Perceived barriers to nurse practitioner practice in rural settings
Perceived barriers to nurse practitioner practice in rural settings
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DOI：
10.1111/j.1748-0361.2005.tb00079.x
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发表时间：
2005-03-01
影响因子：
4.9
通讯作者：
Tanner, M
中科院分区：
文献类型：
--
作者：
Lindeke, L;Jukkala, A;Tanner, M
背景：农村居民的急性病发病率与城市居民相同，慢性病发病率更高。总体而言，获得适当农村保健的机会有限。护士从业人员（NP）已被确定为安全，具有成本效益的提供者，在农村环境中应对这些挑战。目的：这项复制研究进行了检查NP的看法，在明尼苏达州的农村实践的障碍。研究结果与早期的研究进行了比较，以研究随着时间的推移而持续存在的问题。方法：从中西部一个州的护理委员会的数据库中邮寄一份实践障碍检查表给NP。农村NPs（n = 191）确定并描述了实践的障碍，并对其实践的总体限制性进行了评级。结果：实践的障碍被认为是普遍的。持续存在的障碍继续阻碍充分利用国家警察的作用。随着时间的推移，公众和其他卫生专业人员对NP作用的缺乏了解一直是特别成问题的。2001年的主要问题是工资低、缺乏足够的办公空间和同侪网络有限。1996年至2001年期间，被认为具有一定限制性的执业环境的限制性保持不变。结论：NPs在满足农村初级卫生保健需求方面有着良好的历史。改善国家警察的工作环境有助于将这些专业人员留在劳动力队伍中，从而有助于改善服务不足的农村社区的护理机会和质量。
Context: Rural residents experience the same incidence of acute illness as urban populations and have higher levels of chronic illness. Overall, access to adequate rural health care is limited. Nurse practitioners (NPs) have been identified as safe, cost-effective providers in meeting these challenges in rural settings. Purpose: This replication study was conducted to examine NP perceptions of barriers to rural practice in Minnesota. Findings were compared to earlier studies to examine issues that have persisted over time. Methods: A Barriers to Practice checklist was mailed to NPs from the database of the Board of Nursing of a midwestern state. Rural NPs (n = 191) identified and described barriers to practice and rated the overall restrictiveness of their practice. Findings: Barriers to practice were perceived to be prevalent. Persisting barriers continued to stand in the way of full utilization of NP roles. Lack of understanding of NP roles on the part of the public and other health professionals has been particularly problematic over time. Key issues in 2001 were low salaries, lack of adequate office space, and a limited peer network. Perceived restrictiveness of the practice climate, gauged as somewhat restrictive, remained unchanged between 1996 and 2001. Conclusions: NPs have an excellent history of meeting rural primary health care needs. Enhancing the NP work environment could prove instrumental to retaining these professionals in the work force and thereby contribute to improved access and quality of care in underserved rural communities.