitations.
- Challenges in business acumen, including financial and strategic planning, were reported.
- Role conflict and management complexities were identified as key barriers for NP entrepreneurs.
Conclusions:
- Nurse practitioner (NP) social entrepreneurs face hurdles in scope of practice, business management, and role integration.
- Enhanced education in practice financing, legal/regulatory aspects, strategic planning, leadership, and clinic management is necessary.
- Addressing these educational gaps can reduce barriers to NP clinic ownership and successful management.
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