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barriers I may face such as state practice and licensure, physician related issues, payer policies and other barriers including prescriptive privileges and job satisfaction. Educating myself on the potential future barriers will help prepare me to face these barriers and handle them appropriately. State Practice and Licensure The scope of practice for an APN varies depending on the state in which the APN is practicing. Hain & Fleck (2014), report that only one-third of the nation has allowed APNs to practice with full authority thus utilizing their education to the full extent. This means that in some states, there are restriction of practice that prevent the APN from carrying outindependent care. For example, in the state of Florida (where I will be practicing), APN are required to practice under the supervision of, or in collaboration with a physician. This limits my scope of practice despite my advanced education. Physician Related Issues The state of Florida requires a written protocol between the APN and the supervising physician. In this protocol, the degree and method of supervision is determined by the APN and the physician. This means that the scope of practice of the APN is determined bythe supervising physician. Many physicians do not feel that the education of an APN is sufficient enough to practice independently. According to Hain & Fleck (2014), the traditional medical
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Nursing, Advanced practice nurse, APN, Fleck, Hain