Nurse Practitioner Autonomy and Satisfaction in Rural Settings

Medical Care Research and Review : MCRR
Joanne SpetzC Holly A Andrilla

Abstract

Rural primary care shortages may be alleviated if more nurse practitioners (NPs) practiced there. This study compares urban and rural primary care NPs (classified by practice location in urban, large rural, small rural, or isolated small rural areas) using descriptive analysis of the 2012 National Sample Survey of NPs. A higher share of rural NPs worked in states without physician oversight requirements, had a DEA (drug enforcement administration) number, hospital admitting privileges, and billed using their own provider identifier. Rural NPs more often reported they were fully using their NP skills, practicing to the fullest extent of the legal scope of practice, satisfied with their work, and planning to stay in their jobs. We found lower per capita NP supply in rural areas, but the proportion in primary care increased with rurality. To meet rural primary care needs, states should support rural NP practice, in concert with support for rural physician practice.

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Citations

Sep 14, 2017·Medical Care Research and Review : MCRR·Timothy HoffGrace E Collinson
Nov 16, 2018·Journal of the American Association of Nurse Practitioners·Karen Kane McDonnellJan M Eberth
Nov 16, 2019·Journal of the American Psychiatric Nurses Association·Brooke A Finley
Nov 18, 2017·Medical Care Research and Review : MCRR·Jeongyoung ParkJessica Greene
Sep 22, 2020·The Nurse Practitioner·Louise KaplanDavis G Patterson
Jul 24, 2020·Nursing·Kathleen Peterson
Aug 23, 2020·The Nurse Practitioner·Louise Kaplan
Oct 1, 2019·Journal of the American Association of Nurse Practitioners·Laura BourdeanuDavid Langdon
Aug 20, 2019·Journal of the American Association of Nurse Practitioners·Jana G Zwilling, Kathryn Fiandt
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Apr 7, 2021·Geriatric Nursing·Zainab Toteh OsakweRose Saint Fleur-Calixte
Jun 11, 2021·International Journal of Nursing Practice·Emily B LockwoodAnne Matthews
Jul 11, 2020·Journal of the American Association of Nurse Practitioners·Daniel E Geller, Beth Ann Swan

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