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I found this research article enlightening on Physician's views and APRN's views on the APRN's role and scope of practice in the primary care setting. In 2010, the Institute of Medicine published an article that stated "advanced practice registered nurses should be able to practice to the full extent of their education and training." The link I posted givens results to a survey given randomly to Physicians and APRNs working in direct patient care on how they view they scope of practice of APRNs.

This article discusses the Pros and Cons of using APRNs in both outpatient and inpatient settings. One of the positives is that there are more jobs for the APRN and now APRN's can specialize much like physicians. The downside to that is that there are not as many NPs doing primary care, which is leaving a gap.

This article discusses the barriers to NP practice with the current healthcare reform by addressing the shortage of primary care providers and the limitations of APRN practice. Barriers that were emphasized include state practice and licensure, physician related issues, education, and role perception. This article stresses that an APRN should be able to practice to the fullest extent of their training.

This is an excellent overview of common barriers to APRN practice that effect the Triple Aim for healthcare: better care (individuals), better health (populations), and lower cost.

This article first provides a brief history on APRNs. It also discusses barriers to the APRN scope of practice.

This article speaks about the future of healthcare - specifically, how primary care is at the foundation of a robust health care system. The author argues that the key to improving the triple aim (health of populations, patient experience, cost of care) is to remove barriers to NP practice, allowing them to practice to their fullest capacity.

This is an older but fascinating article about a midwife working in Gardener, Massachusetts in the 19th century. Hanna continued to attend births of mostly the immigrant population of the city despite being told by courts to cease. She was convicted of "practicing medicine without a license" and had to pay many fines and spend 3 months in a correctional facility. Note that the charges brought against her were never from clients, but from the physicians working in the area.

This article discusses the difficulties APRNs experience while attempting to expand their scope of practice. It explores arguments between nurse practitioners and physicians on how APRNs will contribute to the shortage of primary care providers.

The article talks about the rise of two professions of NP and PA to help with the acute shortage of doctors post WW II.

This report summarizes the current understanding of teamwork, describes interventions designed to improve teamwork, and makes practical recommendations for hospitals to assess and improve teamwork-related performance. Examples of interventions that have successfully improved teamwork include the following: localization of physicians, daily goals-of-care forms and checklists, teamwork training, and interdisciplinary rounds.

This is a very literal guide to teamwork - it details the roles and responsibilites of an interdisciplinary health care team - from the physician and nurses to dietitians and social workers

Recruiters reveal how to respond to the most complicated questions.