Barriers for a Nurse Practitioner to Practice in Long Term Care

3531 Words Apr 12th, 2012 15 Pages
Barriers that prevent Nurse Practitioners from practicing in Long Term Care Facilities
Nancy Marshall

A thesis presented to the School of Graduate Nursing
Mountain State University
In partial fulfillment of the requirements for the degree
Master of Science in Nursing


Chapter 1

Nurse Practitioners (NPs) play a key role in long term health care by ensuring provision of holistic healthcare services particularly in remote areas and in those areas that have few physicians. Currently, there is a concern where there is a shortage of physicians in nursing homes and in other critical health care services questioning the care being provided (Colwill, Cultice, & Kruse, 2008). Due to population growth,
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It is evident that there is a big problem that is deterring the advanced nurses from effectively carrying out their practice more effectively. The legal problems are a lack of recognition by the government and health insurers that leads to this profession being termed as substandard and lacking completeness. The result is NPs under the submission of doctors. Advanced education and campaigns by the government is required to further the practice of NPs in long term care. Overcoming perceived barriers could place nurse practitioners in every nursing home. NPs practitioners in long term care could allow for more cost effective and sufficient healthcare for all residents living in long term care. NPs as primary care providers in long term care facilities could reduce the cost of health care for Medicaid, Medicare, and other insurance companies. NPs would provide for quality healthcare coverage that includes diagnosis, treatment, and long term management of illness for all residents while eliminating long waits, and expensive trips to the local emergency department.

Chapter 2
Review of Literature A review of the literature shows that potential barriers exist for nurse practitioners (NPs) that prevent them from using their knowledge and skills to provide healthcare in various settings. Most of the literature examined identified

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