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Barriers For Advanced Practice Nursing
Advanced practice nursing play an important role in the healthcare system in a vast variety of environments. Several barriers are noted to hinder the growth and development of the advanced practice nurse. For this discussion I would like to focus on these three barriers that affect advanced practice nursing, community resistance to advanced practice nursing roles, regulatory restrictions and the lack of full utilization in the advanced practice nursing skill set and scope of practice. Advanced practice nursing has experienced great growth in their career development in the past years. There has been acknowledgement nationwide for the need of more advanced practice nursing roles. Personally, I was hesitant to step into this role and begin my education to further my career as I have seen these various barriers throughout the years in my community and the educational resources available to myself.
We are all directly affected by our community. Community resistance in certain areas have affected the growth and dynamics of the advanced practice nurse role. Viewing advanced practice nursing roles as limited in scope of practice. There are misconceptions on education required to achieve the role and this affects how the public views the advanced practice nursing role and the ability of individual to care for their community appropriately. Educating our community and advocating for more of advanced practice nurse role presence can create a better dynamic of trust and acceptance. This can be done as simply educating our community on one on one basis during visits, promoting healthcare fairs with advanced practice nurse roles present and putting information out that directly reflects the importance and capability of scope that an advanced practice nurse role implies.
Another barrier that affects this role is regulatory restrictions. Florida advanced practice nurses have limited scope of practice and are often met with opposition from state and medical groups (Hain et al,). A total of 21 states allows for full scope practice for the advanced nursing role (Hain et al,). That leaves greater than half of the states restricting how this role is allowed to practice and affecting how it is seen by the public as well as affecting the rate at which individuals will pursue this role. Payer policies limit the scope of practice allowed and some policies do not view advanced practice nursing as a primary care role and this affects insurance payments, who is hired to certain facilities and of course limits scope of practice (Flaubert et al,.). Promoting policies that would allow the advanced practice nurse to practice in full scope would decrease this barrier. Advocating for laws and policies and creating evidence-based practice could help achieve a better role.
The inability to practice within their full scope is a barrier for the advanced nursing role. In Florida there are various restrictions to include not being allowed to prescribed controlled substance, the having to practice under the supervision of a physician limits and sometimes this creates an environment that the advanced practice nurse does not want to partake in. Not only do some payer policies not view the advanced nursing role as a primary care role that can be utilized and billed to insurance studies have shown though a valuable role and positive outcomes physician and patients have shown preference to care directly from a medical doctor (Hain et al,.). Allowing a full scope of practice while promoting a positive view and work environment can decrease the barrier of stigma against the advanced nursing role and allow it to be viewed similar to physician role in medical practice.