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Executive Summary:

[black right pointing small triangle] 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.

[black right pointing small triangle] The Josiah Macy Jr. Conference (2016) focused on transforming primary care and changing healthcare culture to support expansion of roles for registered nurses (RNs).

[black right pointing small triangle] Partnerships between academia and clinical practice are critical to expanding learning opportunities beyond traditional acute care settings.

[black right pointing small triangle] Development of primary care expertise in nursing faculty and adjunct faculty, in collaboration with primary care and ambulatory care nursing leaders, is essential.

[black right pointing small triangle] Academic-practice partnerships must advocate for removing regulatory and practice barriers to allow RNs to practice to the full scope of education and training.

[black right pointing small triangle] Recommendations from national reports extend beyond enhanced roles in primary care practice and have global implications for all RNs practicing in ambulatory care.

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