Access to Healthcare in Hawai’i: Entrepreneurship for Advanced Practice Nurses

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2020-04-01
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Green, Kelly
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Ayers-Kawakami, Jeanette
Hensley, Patricia
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It is undeniable that Advanced Practice Nurses (APNs) have the knowledge, skill, and leadership ability that are valuable for meeting the healthcare challenges of rural communities. They can be instrumental in solving the shortage of primary care providers in underserved areas of Hawai’i through entrepreneurship. In 2013, over 807 Advanced Practice Nurses lived and worked in the State of Hawaii; however, only 3.6% or 308 are considered self-employed (LeVasseur, 2013; LeVasseur & Qureshi, 2015). If more APNs practiced independently in either ambulatory clinics or privately owned practice, this could alleviate the shortages seen in rural communities. The literature describes areas that prevent APNs from private practice including, legal and regulatory obstacles, ethical and personal barriers, and limited knowledge in entrepreneurship. The purpose of this project was to develop and pilot an entrepreneurial workshop to increase entrepreneurial intentions among APNs/DNP students. Through educational offerings will APNs seek out entrepreneurship to design independent practices that include, but not limited to, improving accessibility, affordability, quality, patient safety, and patient outcomes. Two independent groups were analyses and compared for their entrepreneurial intentions, the nurses’ group and the University of Hawai’i at Hilo business students. The educational offering suggests that the entrepreneurial curriculum needs to exist at all graduate-level of nursing programs to increase more APNs working independently in rural and underserved areas. Recommendation for future project design includes incorporating a larger sample size.
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Medical care, Hawaii, Entrepreneurship, Nursing, advanced practice nurses, Medically underserved areas
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74
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