Week 1
Hi class,

Topics to review during our first week of the course:

· How Healthcare reform is impacting primary care https://www.ajmc.com/contributor/sophiabernazzani/2016/03/howhealthcarereformisimpactingprimarycare 

• Healthcare reform 101: What the health is going on in 2018? https://www.youtube.com/watch?v=cwTWhwWLzHQ  

• Healthcare Transformation and Changing Roles for Nursing https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266427/pdf/ornur3612.pdf 

Frequently when the shortage of primary care providers is mentioned with regard to healthcare reform, insurance companies and other institutions forget to factor in the impact nurse practitioners can have on increasing access. How do you think we can improve this understanding of the nurse practitioner role?

Discussion 1: Susana Castellanos Attachment

Top of Form

    As listed in the articles provided, there are many barriers to health care access for patients to receive primary care services from a family nurse practitioner. Among them are the annoyingly-varied scope of practice regulations that are different from state-to-state, health care reimbursement from insurance companies, misinformation regarding the roles of the nurse practitioner in health care, and the unvoiced stigma towards nurse practitioners that might exist (Bernazzani, 2016). These are all factors that impede our ability to practice as primary care providers. These barriers do not decrease the burden on primary care providers, despite the fact that more nurses are graduating from these graduate programs to become nurse practitioners. I believe that if the scope of practice for family nurse practitioners can be more standardized across the United States, rather than varying state-by-state, it would have a huge positive impact on the other barriers. A standardized scope of practice for a family nurse practitioner may reduce confusion regarding the role the FNP has in primary care (Altman, 2016). This will allow easier collaboration between other primary care providers. In addition, reimbursement from insurance companies may be better able to recognize the FNP as a primary care provider. If scope of practice is standardized, perhaps patients can accept care in an easer fashion from an FNP and may promote better access to health care.


Altman, S. H. (2016, February 22). Removing Barriers to Practice and Care. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK350160/

Bernazzani, S. (2016). How Healthcare Reform Is Impacting Primary Care. Retrieved from https://www.ajmc.com/contributor/sophia-bernazzani/2016/03/how-healthcare-reform-is-impacting-primary-care

Week 2

The main post in this class was in week 1, that show before NOW this discussion only I need to do a peer response Week 2

Note por the professor:

Hello class,

Please refer to your APA format in your postings. The journal name and volume is italicized font. Ex.

The American Nursing Journal,7(9),,,,

Discussion Board 1 Health Care Reform and NP role

Please update your APA to reflect doi or retrieved point, next time I will deduct points if missing. Refer to your APA manual.

Again missing to include the doi or retrieved from .. as on your initial post. This time -0.25 (correction on private evaluation note here) 

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