title: An examination of barriers to nurse practitioner endorsement in senior rural drug and alcohol nurses in New South Wales.
abstract: OBJECTIVE
  To examine barriers senior rural nurses in New South Wales drug and alcohol clinical settings perceive when considering endorsement to Nurse Practitioner (NP).
  
  
  METHODS
  A survey was designed to record views of senior alcohol and drug nurses in rural New South Wales about becoming a NP. Participants were identified by Area Health Service Directors of Drug and Alcohol Services for each Area Health Service in NSW excluding metropolitan Sydney. Forty eight surveys were distributed, with 17 (35%) completed surveys included in the results.
  
  
  RESULTS
  Of the 17 participants, 12 (70.6%) expressed interest in becoming a NP. The majority (12, 70.6%) were unaware or unsure of endorsement processes. Lack of clarity about the NP role and processes and benefits to becoming a NP was found to be of most concern to all participants. Only 6 participants (35%) indicated they would consider seeking endorsement to NP.
  
  
  CONCLUSIONS
  Despite agreeing that NP positions in alcohol and drug settings would improve patient access to treatment and care, senior nurses working in these settings in regional areas are unfamiliar with pathways to becoming endorsed. Barriers, such as a lack of internal support from management and colleagues, as well as the fact that respondents reported no foreseeable financial gain in endorsement, also need to be addressed, before more nurses will consider endorsement. Further evaluation of the views of senior nurses in metropolitan alcohol and other drug settings in the process to NP endorsement is needed before clients will benefit from the expertise and enhanced care that NP's may provide.
authors.affiliation: Drug and Alcohol, John Hunter Hospital, Hunter New England Area Health Service, New South Wales, Australia. stephen.ling@hnehealth.nsw.gov.au
authors.forename: Stephen
authors.initials: S
authors.lastname: Linga
authors.forename: Janette
authors.initials: J
authors.lastname: Curtis
authors.forename: Renee
authors.initials: R
authors.lastname: Brightond
authors.forename: Adrian
authors.initials: A
authors.lastname: Dunlopb
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002322:Career Mobility; D004511:Education, Nursing, Graduate; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D009722:Nurse Practitioners / Q000600:supply & distribution*; D019035:Rural Health Services; D019966:Substance-Related Disorders / Q000451:nursing*; D000078329:Workforce