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Nurse practitioner in a rural setting

¹Family Nurse Practitioner Program, Charles and Josie Smith Sinclair School of Nursing, University of Missouri-Columbia, USA.

The Nursing Clinics of North America

|September 1, 1996

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Nurse practitioners in rural Missouri gained more primary care opportunities following House Bill 564. This article explores their practice challenges, including prescriptive authority and professional liability.

Area of Science:

Healthcare Policy
Rural Health
Nursing Practice

Background:

Missouri House Bill 564 aimed to increase primary care access.
Rural areas often face healthcare provider shortages.
Nurse practitioners (NPs) are key to expanding primary care services.

Purpose of the Study:

To share the experiences of a nurse practitioner in rural Missouri.
To highlight the impact of legislative changes on NP practice.
To discuss challenges and opportunities in rural primary care.

Main Methods:

Qualitative reflection on personal experiences.
Discussion of practice-related issues.
Analysis of legislative impact on NP roles.

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Main Results:

Bill 564 facilitated greater NP utilization in primary care.
NPs face practice challenges including prescriptive authority and liability.
The author shares both frustrations and rewards of rural practice.

Conclusions:

Legislative changes can significantly impact rural healthcare delivery.
Addressing practice issues is crucial for NP retention and effectiveness.
Future practice models require adaptation to evolving healthcare needs.