Chapter 1: Practice Nursing: Doing What Has to Be Done Flashcards
the genesis of advanced practice nursing
Sociopolitical, economic, and legal change
The evolution of modern medicine
Emerging technology
A growing population in need of care
PRECURSORS AND ANTECEDENTSTO ADVANCED PRACTICE
Primary care
Herbal healing
The public health movement
EMERGENCE OF MODERN NURSING
The Civil War
1873 - The first American training schools
Roots in the domestic arts stimulate respect for a
clean and safe environment
Lots of opportunity for autonomy
NURSE-MIDWIFERY TRADITION IN THE UNITED STATES
Who the nurse-midwifes are: demographics
Social attitudes
The lay midwife
Medicalization of childbirth
Nurse-midwifery and the nursing community
Licensing and governmental regulation
Emergence of the modern hospital
NURSE-ANESTHETIST PRACTICE
Who the nurse-anesthetists are: demographics
Medicalization of anesthesia practice
Licensing and governmental regulation
Nurse-anesthesia and the mainstream of nursing
Advancing nurse-anesthesia
Continuing medical turf battles
THE CLINICAL NURSE SPECIALIST (CNS)
Demographics of the CNS
Practice and educational evolution
Roots deep in mainstream nursing
Experts in specialty practice
A focus on secondary and tertiary care settings
The functional role: working through others
THE NURSE PRACTITIONER (NP)
Expansion into medical science
Initial rejection by mainstream nursing
Focus on primary care
Initial certificate education to the master’s degree
Certification as a bridge to national recognition
The issue of prescriptive authority
BLENDING THE CNS AND NP ROLES
A social phenomenon; a mark of the times
Need for primary care for specialty populations
Call for NP services in secondary and tertiary settings
The increased complexity of the hospital population
Fewer dollars for graduate medical education
Continuing decline of physicians in primary care
RECENT INNOVATIONS
Consensus Model for Advanced Practice Registered Nurse (APRN) Regulation
Doctorate of Nursing Practice
Clinical Nurse Leader
