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Additional info for Advanced Practice Nursing: Essentials of Role Development 2nd Edition
The nurse’s own professional “responsibility and judgment” within the nursing field was seen as “something more” for the patient, in contrast to the physician assistant role that was seen as less comprehensive (Murphy, 1970, p. 383). The National Advisory Commission on Health Manpower supported the NP movement (Moxley, 1968). The Committee to Study Extended Roles for Nurses in the early 1970s recommended that the expanded role for nurses was necessary to provide the consumer with access to health care and proposed the inclusion of highly developed health assessment skills (Kalisch & Kalisch, 1986; Leininger, Little, & Carnevali, 1972; Marchione & Garland, 1997).
Ford, L. , & Stearly, S. G. (1967). A program to increase health care for children: The pediatric nurse practitioner program. Pediatrics, 39(5), 756–768. Sparacino, P. S. A. (1986). The clinical nurse specialist. Nursing Practice 1(4), 215–228. Sparacino, P. S. A. (1990). A historical perspective on the development of the clinical nurse specialist role. In P. S. A. Sparacino, D. M. Cooper, & P. A. ), The clinical nurse specialist: Implementation and impact (pp. 3–9). Norwalk, CT: Appleton & Lange.
By 1978, 1350 nurses were certified. The purpose of the certifying examinations were expanded to include “assurance 18 UNIT 1 ◆ THE EVOLUTION OF ADVANCED PRACTICE of quality beyond basic licensure; identification of nurses who may be directly reimbursable for services; and recognizing achievement and quality of practice” (Hawkins & Thibodeau, 1993, p. 77). By the early 1980s, NP-certified specialties included OB/GYN, psychiatric/mental health, community health, family, adult, gerontological, pediatric, and school NPs.