title: Perceived barriers to the sustainability and progression of nurse practitioners.
abstract: BACKGROUND
  In 1998 in Victoria, Australia, the Nurse Practitioner (NP) model was considered with projects exploring the potential for NP implementation in emergency departments (EDs).
  
  
  OBJECTIVE
  The aim of this study is to explore the perceived barriers to progression and sustainability of the NP role in Victoria. A survey of the 17 EDs involved in the initial projects was undertaken targeting NP candidates, nurse managers and project officers. A total of 48 individuals were identified and contacted. The survey comprised of demographic details and statements about NP role sustainability and progression using a Likert scale
  
  
  RESULTS
  A total of 37 participants (77%) completed the survey. Participants strongly agreed that there were barriers to sustainability, especially lack of ongoing funding from their own organisation and external sources. Other barriers included a lack of understanding from the organisation and medical staff about the role. The main barriers to role progression were the legislative constraints (n=29, 78%) and the cost of Masters programmes (n=29, 78%)
  
  
  CONCLUSIONS
  This survey revealed a myriad of barriers to role sustainability and progression. These barriers need to be explored and progressed if the NP role is to continue to develop and expand.
authors.affiliation: Emergency and Trauma Centre, The Alfred Hospital, Prahran, Victoria, Australia. s.keating@alfred.org.au
authors.forename: Simon F J
authors.initials: SF
authors.lastname: Keating
authors.forename: John P
authors.initials: JP
authors.lastname: Thompson
authors.forename: Geraldine A
authors.initials: GA
authors.lastname: Lee
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002568:Certification; D004511:Education, Nursing, Graduate; D016529:Emergency Nursing / Q000193:education / Q000458:organization & administration*; D005380:Financing, Government; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D016294:Models, Nursing; D009313:National Health Programs; D009718:Nurse Administrators / Q000523:psychology*; D009722:Nurse Practitioners / Q000193:education / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D015404:Nursing Methodology Research; D017009:Professional Autonomy; D016730:Program Development / Q000379:methods; D014146:Training Support; D014739:Victoria