Historical Evolution Practice Nurse

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Historical Evolution Practice Nurse

Historical Evolution Practice Nurse

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The “Pulse” Check.  Where are you in your journey and how are you doing?

DQ2 of Week 5 is an opportunity for you to self-assess and reflect on your journey. You can write about it or you can share a created video (you-tube) expressing your navigation through the Role course. Model from the scripts in this week, but be specific to your experience.

Evaluate how you have achieved course competencies and your plans to develop further in these areas. The course competencies for this course are as follows:

Explore the historical evolution of the advance practice nurse.
Differentiate the roles and scope of practice for nurses working in advanced clinical, education, administration, informatics, research, and health policy arenas.
Analyze attributes of the practice arena such as access and availability, degree of consumer choice, competition, and financing that impact advanced practice nurses and their ability to effectively collaborate with other health professionals.
Integrate evidence from research and theory into discussions of practice competencies, health promotion and disease prevention strategies, quality improvement, and safety standards.
Identify collaborative, organizational, communication, and leadership skills in working with other professionals in healthcare facilities and/or academic institutions.
Synthesize knowledge from values theory, ethics, and legal/regulatory statutes in the development of a personal philosophy for a career as an advanced practice nurse.
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The 2010 Institute of Medicine report, the Future of Nursing, recommended that nurses work to the “full extent of their training” to address the primary healthcare needs of United States citizens. This article identifies and describes historical antecedents, cornerstone documents, and legislative acts that served to set the stage for today, laying the groundwork for an expanded role for advanced practice nurses in the 21st century. Beginning with Lillian Wald’s work in Henry Street Settlement in 1893, through Mary Breckenridge’s founding of the Frontier Nursing Service in 1925, the discussion describes how nurses provided access to care for thousands of urban and rural citizens throughout the United States in the past. The article also discusses political forces at midcentury and the creation of the nurse practitioner role with the premise that nurses can learn from these early initiatives to create new models for nurses’ roles in primary care today.
Citation: Keeling, A., (May 31, 2015) “Historical Perspectives on an Expanded Role for Nursing” OJIN: The Online Journal of Issues in Nursing Vol. 20, No. 2, Manuscript 2.

DOI: 10.3912/OJIN.Vol20No02Man02

Key words: history, expanded nurses’ roles, IOM Report 2010, access to care, ANA definition of nursing, Committee to Study Extended Roles, Lillian Wald, Mary Breckenridge, Food and Drug Act 1906, Frank v. South, Harrison Narcotic Act

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