The following context of a country will be very determinative of the relevance and prevalence of nurse entrepreneurs providing nursing service, except:

• social

• legal

• moral

• economic

Nursing entrepreneurship manifests itself in various ways and does not inevitably lead to this consequence of the health system.

• nationalization

• privatization

• localization

• standardization

When it is speaking for nurses and nursing, the NNA will need to take into consideration the rights and obligations of the following, except:

• medical doctors

• consumers of health services

• members who are nurse intrapreneurs

• members who are nurses employed by nurse entrepreneurs

They are useful only if the competent authorities adopt them and the necessary power is delegated to a known entity to ensure compliance.

• social credibility

• legal legitimacy

• conditions of work

• standards of education and practice

Once the ability to practice is determined according to professional competencies as stated, legislation or regulations must settle the right to practice.

• social credibility

• legal legitimacy

• conditions of work

• standards of education and practice

The viability of nurse entrepreneurs will depend on consumers appreciating the full range of nurses' responses to health needs in the community at all levels of health care.

• social credibility

• legal legitimacy

• conditions of work

• standards of education and practice

While the actual work environment may be said to rely primarily on the wishes and constraints of the nurse entrepreneur, payment for services rendered may depend on case-by-case negotiations with the client.

• social credibility

• legal legitimacy

• conditions of work

• standards of education and practice

The NNA needs a strategy for furthering the understanding of these issues by the public and by policy makers.

• social credibility

• educating policy makers

• legal legitimacy

• unmet health care needs

The NNA could also conduct an analysis on this, followed by descriptions of services needed by the public.

• social credibility

• educating policy makers

• legal legitimacy

• unmet health care needs

The NNA could work with this organization, involving the broader nursing community to build partnerships and coalitions.

• specialty nursing organization

• Health maintenance organization (HMO)

• government

• preferred provider organization (PPO)