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Advanced practice nurses: how did we get here anyway?

E M Bear1

  • 1College of Nursing, Medical University of South Carolina, Charleston, USA.

Advanced Practice Nursing Quarterly
|July 1, 1995
PubMed
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The evolution of advanced practice nursing (APN) roles, including nurse practitioners and nurse anesthetists, is explored. Key historical events, legislation, and educational changes shaped the modern APN landscape.

Area of Science:

  • Nursing
  • Healthcare Policy
  • Medical History

Background:

  • The historical trajectory of nursing has seen significant evolution, leading to specialized roles.
  • Understanding the development of advanced practice nursing (APN) is crucial for contemporary healthcare.

Observation:

  • The emergence of specialty nurses, nurse anesthetists, nurse-midwives, clinicians, and nurse practitioners marks key milestones.
  • Legislation, educational advancements, and regulatory frameworks have profoundly influenced nursing roles.

Findings:

  • This review details the historical events and influential factors in the evolution of the advanced practice nurse (APN).
  • The development of various APN roles is traced, highlighting their distinct contributions.

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Implications:

  • Understanding APN history informs current healthcare policy and educational strategies.
  • The evolution of APN roles demonstrates a continuous adaptation to healthcare needs.