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Overcoming barriers to practice: A nurse practitioner-led model


Roberta Heale, NP, BScN, MN, DNP, Laurentian University School of Nursing, Ramsey Lake Road, Sudbury, Ontario P3E 2C6, Canada. Tel: 705-675-1151 ext 3971; Fax: 1-866-536–4749; E-mail:


Abstract  Purpose: Nurse practitioners (NPs) in Ontario, Canada, experience many barriers to practice that negatively influence their ability to increase access to comprehensive primary healthcare services. A NP-Led Clinic Model has helped to overcome many of the barriers and has had a real impact on access to care.

Data sources: Legislative and regulatory documents from the government of Ontario were reviewed. Reflection upon the barriers to NP practice in Ontario and the positive impact of the new model of care is presented.

Conclusions: NPs with a voice in the governance and operations of a workplace have the potential to reduce barriers to practice.

Implications for practice: Lessons for NPs internationally can be learned from the experience of the Ontario NP-Led Clinic Model.