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The Nurses Impact On Healthcare

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The Nurses Impact in Healthcare Ayva Rodriguez Felician College The Nurses Impact in Healthcare The new health care system “require U.S. citizens and legal residents to have health insurance” ("Summary of the Affordable Care Act," 2013, p. 3) that resulted in the increased insured individuals since the Affordable Care Act (ACA) implementation ("Summary of the Affordable Care Act," 2013, p. 3). Due to the new policy more people have access to health care that means more primary physicians needed to accommodate the rise of new patients ("The Physician Shortage," n.d.). Shortages of physicians not only in the primary care area but also in specialty care area are projected between 46,000-90,000 by 2025 ("The Physician Shortage," …show more content…

The policy and regulations on the nurses scope of practice in every state varies, where few states allowed their nurses to practice independently without the physicians’ supervision (Garner, 2010). But more states “…impede the full utilization of nurses” ("Issues for Nursing," 2010, p. 3). “The ACA relies heavily on the concept of the Patient Centered Medical Home (PCMH) model and free preventive care” (Anderson, 2014, p. 3), but these models need sufficient primary care providers to care for the newly insured individuals (Anderson, 2014, p. 3). With the primary care physician shortages, advanced practice registered nurses (APRNs) play an important role in attaining the goal of ACA ("Issues for Nursing," 2010, p. 3). Patient have no access to APRNs services and several health plans failed “…to include APRNs in their provider directories” ("Issues for Nursing," 2010, p. 3). This limits their choices and availability of provider ("Issues for Nursing," 2010, p. 3). Even though some state authorized the APRNs in practicing to the full extent “…without a statutory relationship with a physician” ("Issues for Nursing," 2010, p. 3), the services will not be covered unless collaboration with the physician occurred ("Issues for

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