Respond to  two of your colleagues who chose a different national healthcare issue/stressor than you selected. Explain how their chosen national healthcare issue/stressor may also impact your work setting and what (if anything) is being done to address the national healthcare issue/stressor. 

APA Format 

Min 3 resources 


Peer 1

Melissa Jackson

Top of Form

National Healthcare Issue

            The National healthcare issues I chose is the Primary Care Provider shortage. According to the American Association of Nurse Practitioners (AANP) (2019) there are over 270,000 Nurse Practitioners licensed to practice in the United States. This is a big leap up from 248,000 in 2018, and 120,000 in 2007. The AANP states “current provider shortages, especially in primary care, are a growing concern, yet the growth of the NP role is addressing that concern head-on.” NPs and PAs can help lessen the physician/PCP shortage and provide an influx of patients with access to quality care. In order for this to happen there has to be a care delivery model that works for both the patient and the provider. Norful et al. (2018) stated “successful co-management can alleviate individual workload, prevent burnout, improve patient care quality, and lead to increased patient access to care.” Improved patient outcomes are the desired end result for all healthcare professionals. So, finding the happy balance among different levels of providers is a must to reach those goals.

Impact on the Work Setting

The current provider shortage is having a major impact in the work setting. Patents are having difficulty finding providers, waiting longer to be seen, utilizing emergency services unnecessarily, paying high costs for services and, (I fear) overall losing faith in the healthcare system.  Since the ACA was put into effect and more people had access to healthcare, there has been a strain on the system. There just aren’t enough physicians to go around. The healthcare system is being overloaded. Utilizing NP’s is one obvious solution to the issue. A downside is that some states severely limit the scope of NP’s and don’t utilize them to their full potential and education Only 50% of states allow for NPs to have Full Proactive Authority. During the pandemic some of these restrictions were lifted and it allowed for more access to care. I believe this has shown how much of an impact the Advanced Practice Nurse can have on the issues we are currently facing.  

Health System Response

            I currently reside in Georgia, and will be moving to Alabama in the spring.  Neither of these states grants NP’s Full Practice Authority (FPA). It is my hope that these states soon adopt FPA to allow NPs to provide a greater reach of healthcare, especially in the more rural and underserved parts of GA and AL. Allowing for full FPA will “improve access to care, streamline care and make it more efficient, decrease cost, and protect patient choice” (Issues at a Glance: Full Practice Authority, 2022). With a healthcare system that is currently overloaded, it is in the best interest of the patient population to improve access to care.