healthcare system in the United States. There are several factors affecting today’s
healthcare system which will influenced the future development of the Advanced
Practice Nurse (APN) role. Some of the major factors include the evolving federal
and states laws, rapidly growing and aging population, increasing rates of chronic
diseases in children and adults, and the cost of healthcare. These challenges require
increase need for well trained healthcare professionals (OJN).
The Patient Protection and Affordable Care Act (ACA) that was singed into law
March 23, 2010 had the greatest impact in healthcare reform in the United States
since the creation of Medicare and Medicaid in 1965. This legislation established
emphasis on preventive services with focus on primary care, funds for community
health initiatives, and improve quality of care. It also afforded health insurance to
millions of Americans who are currently uninsured (OJN). The influx of new
patients will stress an already strained healthcare system. According to the
American Academy of Family physicians, by 2020, the United States will need
40 percent more primary care providers . One way to meet the increasing shortage
of primary care provider is to enhance and expedite the growth of Advanced
Practice Registered Nurse. A government accounting office noted that
Nurse Practitioner are the fastest growing group of primary care providers .
(p-241-242). Nurse practitioners could fill the growing shortage of primary
care more quickly than physicians. It only takes nurses 6 years of education
and training while physicians may require 11-12 years.(health policy)
The Advanced Practice Nurse role is also defined by the individual state’s
Rules, regulations and statutes. Advanced Practice Registered Nurse practitioners
in most states are still fighting their state