In this report Calkin’s model of advanced practice is used to contrast generalized/specialized and basic/advanced nursing practices, Examples of specialized and advanced practices in neuroscience nursing are described in the context of environmental forces that influence advanced practice in North America. Finally, a letter from the future is used to speculate and to illustrate visions of nursing practice in the twenty-first century

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©1997 American Association of Critical-Care Nurses
1997
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