Summary
This paper plots international evidence of nurse practitioner efficacy, cost and quality
against identification and discussion of barriers of nurse practitioner practice reported
in the Australian and United States of America primary care contexts. It is identified
that the evidence for the full utilisation of nurse practitioners as an integrated
part of health service management internationally is strong, yet significant barriers
remain to this happening in both countries. The barriers discussed remain consistent
across time despite the evidence that has emerged. This phenomenon of consistent barriers,
despite evidence of nurse practitioner efficacy, reasonable cost, and high quality
is discussed as a clear example of where evidence alone is not enough to change policy.
Keywords
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Article info
Publication history
Published online: May 27, 2016
Accepted:
May 8,
2016
Received in revised form:
April 11,
2016
Received:
August 4,
2015
Identification
Copyright
© 2016 Australian College of Nursing Ltd. Published by Elsevier Ltd.
