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the FNP role and the introduction of obstacles such as those currently present today. Once the public begins to understand the importance of family nurse practitioners in the healthcare setting, more individuals may stand behind FNPs and encourage positive change in legislation and practice.Amber ReferenceRenshaw, A. (2019). The nurse practitioner role within the rehabilitation context: Barriers to its acceptance. Journal of the Australasian Rehabilitation Nurses’ Association, 22(3), 16–19.Dr. Sibel,I had never considered the term mid-level to be derogatory simply because this is how I had always heard nurse practitioners and physician assistants referred to. I have never heard the term non-physicianprovider, but since being involved in nursing, I have only been employed by one company, and they
choose to use the blanket term mid-level provider. This just goes to show how lack of education, even among healthcare workers including myself, can hinder the growth of the role of family nurse practitioners. As a future FNP, education and advocacy will play a large role in my daily job, but I have come to realize that I must first educate myself about ways that I perceive the profession in order to really advocate for the changes that family nurse practitioners need. Thank you for opening my eyes to these issues. AmberErica,I agree with you that competition is a good thing and is a driving force for improvement in many situations. While fair competition is healthy, I do not feel like there should be competition between physicians and nurse practitioners when it comes to caring for patients. I have heard of some clinics where doctors would not hire FNPs for fear that the FNP would take their patients. Living in rural southeastern Kentucky, individuals are known for poor health and limited access to healthcare. There have been countless patients pass through the emergency department where I worked with multiple co-morbidities and no primary care provider. In areas such as this, doctors, FNPs, and PAs should all work together to ensure that patients are receiving appropriate medical care with the understanding that there are enough patients to be shared. I feel that in situations like this, competition is pointless between doctorsand family nurse practitioners because, at the end of the day, it is the patient who suffers if a clinic does not have enough providers to see the patients who go there. According to County Health Rankings and Roadmaps (2018), my home county of Knott County, Kentucky has one physician available per 2,590 residents. Given this staggering number, the benefit of having family nurse practitioners in practice is evident and important in ensuring that patients have access to a medical provider at any given time. Whenphysicians feel there is competition between themselves and family nurse practitioners, they may hesitate to hire them into their practice leaving the area underserved.Amber ReferenceCounty Health Rankings and Roadmaps. (2018).Explore rankings. Retrieved fromapshot