Acceptance of Nurse Practitioners

1. Aiken, Clarke, Sloane, and Sochalski (2001) report there is a nursing shortage and nurses are reporting job dissatisfaction. However, the authors also state that the competence of NPs and MDs and the relationships between the two appear to be satisfactory.

2. Efforts to control costs are found in managed care and other environments. Nurses have the primary goal of promoting and protecting health. Nurses are overworked, morale is decreasing, overtime is mandatory overtime, and scheduling practices are unsafe and demeaning (Gordon, 2000).

3. Salvage (2000) reported that nurses are demonstrating their ability to do some of the jobs that doctors do and patients are reporting greater satisfaction with nurse care. Nurses appear to be changing their roles and practices. In primary care roles, NPs practices include: physical exams, diagnoses and treatment of common illnesses and injuries, immunizations, management of conditions such as high blood pressure, diabetes, ordering and interpretation of X-rays and lab tests, and provide counseling on disease prevention and health care. However, nurses are reporting that they are continuing to feel put down by doctors and that doctors are resentful of being undervalued regarding their competence and knowledge.

1. Flynn and Ricca (2000) report that nurses need to assess and communicate the patient's needs and therefore the NP and MD must respect each

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ports that nurses are demonstrating decreased morale and increased dissatisfaction, due to factors such as nurse shortages and reduced quality of care. This finding provides a framework which may provide reasons for the expected finding that nurses would be accepting of the NP, and to a larger degree than MDs. V. Related Literature A. Sources for the literature review will be Proquest, Medline, and Infotrack. B. Articles, both review and empirical, from peer reviewed journals or professional organizations will be used (see references). VI. Variables A. The variables to be tested will be MD acceptance of NPs and nurse acceptance of NPs. VII. Definition of Terms A. MD Acceptance. MD Acceptance refers to the acceptance of increased numbers of NPs and NP roles in the workplace by the MD, as operationally defined and measured by the NP Acceptance Survey. B. Nurse Acceptance. Nurse acceptance refers to the acceptance of increased numbers of NPs and NP roles in the workplace by other nurses, as operationally defined and measured by the NP Acceptance Survey. VIII.Design A survey research design will be used to compare MD and nurse acceptance of NPs. IX. Sample The convenience volunteer sample will consist of 30 MDs and 30

Category: Medical - A