Introduction and aims: To examine barriers senior rural nurses in New South Wales drug and
alcohol clinical settings perceive when considering endorsement to Nurse Practitioner (NP).
Design and 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.
Discussion and conclusion: 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.