Nurse Practitioner Self-Confidence and Attitudes Regarding Managed Care
Article first published online: 24 MAY 2005
Journal of the American Academy of Nurse Practitioners
Volume 15, Issue 11, pages 501–508, November 2003
How to Cite
Hayes, E. F. (2003), Nurse Practitioner Self-Confidence and Attitudes Regarding Managed Care. Journal of the American Academy of Nurse Practitioners, 15: 501–508. doi: 10.1111/j.1745-7599.2003.tb00339.x
- Issue published online: 24 MAY 2005
- Article first published online: 24 MAY 2005
- Managed care;
- NP practice;
- managed care competency;
- patient outcomes
To examine the relationship between nurse practitioner (NP) perceived self-confidence in performing managed care tasks and NP attitudes toward managed care.
A random sample of NPs-members of the Massachusetts Coalition of Nurse Practitioners-completed a demographic survey, responded to questions measuring self-confidence in performing managed care tasks and attitudes toward managed care, and wrote about their managed care experi-ences.
NPs were only moderately confident in performing managed care tasks and had mostly negative attitudes toward managed care. They reported intense frustration related to prescriptive coverage and referrals to specialty services, potential trust issues between providers and patients, and ethical and legal dilemmas in tailoring plans of care to fit the patient's insurance. The NPs' written comments indicate a need for more in-depth exploration of NP attitudes toward managed care.
Implications for Practice and Education
Continuing education in selected managed care competencies, better education of NP students, and promotion of organizational cultures that support interdisciplinary teamwork as well as population- and evidence-based practice may help NPs to embrace the promise of managed care and to offer solutions to its problems.