Advanced Nursing Practice

Advanced Practice Nursing As A Conceptual Approach to Professional Nursing Practice

One of the major goals of health care reform is the reduction of costs associated with the delivery of care while simultaneously maintaining standards of care quality (Siccardi & Winland, 1995, p. 9). Enhanced use of qualified professional nurses is one means of attaining these twin goals (Soehren & Schumann, 1994, pp. 123-127). For nurses to be effective in such a role, professional qualifications must be developed beyond the levels required for registered nurses. Registered nurses acquire the specialized skills for advanced nursing practice through both practice and education (Hamric, 1995, p. 547). A master's degree is required for certification as either a clinical nurse specialist (CNS) or a nurse practitioner. In the relatively recent past, nurse practitioners were not required to hold master's degrees; however, to be considered to be advanced practice nurses, master's degree certification is requi

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t community and the nurse managed clinic. Nurse managed clinics attempting to develop bonds of trust between themselves and the indigent community frequently find their task exacerbated an antiestablishment attitudes that are usually strong and that are frequently of long standing among the indigent community. The strongest opposition to the concepts of the nurse practitioner and clinical nursing specialist comes from some individual physicians and from many physicians' associations (Hupcey, 1993, pp. 181-185). Physicians who oppose the nurse practitioner and clinical nursing specialist concepts do so publicly (most often) on the grounds that patient health care will suffer. There are strong suspicions, however, that such physician opposition is often rooted in other factors, such as the loss of some power and some income by physicians. Physician opposition remains strong but is weakening. Strong support also exists for the nurse practitioner and clinical nursing specialist concepts (Banjok & Wright, 1993, pp. 609-610). Support is strong within the public health community, where the active participation of nurse practitioners and clinical nursing specialists is viewed as a means of promoting improved levels of general healt
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Some common words found in the essay are:
Reifsteck D'Angelo, Behner Hagerott, Thibodeau Hawkins, Forsythe Willis, health care, Soehren Schumann, Conclusion Cowley, Silvester O'Regan, Keane Richmond, Mead Boswell, PRACTICE Introduction, nurse practitioners, health care services, care services, nurse practitioner, clinical nursing, nurse managed, clinical nurse, 1994 pp, practitioners clinical, nurse practitioners clinical, delivery health care, delivery health, health care delivery, nurse managed clinics,
Approximate Word count = 3028
Approximate Pages = 12 (250 words per page)

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