Heale Roberta
Laurentian University School of Nursing, Sudbury, Ontario, Canada.
J Am Acad Nurse Pract. 2012 Jun;24(6):358-63. doi: 10.1111/j.1745-7599.2012.00737.x. Epub 2012 Apr 20.
Nurse practitioners (NPs) in Ontario, Canada, experience many barriers to practice that negatively influence their ability to increase access to comprehensive primary healthcare services. A NP-Led Clinic Model has helped to overcome many of the barriers and has had a real impact on access to care.
Legislative and regulatory documents from the government of Ontario were reviewed. Reflection upon the barriers to NP practice in Ontario and the positive impact of the new model of care is presented.
NPs with a voice in the governance and operations of a workplace have the potential to reduce barriers to practice.
Lessons for NPs internationally can be learned from the experience of the Ontario NP-Led Clinic Model.
加拿大安大略省的执业护士在执业过程中面临诸多障碍，这些障碍对他们增加全面初级医疗服务可及性的能力产生了负面影响。一种由执业护士主导的诊所模式有助于克服许多障碍，并对医疗服务的可及性产生了实际影响。
对安大略省政府的立法和监管文件进行了审查。阐述了对安大略省执业护士执业障碍以及新护理模式积极影响的思考。
在工作场所的治理和运营中有发言权的执业护士有潜力减少执业障碍。
国际上的执业护士可以从安大略省由执业护士主导的诊所模式的经验中学到经验教训。
