primary health care services with ambulatory patients outside of the hospital setting. The NP was designed and educated to increase access to health care services, to educate patients, to more effectively use qualified nursing preparation to meet national health needs and to promote community based continuity of care. The NP provided important access in areas of physician shortages in primary health care (Cukr, 1996). In 1965, Loretta Ford, a nurse, and Henry Silver, a physician, developed the first NP…
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