Charlene M. Hanson

Reflections on the continuing evolution of advanced practice nursing

While the concept of advanced practice nursing (APN) is still relatively new, distinct patterns of evolution from specialty practice to advanced practice nursing are evident over the last 100 years. The purpose of this article is to describe 3 stages in this evolutionary process, as well as discuss several internal and external issues that represent challenges facing APN educators and clinicians who seek to strengthen advanced practice in the current healthcare system. We clarify our definition of advanced practice nursing, and note the critical need for cohesion within the profession regarding the definition and core competencies of advanced practice. Our aim is to suggest a preferred vision for advanced credentialing. We encourage dialogue among our nursing colleagues to move this agenda forward.

Educating Advanced Practice Nurses for Practice Reality.

The complexity of the current health care environment ethically mandates advanced practice nursing (APN) educators to prepare graduates with a clear understanding of APN roles and professional and regulatory issues for them to make a reasonable transition to the marketplace. Integrating both clinical content needed for APN practice and APN role issues can be a difficult balance. This article describes critical role content needed in APN programs and offers a variety of teaching strategies. Recommendations regarding the timing and placement of role content in the graduate curriculum also are offered. Although there is no one right way to build APN role content into graduate coursework, some approaches are preferable to others.

Building Community: Developing Skills for Interprofessional Health Professions Education and Relationship-Centered Care

In 1995, the National League for Nursing commissioned a Panel on Interdisciplinary/Transdisciplinary Education. The focus of the Panels work was to examine educational issues that transcend the health professions and to make recommendations for future implementation of an interdisciplinary approach to addressing them. This article is being simultaneously published by several professional journals. The goal is to seek as much feedback as possible.

Nominations for excellence: collegial advocacy for nurse practitioners.

&NA; This study examined physician nomination data submitted for Syntex Nurse Practitioner of the Year Awards for 1988, 1989, and 1990. The physicians identified nurse practitioner contributions to patient care, community service/outreach, and education and research. A content analysis of the text data yielded themes within four major domains that described outstanding nurse practitioners in mutual practice relationships with physicians. The domains were clinical expertise, holistic caring, patient‐centered activism, and leadership. The findings in this study indicated that physicians value the contributions of nurse practitioners that enhance the quality and scope of health care for patients within a mutual practice.

Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care.

* Corr E-m 0029-6 https:/ Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care Jordon Bosse, MS, RN(Academy Jonas Policy Scholar), Katherine Simmonds, MS, MPH, RN, WHNP-BC(Academy Jonas Policy Scholar), Charlene Hanson, EdD, RN, CS, FNP-BC, FAAN, Joyce Pulcini, PhD, RN, FNP-BC, FAAN, FAANP, Lynne Dunphy, PhD, FNP-BC, FAAN, FAANP*, Patricia Vanhook, PhD, RN, FNP-BC, FAAN, Lusine Poghosyan, PhD, MPH, RN, FAAN American Academy of Nursing Primary Care Expert Panel

Glaucoma screening: an important role for NPs.

Glaucoma continues to be a major cause of blindness and visual impairment in the United States today. However, with early detection through screening followed by prompt treatment, sight can be spared. This article discusses the pathophysiology of both acute open-angle and acute and chronic angle-closure glaucoma and describes the high-risk population. The rationale behind obtaining an accurate intraocular pressure reading and converting the scale reading to mm Hg is explored. A step-by-step outline of the procedure for Schiotz tonometry is presented. Nurse practitioners who are functioning within primary care settings can provide valuable early detection screening to high-risk clients and make timely referrals for further evaluation.