The Institute of Medicine’s (IOM) recommendation to remove barriers to practice and
enable advanced practice registered nurses (APRNs) and registered nurses (RNs) to
practice to the full extent of their education and training
1
expanded the use of advanced practice nurses in the country. The more restrictive
Accreditation Council for Graduate Medical Education (ACGME) and Residency Review
Committee (RRC) requirements on residency training and work hours increased the hiring
of APRNs to fill the void created by a reduction in GME trainees.
2
Finally, the Affordable Care Act created additional demand for more providers to
meet the needs of the newly insured population, particularly in primary care.
3
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References
- IOM report contains recommendations to facilitate advanced practice.Am Nurse. 2010; 42: 9
- Attaining resident duty hours compliance: the acute care nurse practitioners program at Olive View-UCLA Medical Center.Acad Med. 2006; 81: 1021-1025
- Nurse practitioner workforce: a substantial supply of primary care providers.Nurs Econ. 2012; 30 (294.): 268-274
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© 2015 Mosby, Inc. Published by Elsevier Inc. All rights reserved.