Meeting the goals of a reformed health care system requires the expertise of professionals, especially those with specialized knowledge and skills. In the restructured health care system, nurses prepared for advanced practice are considered to be unique and valuable providers. The effectiveness of advanced practice nurses is well documented. The use of advanced practice nurses to provide care has been limited by restrictions on their scope of practice, prescriptive authority, clinical privileging, and eligibility for reimbursement. Gaining clarity about the roles that advanced practice nurses will fulfill in the future, standardizing specialists’ preparation, and removing practice barriers is imperative if advanced practice nurses are to realize their potential impact on the health care delivery system. This article discusses the current issues affecting advanced practice nurses, and provides visions of new roles for them in health care delivery
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Advance Practice Nursing| November 01 1993
Promoting Advanced Practice Nursing
Shirley M. Moore, RN, PhD
From the Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
Reprint requests to Shirley M. Moore, RN, PhD, Assistant Professor of Nursing, Case Western Reserve University, FPB School of Nursing, 10900 Euclid Ave., Cleveland, Ohio 44106-4904.
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AACN Adv Crit Care (1993) 4 (4): 603–608.
Shirley M. Moore; Promoting Advanced Practice Nursing. AACN Adv Crit Care 1 November 1993; 4 (4): 603–608. doi:
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