It has been said many times that American population is getting sicker and sicker. A report published by American Hospital association indicates that Medicare covers more than 48 million people, and the number is only increasingly growing. For example baby boomers are reaching the critical age of 65 which calls for diseases such as diabetes, hypertension, arthritis, cardiovascular disease, and mental health conditions. Apart from this aging population, the younger population is getting sicker too with obesity and its associated diseases such as diabetes mellitus, coronary heart disease, certain forms of cancer, and sleep-breathing disorders. All these health issues calls for rigorous action from health care professionals like nurses. The country’s higher institutions like Universities and colleges have responded to this demand previously by providing more nurses, for example more pathways were created to allow more people to become registered nurses (RNs) either as BSN, ADN or the more recently introduced program that allows students who already have baccalaureate degree in another field to become nurses with bachelor’s or masters degree in nursing. The IOM report indicates that our 20th century nursing educations are not sufficient and falls short of 21st century health needs. It is clear by all accounts that patients needs and environment of which nurses’ practice are continuously becoming more complex, this condition require nurse to sharpen their competencies to deliver high-quality care. This calls for different approach to nursing education and training. The report calls for new training that focuses on transforming Practice, Transforming Education, and Transforming Leadership. Based on the current scope of nursing practice, we can induce that U.S. nurses were trained to treat acute illnesses and injuries based on 20th century needs which is no longer adequate