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Read the assigned Hain & Fleck article, and discuss the following:●What are the barriers to APN practice identified in the article? Describe these barriers in your own words.●What are your impression of the barriers to APN Practice? (Are you surprised bythese barriers? Is this new information to you? Have you ever been involved at the legislative level in nursing? Do these barriers concern you or motivate you toward becoming an APN?)●Do these barriers represent Restraint of Trade? Why, or why not?●Your thoughts on how nurses can influence these barriers.Hain & Fleck’s article was extremely informative and gave me a better insight on the barriers that nurse practitioners are facing as primary care providers. I was aware of some of the barriers identified in the article, but I did not know all of the details. Hain and Fleck (2014) discussed three main barriers: state practice and license, physician related issues, and payer policies. Other barriers that were discussed include prescriptive privileges and job satisfaction.State Practice and License:According to Hain and Fleck (2014), only one-third of the nation has allowed nurse practitioners to practice with full authority. Full authority meanspractice to the fullest extent of one’s education. Licensure and practice laws for nurse practitioners varies by state. There are practice laws in varying states that require nursepractitioners to practice under supervision, or in collaboration with a physician. Since I live in the state of New Jersey, nurse practitioners have prescriptive privileges that require a joint protocol with a collaborating licensed physician. This would limit my practice and therefore, not perform technically to the fullest extent of my education. Physician Related Issues:According to Hain and Fleck (2014), there are some physicians that are confused on the role of the nurse practitioner since the training and education are different for both professions. This type of barrier restricts nurse practitioners from being independent primary care providers. Physicians are resistant to the role of the nurse practitioner because they feel that they have endured a more rigorous training and education, and question whether nurse practitioners can deliver the same quality of care as physicians. Payer Policies: According to Hain and Fleck (2014), payer policies have a significant impact on the NPs ability to practice independently depending on state practice laws. Since nurse practitioners are not recognized as primary care providers, they are often not paid directly for the services they provide. Instead, the billing for care provided is under the associated physician’s name. As a result, nurse practitioners have lower wages and reimbursement fees as compared to physicians. This creates issues in
restricting nurse practitioners from maintaining an independent primary care practice. Like I had mentioned, some of these barriers are not a surprise to me. Historically,