Purpose
To describe difficulties associated with the business‐related aspects of practice in role transition of rural nurse practitioners (NPs), and to give practice implications.
Data sources
This focused ethnographic study derived data from semi‐structured interviews. Participants provided information about rural NP practice ownership and barriers. The sample consisted of 24 rural NPs living throughout the United States. The majority were 51–60 years of age (45%) and females (93%) who had been in rural practice for 1 to over 20 years.
Conclusions
NP social entrepreneurs experience difficulties related to scope of practice, business skills, and role conflict.
Implications for practice
To decrease barriers for NP clinic ownership and management, NPs need to receive education related to financing a rural practice, legal/regulatory practices, strategic planning, leadership, and clinic management.
Despite the increasing trend in overweight among children and adolescents, data suggest low rates of diagnosis and management of overweight and related comorbidities by healthcare providers. Overweight has been associated with fatty liver disease in the pediatric population and includes other comorbidities such insulin resistance and features of metabolic syndrome. Screening for overweight in children should constitute the first step in identifying children at risk for NAFLD. Nurse practitioners should include in the evaluation of pediatric patients calculation of BMI and waist circumference for age and screening for other overweight-related comorbidities.
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