nurse

The role of the Nurse Practitioner was the last of the advanced practice nursing role to appear in the United States in the 1960s and 1970s.This was in direct response to a shortage of primary care physicians able to provide healthcare coverage to rural areas. These shortage still exist in today’s healthcare system. The passage of Patient Protection and Affordable Care Act place emphasis on lowering the cost of healthcare, improving quality of care, and providing more access to healthcare. The agency of Health Resources and Services Administration Agency (HRSA) released a reports that an additional 15,162 practitioners were needed to meet their primary care needs of aging populations over the next decade (Reagan & Salsberry, 2013). To understand the significance of the nurse practitioner one must first exam the goals set forth by Healthy People 2020. These goals were issued in December 2010 stated a clear cut mission to improve healthcare for all Americans. These goals range from access to health care, quality of care, maternal and infant health care, these are just a few of the objectives issued by Healthy People 2020. These demands for more access and better quality of healthcare will allow nurse practitioners to assume a variety of roles in the healthcare system. This paper exams the expanding roles of nurse practitioners now and in the future of healthcare.
Transition from Nurse Generalist to Nurse Practitioner

Once a nurse transition from a generalist to advanced practice nurse role there are four stages of growth that have to be accomplished. These stages are formatted with the Dreyfus Model of novice to expert by Patricia Benner in the 1984 research done that applies skill acquisition to clinical nursing. This will...

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... education, experience in practice, and consultation with colleagues. The expert nurse practitioner is able to manage complex medical condition while providing care to multiple clients. The time management and decision making skills are key abilities of a nurse practitioners. These skills are foster from a reflective look at clinical practice. The mental portion of the clinician practice for nurse practitioner is an important aspect of their care. The other factor is their ability to performance highly skilled physical examinations, and diagnostic procedures in the course of their duties.
Leader
The leadership scope of practice for nurse practitioners primary cover four areas: in the clinical setting with patients and staff, within professional organizations, within health care systems, and in health policymaking arenas (Hamric, Spross, & Hanson, 2009). The clinical