Title

Nurse practitioners' role in the emergency department facilitators and barriers to practice as viewed by nurse practitioners

Abstract

Recent studies support the increased utilization of nurse practitioners (NPs) in the emergency department (ED) for providing primary care for patients presenting with nonurgent needs (Buchanan & Powers, 1996, Dowling & Dudley, 1995, Hooker & McCaig). The purpose of this study was examine current facilitators and barriers to NP role implementation in the ED. The design of the research was an exploratory descriptive study. Letters of invitation were mailed to 1,649 NPs in the State of Florida. Response cards were returned by 569 (34.5%) NPs. Of the 569 responses, questionnaires were mailed to the 46 NPs who met the inclusion criteria and agreed to participate in the study. Sampling criteria was that participating NPs were currently employed in a hospital-based ED. Sampling criteria was that participating NPs were currently employed in a hospitalbased ED. The returned questionnaires resulted in a final sample of n=35. Results from the study were compared with original research (Hayden, Davies, & Clore, 1982, Widhalm & Anderson, 1982) which investigated the same factors perceived by emergency nurse practitioners (ENPs) employed in the ED. Current facilitators to accepting employment in the ED were good salary/benefits, ability to utilize NP skills, and location. These were similar to the findings in 1982, with the exception of good/salary/benefits. The majority of participants from the current and past studies reported that the listed tasks were appropriate to their role performance. Measurement of autonomy revealed an increase in today's NP perception of role autonomy and independence in the ED. The studies also examined perceptions of acceptance by other health care members, patients, and the community . The NPs in the current study viewed themselves as less well-accepted than the ENPs in 1982 by patients, the community, staff nurses, and physicians. The participants in the current study reported legal restraints, lack of :MD support, and resistance from other health care workers as the leading barriers to practice. Current facilitators and barriers to NP practice in the ED have been identified and compared with prior studies. Further studies are needed with larger samples before generalizations can be established. In addition, the decreased perception of NP role acceptance in the ED needs to be examined

Notes

This item is only available in print in the UCF Libraries. If this is your thesis or dissertation, you can help us make it available online for use by researchers around the world by downloading and filling out the Internet Distribution Consent Agreement. You may also contact the project coordinator Kerri Bottorff for more information.

Graduation Date

1997

Semester

Fall

Advisor

Sole, Mary Lou

Degree

Master of Science (M.S.)

College

College of Health and Public Affairs

Department

Nursing

Format

Print

Pages

87 p.

Language

English

Length of Campus-only Access

None

Access Status

Masters Thesis (Open Access)

Identifier

DP0022657

Subjects

Dissertations, Academic -- Health and Public Affairs; Health and Public Affairs -- Dissertations, Academic

This document is currently not available here.

Share

COinS