Nurse Practitioner Autonomy and Satisfaction in Rural Settings

Abstract

Rural primary care shortages may be alleviated if more nurse practitioners (NPs) practiced there. This study compares urban and rural primary care NPs (classified by practice location in urban, large rural, small rural, or isolated small rural areas) using descriptive analysis of the 2012 National Sample Survey of NPs. A higher share of rural NPs worked in states without physician oversight requirements, had a DEA (drug enforcement administration) number, hospital admitting privileges, and billed using their own provider identifier. Rural NPs more often reported they were fully using their NP skills, practicing to the fullest extent of the legal scope of practice, satisfied with their work, and planning to stay in their jobs. We found lower per capita NP supply in rural areas, but the proportion in primary care increased with rurality. To meet rural primary care needs, states should support rural NP practice, in concert with support for rural physician practice.

Authors:

Spetz J, Skillman SM, Andrilla CHA

Journal/Publisher:

Med Care Res Rev

Edition:

Jan 2016. pii: 1077558716629584

Link to Article

Access the article here: Med Care Res Rev

Citation:

Spetz J, Skillman SM, Andrilla CHA. Nurse Practitioner Autonomy And Satisfaction In Rural Settings. Med Care Res Rev. Jan 2016 pii: 1077558716629584