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Summary
Pediatric nurse practitioners (PNPs) emerged to address physician shortages but differing goals between nursing and pediatrics created conflicts. Unresolved issues persist due to a lack of long-term planning in federal training programs.
Area of Science:
- Healthcare professions
- Nursing
- Pediatrics
Background:
- The emergence of the pediatric nurse practitioner (PNP) role.
- Initiatives by the American Academy of Pediatrics and American Nurses' Association to address physician shortages and advance nursing.
- Recognition of differing motivations and goals between professions.
Purpose of the Study:
- To summarize the historical development of the PNP role.
- To identify and discuss the unresolved conflicts and problems associated with PNPs.
- To analyze the impact of federal training program planning on PNP integration.
Main Methods:
- Historical review of the PNP movement.
- Analysis of professional motivations and goals.
- Examination of federal program planning and its consequences.
Main Results:
- PNPs were developed to provide well-child care, supervised by physicians.
- Nursing sought expanded roles, advancing its status as an interdependent profession.
- Conflicting goals and lack of long-range federal planning intensified professional conflicts.
Conclusions:
- The PNP role evolved with distinct professional objectives, leading to ongoing conflicts.
- Unresolved issues stem from differing professional motivations and inadequate federal planning.
- Further analysis is needed to address the challenges created by the PNP role.