Administrator Perceptions of Advanced Practice Nursing Barriers to Practice

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2014-08

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The Ohio State University

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Abstract

The purpose of this DNP project was to identify non-physician executive leaders’ perceptions of barriers to APN practice at a large academic medical center in the Midwest. The project was a survey design. The survey was designed to identify the non-physician administrator’s knowledge of key barriers of APN practice, including topics related to APN role and satisfaction with practice. The setting included a general inpatient hospital, oncology, psychiatry, and cardiology specialty hospitals, and outpatient ambulatory care settings, where approximately 550 APNs were employed. Non-physician executive leaders including business and nursing administrators and managers made up the sample. The sample included 143 email addresses that were identified and provided to the project author by the chief nursing officer staff. The survey was sent to 143 email addresses. A total of 23 surveys were completed, indicating a response rate of 16%. The majority (73.9%) of respondents that completed the survey were nurse administrators. Mean scores indicated that administrator respondents “moderately agreed” they understood the APN role and other nurse colleagues in their departments were supportive of the APN role; and “strongly agreed” they were supportive of the APN role. The results also indicated that administrators perceive barriers to APN practice in the following areas: scope of practice, physician colleague support and understanding of role, and APN job satisfaction in relationship to how APNs practice in their role. These potential barriers may keep the APN from practicing to their full scope of practice. Respondents indicated that if the APN was able to practice to their full scope of practice, patient outcomes may be improved. The information obtained by this project may help provide strategies to improve APN satisfaction, understanding of the APN role, reduced barriers to APN practice, and reduced APN job turnover.

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APN SATISFACTION, APN BARRIERS TO PRACTICE, SURVEY OF ADMINISTRATOR PERCEPTIONS, ADVANCED PRACTICE NURSING SURVEY OF ADMINISTRATORS

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