Barriers i may face such as state practice and

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 out
independent 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 by
the 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