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Two barriers advanced nurses encounter with health care professionals

Two barriers advanced nurses encounter with health care professionals

Two barriers advanced nurses encounter with health care professionals


VIDEO: to an external site.

Two barriers advanced nurses encounter with health care professionals

Advanced nurses face many obstacles within the health care environment which directly affect the betterment of patient outcomes. In the chosen research attached, “reviewers described barriers to Advanced Nurse Practitioner implementation at the systems, organizational and practice setting levels, specifying problems within legislation role ambiguity and autonomy and resistance to the role” (Torrens et al., 2020, p.2). One of the barriers encountered by the master level nurse is, as mentioned, “role acceptance” in the healthcare environment. Even though the healthcare industry has opened its arms to the recognition of different nursing roles as a crucial piece of team collaboration and quality improvement, it is a reality that the sometimes the acknowledgement and importance of the advanced nurse role is bypassed. These nurses work long hours and basically function in the capacity of the physician. Nevertheless, and more often than not, they might encounter that one patient or family member who is only willing to listen to physician recommendations despite the nurse practitioner working behind the scenes, formulating the patient’s plan of care. Another problem confronted by the advanced practice nurse when attempting to improve healthcare outcomes is performing with “autonomy”. The vast majority of nurse practitioners, especially in the acute care setting, work in environments where he or she is not the only one making important decisions. Often times, team work is necessary and perceptions among individuals regarding a certain issue tend to vary. There is where these nurses may face frustrations related to disagreements when formulating patient care plans; as physicians may impose their views and opinions upon the nurse practitioner, deviating them from performing in a position of autonomy. The nursing field in advanced practices have grown tremendously and such roles have been recognized at a global level due to the complexity of increasing patient needs and the obvious deficiency in health care providers (Poghosyan & Maier, 2022).

                                        How nurses demonstrate effective versus non-effective communication skills

Effective communication skills in this video are demonstrated when the nurse picks up the phone to call the physician as she was concerned for the wellbeing of the patient. The nurse, without hesitation, recognizes the patient is not doing well and displays advocacy. However, these concerns expressed by the nurse must be backed up with factual information (ISBARR) that physicians, in this case, can refer to in order to examine and validate the patient’s deteriorating condition. The nurse failed at first to provide such facts, which exemplifies infective communication skills. Nevertheless, subsequent communication with a colleague displays efficient communication; as the nurse did not know she had to follow a certain protocol in order to obtain orders to help her patient. Similarly, communication skills are essential in healthcare systems when collaborating as a unit to improve patient safety. The individual must seek guidance to shape these skills because it can, often times, mark the difference between life-or-death situations.


Poghosyan, L., & Maier, C. B. (2022). Advanced practice nurses globally: Responding to health challenges, improving outcomes.                  International Journal of Nursing Studies132(1), 1-2. to an external site.

Links to an external site.

Torrens, C., Campbell, P., Hoskins, G., Strachan, H., Wells, M., Cunningham, M., Bottone, H., Polson, R., & Maxwell, M. (2020). Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: A scoping review. International      Journal of Nursing Studies104(2), 2-21.

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