Multiple national reports identify actionable recommendations to transform education and practice to meet the needs of health care and healthcare delivery beyond the hospital walls. The Josiah Macy Jr. Conference (2016) focused on transforming primary care and changing healthcare culture to support expansion of roles for registered nurses (RNs). Partnerships between academia and clinical practice are critical to expanding learning opportunities beyond traditional acute care settings. Development of primary care expertise in nursing faculty and adjunct faculty, in collaboration with primary care and ambulatory care nursing leaders, is essential. Academic-practice partnerships must advocate for removing regulatory and practice barriers to allow RNs to practice to the full scope of education and training. Recommendations from national reports extend beyond enhanced roles in primary care practice and have global implications for all RNs practicing in ambulatory care.

中文翻译：

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利用国家报告改变门诊护理实践。

多个国家报告确定了可付诸实践的建议，以改变教育和实践方式，以满足医院之外的医疗保健和医疗保健需求。Josiah Macy Jr.会议（2016）的重点是转变初级保健和改变医疗保健文化，以支持扩大注册护士（RN）的角色。学术界和临床实践之间的伙伴关系对于扩大学习机会超越传统的急性护理环境至关重要。与初级保健和门诊护理主管一起发展护理系和辅助系的初级护理专业知识至关重要。学术实践伙伴关系必须倡导消除监管和实践障碍，以使注册护士能够在整个教育和培训范围内进行实践。