in politics stemming from physicians that do not want to see nurses practicing on the same levelwith the same level of prestige as them. Medicine has been so physician centered hierarchy. I am merely expressing my opinion here, but I feel that many older and even new physicians are lobbying to keep nurses in advanced practice rolls under their thumbs. I personally have not been involved with legislative issue regarding nursing but do keep up with new practice laws in my state through some of my colleagues that are APN’s. The concerning aspect to the barriers is not having a national repertory for APN practice and payer’s policies regarding APN’s. But mainly I am concerned about job satisfaction. I am fortunate though, according to Nurse Practitioner (2015) the state that I currently reside in allows NP’s to diagnose and treat patients without Physician involvement and NP’s have independent prescribing authority which should help relieve a majority of my concern relating to job satisfaction. The independent practice is not automatic though. According to the State of Nebraska (2015) this is granted after a completion of 2000 hour under a transition-to-practice agreement with a supervising provider, the supervising provider does not have to be a physician an NP can do so once requirements aremet according to the state.Do these barriers represent Restraint of Trade? Why, or why not?
Miller (2010) used the Fraflex Free Dictionary’s definition of restraint of trade “an illegal
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- Winter '16
- Melissa, Rubio