By Ann B. Hamric
Complex perform Nursing : Integrative process 4TH variation through Ann B. Hamric, Judith A. Spross and Charlene M. Hanson. W.B. Saunders Co.,2008
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Extra info for Advanced Practice Nursing: An Integrative Approach, 4th Edition
Pp. 1183–1184) The FNS nurses maintained outstanding patient data from the outset. Reflecting on her work in later years, Breckinridge (1981) noted that “trained statisticians were to come later, through a grant from the Carnegie Corporation, but from the start we had records and report sheets and kept them carefully” (p. 166). When findings were analyzed by the Metropolitan Life Insurance Company in 1951, they indicated that 8596 births had been attended, with 6533 occurring in homes, since 1925.
The more contemporary term, advanced practice, which began to be seen in the 1980s, reflects a more vertical or hierarchical movement encompassing graduate education within nursing rather than a simple expansion of expertise by development of knowledge and skills used by other disciplines. Since the 1980s, state nursing practice acts have increasingly adopted the term advanced practice nurses (APNs) to delineate CRNAs, CNMs, CNSs, and NPs. LATE NINETEENTH CENTURY: HISTORICAL ROOTS Nurse Anesthetists.
In a landmark decision, the Kentucky appellate court, in the case of Frank v. South (1917), ruled that anesthesia provided by nurse anesthetist Margaret Hatfield did not constitute the practice of medicine if it was given under the orders and supervision of a licensed physician (Dr. Louis Frank). The significance of this decision lay in the fact that the courts declared nurse anesthesia legal but “subordinate” to the medical profession, a decision that would have lasting implications for the specialty and, later, for advanced practice nurses in general (Keeling, 2007).
Advanced Practice Nursing: An Integrative Approach, 4th Edition by Ann B. Hamric