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Recognizing nurse practitioners: Value beyond measure.

Ida Twist1, Amy Montgomery2, Lorna Moxham1

  • 1Faculty of Science, Medicine, and Health-School for Nursing, University of Wollongong, Sydney, NSW, Australia.

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|August 29, 2025
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Summary
This summary is machine-generated.

Australian Nurse Practitioners (NPs) felt undervalued during the pandemic, as recognition focused on productivity, not their leadership and adaptability. A broader definition of NP value is needed for better recognition and sustainability.

Keywords:
Advanced practice nursingexistential phenomenologyhealth systems reformleadership in nursingnurse practitionerprofessional recognitionqualitative researchresearch methodologyrole visibilityvalue

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Area of Science:

  • Nursing Practice
  • Healthcare Leadership
  • Health Policy

Background:

  • Nurses' contributions are often undervalued due to structural and policy constraints.
  • Australian Nurse Practitioners (NPs) experienced increased demands and limited recognition during the COVID-19 pandemic.
  • This highlights a disconnect between NP contributions and their perceived value.

Purpose of the Study:

  • To explore the concept of value as perceived by Australian NPs during the pandemic.
  • To provide a philosophical and contextual analysis of NPs' lived experiences.
  • To understand how value is defined and legitimized within the nursing profession.

Main Methods:

  • Qualitative phenomenology guided the study.
  • 16 hospital-based Nurse Practitioners were interviewed.
  • The analysis focused on the theme of value within a broader phenomenological study.

Main Results:

  • NPs reported feeling systemically undervalued, with recognition tied to clinical productivity.
  • Limited visibility impacted NPs' identity and sense of sustainability.
  • NPs found deeper value in their leadership, adaptability, and resilience under pressure, which often went unacknowledged.

Conclusions:

  • Existing recognition frameworks fail to capture the full scope of NP contributions.
  • A broader definition of value, encompassing integrative practice beyond productivity, is crucial.
  • Enhanced recognition and support are essential for NP sustainability and effective system integration.