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Famous nursing pros and educators proportion their expertise...on the evolution of the APN's function from a historic viewpoint to the current, the non-clinical wisdom helpful for pro luck, and destiny matters and demanding situations. AJN ebook of the Year2009

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Extra resources for Advanced Practice Nursing: Essentials of Role Development 2nd Edition

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We know that the research degree is asynchronous with these goals, and we know from every other profession that when you reach the competency associated with doctoral achievement, one should receive a doctorate not another MS degree” (p. 175). See Chapter 4 for more discussion on this issue. We will need our renegades, rebels, and trailblazers more than ever. CONCLUSION The boundaries of practice are always malleable. They are always subject to myriad external forces— political, economic, social, and cultural—and are interpreted in different ways by different practitioners.

This statement identified the roles of the CNS as specialist in clinical practice and as educator, consultant, researcher, and administrator. This role statement by the Council depicted the changing role of the CNS, notably delegating and overseeing 12 UNIT 1 ◆ THE EVOLUTION OF ADVANCED PRACTICE practice, as its primary focus (Fulton, 2002). The year 1986 was also notable for the publication of the journal Clinical Nurse Specialist: The Journal for Advanced Nursing. In 1986, the ANA’s Council of Clinical Nurse Specialists and the Council of Primary Health Care Providers published an editorial comparing the similarities of the CNS and NP roles.

One question about the movement is whether the development of the nurse practitioner role adds to, or detracts from, the development of nursing as a distinct scientific discipline (Roy & Obloy, 1978, p. 1698). This statement was issued more than 13 years since the initiation of the first NP program at the University of Colorado. In February 2002, Clinician News ran a feature titled, “Some Physicians Seeing Red Over the Term Provider” (Clinician’s Review, 2002). The article documents the discomfort of the AMA regarding physicians, NPs, and physician assistants being grouped under the term provider.

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