financially, making it hard to sustain a primary care setting. The final barriers discussed was follow up care for patients in an acute care setting along with job satisfaction. One common reason NP’s left their job was due to limitations and little room for career advancement (Hain & Fleck, 2014).The impression I received while reading the article was not of surprise. Many people discuss these barrios along with inability to find a job after school, quite frequently. Most of the information I read I had previously learned, but was able to gain further insight. I have never personally been involved at a legislative level but hope to one day become someone who can make a difference. Austria (2015) explains the Restraint of Trade and how nurse practitioners areaffected though healthcare regulations. The article expresses that physicians are the most vocal about NP’s and patient autonomy. I believe this can restrain NP’s from working and running primary care settings for fear of lack of reimbursements. Nurses have the ability to influence these barriers by speaking up and providing EBP. Nurses are patient advocates and have bedside training. Master-prepared nurses are equipped andtrained, and should be able to provide patient care to their fullest ability. Austria, J. L. (2015). URGING A PRACTICAL BEGINNING: REIMBURSEMENT REFORM, NURSE-MANAGED HEALTH CLINICS, AND COMPLETE PROFESSIONAL AUTONOMY FOR PRIMARY CARE NURSE PRACTITIONERS. Depaul Journal Of Health Care Law, 17(2), 121-147.Hain, D., & Fleck, L. M. (2014). Barriers to NP Practice that Impact Healthcare Redesign. Online Journal Of Issues In Nursing, 19(2), 5. doi:10.3912/OJIN.Vol19No02Man02
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Physician, Hain, DePaul Journal of Health Care Law