Historical Perspectives: The Art and Science of Nurse Practitionering and Advanced Practice Nursing

Document Type

Book Chapter

Publication Date



U.S. News and World Report (2021) lists nurse practitioner (NP) as the second top health care occupation for 2021. According to the American Association of Nurse Practitioners in the 2018 national sample survey, it was estimated 270,000 nurse practitioners were licensed to practice in the U.S. (AANP, 2019). Today, that number has increased to 290,000 NPs ( AANP, 2020). By 2029, the Bureau of Labor Statistics projects that the NP role will have grown by 52% percent, compared to 10% for physicians (U.S. Bureau of Labor Statistics, 2021). In 2010, the Institute of Medicine (IOM) released a report that identified the need for nurses to be placed at the forefront of health care. The report strongly recommended that advanced practice registered nurses—including nurse practitioners—be allowed to practice to the full scope of their abilities and that barriers be removed to enable moving forward. We have come a long way since 2010, but there are still milestones to reach and barriers to break.


Ch. 1 in Role Development for the Nurse Practitioner, 3rd ed.

ISBN 9781284234305 (paperback); 9781284238617 (ebook)

The full text ebook is available to authorized Sacred Heart University users.