History And Role Development Of Acute Care Nurse Practitioner

2465 Words Jul 23rd, 2015 10 Pages
History and Role Development of Acute Care Nurse Practitioner
Historically, public health nurses played an important role in providing care to an indigent population in urban and remote areas (Hamric, Hanson, Tracy, & O’Grady, 2014, p. 15). Nursing workforce became pioneers in introducing health promotion in poverty-stricken communities, deprived of medical care. Practicing solo in remote areas with limited resources and lack of direct physician supervision created a favorable ground for expansion of skills and autonomous clinical decision-making, which was outside of the traditional nursing scope of practice (Hamric, Hanson, Tracy, & O’Grady, 2014, p. 16). The development of the formal nurse practitioner role was driven by the shortage of primary physicians in poor rural and urban areas (Hamric, Hanson, Tracy, & O’Grady, 2014, p. 17). Joined forces of medicine and nursing leadership have attempted to address the evolving health care crisis by creating expanded roles for nurses (Asubonteng, McCleary, & Munchus, 1995, p. 3). Striving to eliminate the disparity, fragmentation, and sub-optimal care, nursing academia sought to prepare the future nursing workforce, who would be able to work in “an autonomous and collegial way with physicians” to improve the quality and accessibility of health care (Stanley, 2011, p. 20). In 1965, Dr. Loretta Ford and Henry Silver developed the first Nurse Practitioner program at the University of Colorado (AANP, n.d.).
Ongoing changes in the…

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