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Embracing the future for emergency nurse practitioners and specialty practice

Implications for research, clinical practice, education, and health policy

Evans, Dian Dowling PhD, FNP-BC, ENP-C, FAANP (Professor & Emergency Nurse Practitioner, Specialty Coordinator)1,2; Hoyt, Karen Sue PhD, RN, FNP-BC, ENP-C, FAEN, FAANP, FAAN (Professor & Director NP/DNP Programs)3; Wilbeck, Jennifer DNP, RN, FNP-BC, ACNP-BC, ENP-C, FAANP (Associate Professor & Emergency Nurse Practitioner Specialty Coordinator)4; Schumann, Lorna PhD, FNP-C, ACNS-BC, ACNP-BC, ENP-C, CCRN-R, FAAN, FAANP (Vice Chair)5; Ramirez, Elda PhD, RN, FNP-BC, ENP-C, FAAN, FAEN, FAANP (Professor, Clinical Nursing & Director)6; Tyler, Diane PhD, RN, FNP-C, FNP-BC, FAAN, FAANP, CAE (Director)7; Agan, Donna EdD (Data Analyst and Instructor)8

Journal of the American Association of Nurse Practitioners: October 2018 - Volume 30 - Issue 10 - p 586–591
doi: 10.1097/JXX.0000000000000123
Health Policy
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ABSTRACT The emergency nurse practitioner (ENP) specialty has grown rapidly, responding and adapting to changes within emergency care. Designation and advancement of nurse practitioner (NP) specialties follows a systematic process as defined by the profession. This includes establishment of scope and standards of practice, educational standards, and policy initiatives to ensure quality and safety within the profession. This article describes how the ENP specialty has used evidence to meet health system needs and chart a transformational future. Current recommendations for advancing health care transformation, as described by the American Association of Colleges of Nursing-Manatt Report, inform and frame the processes by which the ENP specialty has collaborated with diverse stakeholders to create a research and policy agenda to ensure that ENPs are appropriately prepared to lead and provide access to safe, affordable, quality health care. These processes provide a future-oriented model that promotes advancement of the NP profession through provision of new NP specialty designations as they emerge to meet changing health care system needs.

1Clinical—Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia,

2Emory Healthcare, Emory University Hospital, Atlanta, Georgia,

3NP/DNP Programs, Hahn School of Nursing and Health Science, Beyster Institute of Nursing Research, University of San Diego, San Diego, California,

4Vanderbilt University School of Nursing, Nashville, Tennessee,

5American Academy of Nurse Practitioners Certification Board, Austin, Texas,

6Emergency/Trauma Nurse Practitioner Concentration, Cizik School of Nursing, University of Texas Health Science Center Houston, Houston, Texas University of Texas Health Science Center Houston, Houston, Texas,

7American Academy of Nurse Practitioners Certification Board, Austin, Texas,

8Hahn School of Nursing and Health Science, Beyster Institute of Nursing Research, University of San Diego, San Diego, California

Correspondence: Dian Dowling Evans, PhD, FNP-BC, ENP-C, FAANP, Emergency Nurse Practitioner, Specialty Coordinator, Professor, Clinical—Emory University Nell Hodgson Woodruff School of Nursing, Emergency Nurse Practitioner, Emory Healthcare, Emory University Hospital, Atlanta, GA 30322. Tel: 706-207-9801; Fax: 404-727-8514; E-mail: ddevans@emory.edu

Competing interests: The authors report no conflicts of interest.

Authors' contributions: D. D. Evans led substantial contributions to the conception and design of the work, including drafting and revising the work for critically important intellectual content and assuming accountability for all content. K. S. Hoyt provided substantial contributions to the conception and design of the work, including revising the work for critically important intellectual content and assuming accountability for all content. J. Wilbeck led substantial contributions to the design of the work, including revising the work for critically important intellectual content and assuming accountability for all content. L. Schumann, E. Ramirez, D. Tyler, and D. Agan provided substantial contributions to the design of the work, including revising the work for critically important intellectual content and assuming accountability for all content.

Received May 1, 2018

Accepted July 30, 2018

© 2018 American Association of Nurse Practitioners
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