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...... Nicely demarcated documents and policy papers discuss discrete scopes of practice for APNs, but in front of you sits the live embodiment of a holistic person who does not fit in those discrete categories, and asks for a full array of health care. (Mccabe & Burman, 2006, p. 3)
Patients frequently need far more than a specialized demarcated type of care, when they have access to health care they need to multitask, and therefore the additional practice scope changes the delivery need of the nurse
To change such a situation the nursing organizations need to lobby for change, Yet, what should nurses lobby for? Do we as an industry need to lobby for universal health care in a system that has indoctrinated us against such as move. For instance, we are frequently told by the for profit and non-profit organizations we work for that if we as a nation choose to universalize care, we will be reducing patient quality, as well as decreasing our own pay and benefits. (Boaz, 1994, p. 27)
One possible way that nurses in practice and as patient advocates and members of a professional industry can advocate for change it to demonstrate an understanding and

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