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Advanced practical nurses consist of nurse practitioners, clinical nurse specialists, nurse anesthetists as well as nurse midwives. They are the primary care providers who treat and diagnose illnesses ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"kHMb6yTP","properties":{"formattedCitation":"(Bryant\\uc0\\u8208{}Lukosius et al., 2016)","plainCitation":"(Bryant‐Lukosius et al., 2016)","noteIndex":0},"citationItems":[{"id":2266,"uris":["http://zotero.org/users/local/KZl8ZL3A/items/G758976W"],"uri":["http://zotero.org/users/local/KZl8ZL3A/items/G758976W"],"itemData":{"id":2266,"type":"article-journal","title":"Framework for evaluating the impact of advanced practice nursing roles","container-title":"Journal of Nursing Scholarship","page":"201-209","volume":"48","issue":"2","author":[{"family":"Bryant‐Lukosius","given":"Denise"},{"family":"Spichiger","given":"Elisabeth"},{"family":"Martin","given":"Jacqueline"},{"family":"Stoll","given":"Hansruedi"},{"family":"Kellerhals","given":"Sabine Degen"},{"family":"Fliedner","given":"Monica"},{"family":"Grossmann","given":"Florian"},{"family":"Henry","given":"Morag"},{"family":"Herrmann","given":"Luzia"},{"family":"Koller","given":"Antje"}],"issued":{"date-parts":[["2016"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Bryant‐Lukosius et al., 2016). They not only manage the chronic disease but also guide the public on health matters. Moreover, they tend to have continuous education in order to remain ahead of any technological developments.
Their role in health care was started in the 1960s in response to the shortage of primary care physicians. The aim was to improve service delivery by improving more access to patients who have acute healthcare needs. With the passage of time, their role has extended to other healthcare settings, for example, acute care. They are specifically trained to treat patients that have acute life-threatening conditions (Woo, Lee, & San Tam, 2017). Nurse Practitioners have the responsibility of providing specialty health care through assessment, diagnosis as well as treatment of illnesses. Certified Nurse-Midwives provide primary reproductive health care. Clinical Nurse Specialists ensure best practices to attain the best likely patient results ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"f1zRaW38","properties":{"formattedCitation":"(Woo, Lee, & San Tam, 2017)","plainCitation":"(Woo, Lee, & San Tam, 2017)","noteIndex":0},"citationItems":[{"id":2264,"uris":["http://zotero.org/users/local/KZl8ZL3A/items/N2AZI8D4"],"uri":["http://zotero.org/users/local/KZl8ZL3A/items/N2AZI8D4"],"itemData":{"id":2264,"type":"article-journal","title":"The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review","container-title":"Human resources for health","page":"63","volume":"15","issue":"1","author":[{"family":"Woo","given":"Brigitte Fong Yeong"},{"family":"Lee","given":"Jasmine Xin Yu"},{"family":"San Tam","given":"Wilson Wai"}],"issued":{"date-parts":[["2017"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Woo, Lee, & San Tam, 2017). Moreover, Certified Registered Nurse Anesthetists are responsible for providing a full range of anesthesia along with pain management.
Primarily, their role is defined by the Nurse Practice Act and the Board of Nursing. In the United States, their role has been regulated for over 40 years and each state has separate regulations for this profession ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"k4qhwQ1Q","properties":{"formattedCitation":"(Heale & Rieck Buckley, 2015)","plainCitation":"(Heale & Rieck Buckley, 2015)","noteIndex":0},"citationItems":[{"id":2265,"uris":["http://zotero.org/users/local/KZl8ZL3A/items/FPZ5ZNDJ"],"uri":["http://zotero.org/users/local/KZl8ZL3A/items/FPZ5ZNDJ"],"itemData":{"id":2265,"type":"article-journal","title":"An international perspective of advanced practice nursing regulation","container-title":"International nursing review","page":"421-429","volume":"62","issue":"3","author":[{"family":"Heale","given":"Roberta"},{"family":"Rieck Buckley","given":"C."}],"issued":{"date-parts":[["2015"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Heale & Rieck Buckley, 2015). For example, for Certified Nurse-Midwives a board of Midwifery regulates services of these advanced practice nurses. They have a master's degree along with their diploma in nursing. They are also required to have special training to deal with chronic diseases. Moreover, they can practice independently in some states while require a collaborative agreement to work in another state. Thus, they can also be licensed to provide services in more than one state.
References
ADDIN ZOTERO_BIBL {"uncited":[],"omitted":[],"custom":[]} CSL_BIBLIOGRAPHY Bryant‐Lukosius, D., Spichiger, E., Martin, J., Stoll, H., Kellerhals, S. D., Fliedner, M., … Koller, A. (2016). Framework for evaluating the impact of advanced practice nursing roles. Journal of Nursing Scholarship, 48(2), 201–209.
Heale, R., & Rieck Buckley, C. (2015). An international perspective of advanced practice nursing regulation. International Nursing Review, 62(3), 421–429.
Woo, B. F. Y., Lee, J. X. Y., & San Tam, W. W. (2017). The impact of the advanced practice nursing role on the quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review. Human Resources for Health, 15(1), 63.
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