Abstract：
:Advanced nursing practice in the United States of America has evolved over the past decades in two related but distinct directions:- the nurse practitioner (NP) and the clinical nurse specialist (CNS). This two-role evolution was in response to social demands for increased access to affordable, quality primary health care, and at the same time to the specialised nursing care requirements of increasingly complex patients. Thus, nurse practitioners became synonymous with primary and clinical nurse specialists with specialised, acute care. There is evidence that there is an advanced practice role for both the CNS and the NP and that much of the knowledge, skills and competencies are shared depending on the clinical situation. There have been successes and failures in the development of the two roles. The clinical nurse specialists have a more respectable image among the powerful nursing education elite, but nurse practitioners are widely recognised by consumers and other health care professionals and are valued by cost-conscious managers as a viable, cheaper alternative to physicians. The literature suggests it may well be time to take the best attributes of the two roles and merge them under the term 'advanced nurse practitioner'.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Dunn Ldoi
10.1046/j.1365-2648.1997.1997025814.xsubject
Has Abstractpub_date
1997-04-01 00:00:00pages
814-9issue
4eissn
0309-2402issn
1365-2648journal_volume
25pub_type
历史文章,杂志文章,评审abstract：AIMS:The aim of this study was to evaluate the use of a 7-day Retrospective Diary to assess peri-conceptual and mid-pregnancy alcohol consumption. BACKGROUND:Alcohol consumption among women has increased significantly and is of international concern. Heavy episodic ('binge') drinking is commonplace and is associated w...
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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更新日期：1992-12-01 00:00:00
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pub_type： 杂志文章,多中心研究
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更新日期：2003-07-01 00:00:00
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journal_title：Journal of advanced nursing
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pub_type： 杂志文章
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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