title: Nurse practitioner education: greater demand, reduced training opportunities.
abstract: OBJECTIVE
  To document the factors that are increasing the tension between nurse practitioner (NP) educational programs and the clinical training sites needed for NP students.
  
  
  METHODS
  Literature and the faculty experiences garnered over years of placing NP students for clinical training.
  
  
  CONCLUSIONS
  Several conditions converge to create a situation where sites are increasingly reluctant to precept NP students. The underlying dynamics are diverse and include factors related to the electronic health record, productivity expectations, and the increasing demand for sites as a result of increasing NP enrollments and competing healthcare provider programs.
  
  
  CONCLUSIONS
  The nursing community should approach this issue strategically and devise an action and policy agenda to support NP training, including federal monies to support NP training in a design that parallels the Graduate Medical Education; recognition of NPs as licensed professionals in advanced training; and identification of meaningful incentives for NP preceptors.
authors.affiliation: Department of Community, Systems and Mental Health, College of Nursing, Rush University, Chicago, Illinois.
authors.forename: Ingrid
authors.initials: I
authors.lastname: Forsberg
authors.forename: Kathryn
authors.initials: K
authors.lastname: Swartwout
authors.forename: Marcia
authors.initials: M
authors.lastname: Murphy
authors.forename: Katie
authors.initials: K
authors.lastname: Danko
authors.forename: Kathleen R
authors.initials: KR
authors.lastname: Delaney
mesh_terms: D002983:Clinical Competence; D004511:Education, Nursing, Graduate / Q000639:trends*; D006801:Humans; D009722:Nurse Practitioners / Q000193:education*; D011320:Primary Health Care / Q000379:methods
keywords: Education; nurse practitioners; precepting; primary care; students