what are the 4 established APN roles?
- certified nurse midwife
- clinical nurse specialist (CNS)
- nurse practitioners
established that the practice of nurse anesthesia was legal and within the scope of nursing practice, as long as it was done under the guidance and supervision of a physician
1930s precedent setting case: Dagmar Nelson
how did nurse-midwifes get started?
entered the United States through slave trade or European immigration
untrained African American women who provided most of obstetric care in the south U.S; up until the 40s they attended 75% of African American births and many white births as well and outcomes were the same as physicians
when did all 50 states recognize nurse midwifery in their state laws and regulations?
who established the Henry Street Settlement (HSS) to address the needs of the poor?
major significance to NP progress in implementing prescriptive authority
Controlled Substances Act (1991,1992)
involves changes occurring during role transitions that are experienced during the education part of the advanced practice nursing role
the changes that occur during your actual performance of your new role following the completion of your training
what are some issues affecting role transitions?
- role stress
- role strain
social structure condition where obligations are ambiguous, is conflicting, is excessive and unpredictable
felling of frustration, tension, and anxiety in response to actually performing your role
develops where there's a lack of clarity about what you're supposed to do
where within the role there's conflict between two sources
role expectations are perceived to be contradictory or mutually exclusive
two types of role conflict?
what are the three major areas of transition from dependence to interdependence?
- development of professional competence
- change in role identity
- evolving relationships with preceptors and faculty
what is the 4 stage process of NP role development?
- complete dependence
- developing competence