The Development of Advanced Practice Nursing: the Role of Health Care Reform

1773 Words Sep 10th, 2012 8 Pages
The Development of Advanced Practice Nursing: The Role of Health Care Reform
Lauren Minimo
Azusa Pacific University

The Development of Advanced Practice Nursing: The Role of Health Care Reform The purpose of this paper is to describe the role of health care reform with regards to the evolution and development of advanced practice nursing (APN) in the United States. Foundational aspects prominent in the development of defined APN roles include the health needs in society, support for innovation in health care, governmental health policy and regulation, health workforce supply and demand, and the development of advanced education, among other factors (Ketefian et al., 2001). APNs are comprised of nurse anesthetists, nurse midwives,
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A nationwide shortage of physicians in the mid-1960s gave way to the development of the nation’s first master’s degree curriculum in Nurse Practitioner at the University of Colorado’s School of Nursing in 1965 (Egenes & Burgess, 2001). The nurse practitioner movement was greatly influenced by the social movements of the 1960s and 70s, including the women’s and civil rights movements. By the 1970s, nurse practitioner preparation increased in graduate programs nationwide and the provision of primary care by nurse practitioners became widely accepted. Women of various racial and ethnic groups were finally allowed entry into nursing education programs after the Nurse Training Acts of 1975 and 1980. The physician shortages of the 1970s became a surplus in the 1980s, and Nurse Practitioners and APNs felt the need to increase scientific rigor to establish their continued value as PCPs (Frellick, 2011). In 1993, The American College of Nurse Practitioners was formed to further lobby and advocate for the needs of Nurse Practitioners (Egenes & Burgess, 2001). The advancement of APN has been previously linked to health care reform in the United States (Aiken et al., 2009). Health care reform first became a national topic in 1912 when Theodore Roosevelt pushed for national health insurance in his reelection bid for the United States presidency (Cass, 2012).

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