Jul 29, 2014, 10:50 AM, Posted by
The U.S. population is growing, getting older and suffering from more chronic disease. Thanks to the Affordable Care Act (ACA), more people are gaining health coverage and the means to obtain care. And there’s a widespread view that the country faces a drastic shortage of doctors—and primary care providers in particular.
So why are so many states seemingly determined not to let advanced practice registered nurses deliver the primary care they specifically trained to provide—and help millions of patients in the process?
Across the country, 31 states impose varying limits on the ability of nurse practitioners (one of the four types of advanced practice registered nurses) to evaluate patients; diagnose, order and interpret diagnostic tests; and to initiate and manage many treatments, including prescribing medications.
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Oct 4, 2013, 2:00 AM, Posted by
By Harvey V. Fineberg, MD, PhD, president of the Institute of Medicine, and Risa Lavizzo-Mourey, MD, MBA, president and CEO of the Robert Wood Johnson Foundation. This commentary originally appeared on the Institute of Medicine website.
Three years ago, the Institute of Medicine (IOM) released its landmark report, The Future of Nursing: Leading Change, Advancing Health, made possible by the support of the Robert Wood Johnson Foundation (RWJF). In light of the tremendous need for nurses in health care today and in the future—due to the growing numbers of people with chronic diseases, an aging population, and the need for care coordination—the report provided a blueprint for how to transform the nursing profession.
Recommendations put forth by the report committee included removing barriers to practice and care, expanding opportunities for nurses to serve as leaders, and increasing the proportion of nurses with a baccalaureate degree to 80 percent by 2020.
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Jun 11, 2013, 10:25 AM, Posted by
After getting my nursing degree in 1980, I got my first nursing job at Presbyterian Medical Center in San Francisco. At the time, many of the experienced nurses had been hospital trained and lacked bachelors degrees. So where did they put me? In charge, of course! I worked the night shift. It was notoriously understaffed, and ripe for crises. I can remember the terror I felt when I realized that I did not have the experience or judgment to lead the team. I had this overwhelming feeling that I was way in over my head. I didn’t sleep for a month.
In a new book, True Stories of Becoming a Nurse, a series of essays about new nurses, one author recounts the transformation of the nursing workforce from “the old guard, the hospital-trained, diploma-prepared nurses” to nurses like me who had a bachelor’s in nursing (BSN). I had my degree, but I still had so much to learn.
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