Evolution Of Nursing Essay

1146 Words 5 Pages
The evolving health care system in America is fostered by technological advancements and new research to combat foreign ailments and treat the aging population. The shift in methods from acute care to chronic care delivery, mentalities in gender roles within the health care system, and importance of having an ethnically diverse nursing workforce has evoked great attention from health care organizations, the government, businesses, professional associations, and the insurance industry. The Institute of Medicine (IOM) report on “The Future of Nursing: Leading Change, Advancing Health” is divided into three categories: Transforming Practice, Transforming Education, and Transforming Leadership. Each section of the report details the role and evolution …show more content…
However, the scope of practice acts as a barrier to nurses with an advanced degrees, particularly advanced practicing registered nurses (APRNs). APRNs are RNs who have obtained a master’s or doctorate degree in nursing, and have passed a national certification exam at which they are qualified to work as a nurse practitioner, clinical nurse specialist, nurse anesthetist, or a nurse midwife at which they deliver primary care and preventive care to the public (ANA, n.d.). APRNs are also certified to “assess, diagnose, manage patient problems, order tests, and prescribe medications” (NCSBN, n.d.), so they deserve to have the right to exercise their knowledge to the fullest of their capacity. This limitation imposed by the scope of practice is what the IOM report mentions, because health care professionals, like APRNs, are obligated to work within state limits and not based on acquired education and training. With the cooperation of Congress and the legislature, the nursing practice can evolve to adequately deliver optimal care to patients, especially since more individuals are eligible to receive health insurance from the Affordable Care Act. Lifting the barriers that the scope of practice creates will enable more certified nurses with advanced degrees to deliver quality care while minimizing costs and errors. This was seen in report at which Veterans Affair (VA), a health insurance company, used nurse practitioners for primary care and had better quality care outcomes and results compared to Medicare. The report showed that while the care delivered by VA was significantly higher than Medicare, the spending increased by 30 percent from 1999 to 2007 while Medicare increased spending by 80 percent in the same period without the addition of nurse practitioners. Based on that

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