Clinical Nurse Specialist

Skip Navigation LinksHome > September 1996 - Volume 10 - Issue 5 > Advanced Practice Roles for Nurses in Tomorrow's Healthcare...
Clinical Nurse Specialist:
Executive Practice

Advanced Practice Roles for Nurses in Tomorrow's Healthcare Systems

Berger, Ann M. M.S.N., R.N.-C.; Eilers, June G. M.S.N., R.N., C.S.; Pattrin, Lynneé B.S.N., R.N.; Rolf-Fixley, Mary B.S.N., R.N., M.P.A.; Pfeifer, Barbara A. B.S.N., R.N.; Rogge, Joyce A. M.S.N., R.N.; Wheeler, Lynette M. M.S.N., R.N.; Bergstrom, Nancy I. Ph.D., R.N., F.A.A.N.; Heck, Catherine S. B.S.N., R.N.

Collapse Box


ADVANCED PRACTICE NURSES (APNs) have traditionally been a diverse group in terms of titles, education, credentials, and roles. The classification of APN usually encompasses the nurse practitioner (NP), certified nurse midwife (CNM), certified registered nurse anesthetist (CRNA), and clinical nurse specialist (CNS). NP, CRNA, and CNM roles have been more clearly delineated than the CNS roles. In light of healthcare reform, the CNS roles have been critically reviewed and analyzed. Attempts have been made to clarify responsibilities and outcomes, and to quantify the financial impact of this role. In this article, seven APN roles clearly defined in terms of minimal qualifications and competencies critical to accomplishment of the duties, responsibilities, and expected outcomes are presented. Comparison of competency requirements are also presented. The roles presented are designed to facilitate healthcare institutions in meeting the demands for serving patients with increasingly complex needs, as well as cost-containment goals.

© Williams & Wilkins 1996. All Rights Reserved.


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.