ADVANCED NURSING PRACTICE Introduction This re

The role of the nurse practitioner has been evolving from a medical to a nursing orientation since the inception of role in 1955 (Thibodeau and Hawkins, 1994, pp. 205218). As a result of the combination of factors (increasing costs of health care, changing societal values, advances in treatment therapies, and many others), the delivery of health care services in the United States is undergoing rapid and important change. One of the more significant of the changes occurring involves the direct delivery of health care services by non physician health care professionals. There exists both substantial support for this trend, as well as substantial opposition to it (Hupcey, 1993, pp. 181185). Nurse practitioners and clinical nurse specialists are among the most prominent of the non physician health care professionals involved in the direct delivery of health care services to patients.

Nurse practitioners and clinical nurse specialists engage in the delivery of a wide variety of health care services without the direct supervision of physicians (Thibodeau and Hawkins, 1994, pp. 205218). The early role of the nurse practitioner was primarily as a member of a primary health care team. This role continues to be importan

. . .
z, 1991, pp. 2430). The two major factors involved in the rising role of nurse managed clinics in the delivery of health care services to indigent persons are accessibility and cost. Nurse managed clinics are frequently sited where indigent people reside and where more traditional health care delivery venues are either not available or are in short supply. Nurse managed clinics are also able to delivery health care services at costs that are well below those associated with most of the more traditional health care service providers (Sharp, 1992b, pp. 3032). Such clinics are strongly supported by government. While it is highly important for nurse managed clinics that are intended to deliver health care services to indigent people be sited near to the locations where such persons congregate, clinic location alone is not enough to assure that indigent people will seek help from the nurse managed clinics. Many, perhaps most, indigent persons distrust the system. This distrust often causes such people to avoid seeking help even when they are aware that help is available and that they need help. Thus, nurse managed clinics develop outreach programs that are designed to make their existence known to indigent persons, info
. . .

Some common words found in the essay are:
Reifsteck D'Angelo, Thibodeau Hawkins, Behner Hagerott, Keane Richmond, Fenton Bryczynski, health care, Trotter Danaher, Banjok Wright, care services, health care services, , nurse practitioners, clinical nursing, nurse practitioner, Sharp Nancy, nurse managed, practitioners clinical, Practice Roles, nurse practitioners clinical, clinical nursing specialist, nursing specialist, 1994 pp, managed clinics, nurse managed clinics, practitioners clinical nursing,
Approximate Word count = 1775
Approximate Pages = 7 (250 words per page)

More Essays on ADVANCED NURSING PRACTICE Introduction This re