Assessing Southeastern Advanced Practice Registered Nurses’ Business and Operational Skill Sets


      • Advance practice registered nurses (APRNs) self-reported a lack of confidence in 7 of 8 business/operational skill sets.
      • Maintaining daily business operations reflected the greatest confidence.
      • The establishment of reimbursement services and risk mitigation reflected the least confidence.
      • Prior business owners had significantly higher confidence than those with no experience.
      • APRNs expressed interest for educational access to business and operational skills.


      As advanced practice registered nurses (APRNs) open private practices in medically underserved areas, clinical, practice management, and business skills are needed conjunctively to remain operational. Further information is needed to understand APRN business and entrepreneurial skill needs. A convenience sample assessed perceptions of confidence in business and operational skill sets needed for entrepreneurial roles in 102 APRNs, representing diversity of subspecialties and practice locations in 4 southeastern states with provider shortages: Alabama, Florida, Mississippi, and Tennessee. Sustaining practices in underserved areas requires providing innovative educational offerings to address APRN business skills needs.


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      Shannon Sapp Layton, DNP, NP-C, CNE, is an assistant professor with the School of Nursing, University of Alabama at Birmingham in Birmingham and can be contacted at [email protected]


      Kala K. Blakely, DNP, NP-C is the president of Hometown Family Medicine, Inc, in Birmingham, AL.


      Bela Patel, DNP, NP-C, is an instructor at the University of Alabama at Birmingham, Birmingham, AL.


      Rebecca S. Miltner, PhD, RN, CNL, NEA-BC, is a professor at the School of Nursing at the University of Alabama at Birmingham, Birmingham, AL.