South, Harrison Narcotic ActД¬ombining primary care medical services with advanced practice nursing skills, NPs meet the needs of underserved rural communities or those who lack access to care in inner cities.В From the inception of the nurse practitioner (NP) role in the 1960s, NPs have been identified as healthcare providers who can serve a combination of needs. Key words: history, expanded nursesвЂ™ roles, IOM Report 2010, access to care, ANA definition of nursing, Committee to Study Extended Roles, Lillian Wald, Mary Breckenridge, Food and Drug Act 1906, Frank v. The article also discusses political forces at midcentury and the creation of the nurse practitionerВ role with the premise that nurses can learn from these early initiatives to create new models for nursesвЂ™ roles in primary care today.Д¬itation: Keeling, A., (May 31, 2015) 'Historical Perspectives on an Expanded Role for Nursing' OJIN: The Online Journal of Issues in Nursing Vol. Beginning with Lillian WaldвЂ™s work in Henry Street Settlement in 1893, through Mary BreckenridgeвЂ™s founding of the Frontier Nursing Service in 1925, the discussion describes how nurses provided access to care for thousands of urban and rural citizens throughout the United States in the past.

This article identifies and describes historical antecedents, cornerstone documents, and legislative acts that served to set the stage for today, laying the groundwork for an expanded role for advanced practice nurses in the 21 st century. The 2010 Institute of Medicine report, the Future of Nursing, recommended that nurses work to the вЂњfull extent of their trainingвЂќ to address the primary healthcare needs of United States citizens.

Mame32 vol 10 2015