MDC Evolution of Nurse Practitioner Role Discussion Nursing Assignment Help

1. Nurse Practitioner (NP), Certified Nurse Midwife (CNM), Certified Registered Nurse Anesthetist (CRNA), and Clinical Nurse Specialist (CNS) are the four role categories for Advanced Practice Registered Nurses (APRN). The general and specialized care that nurse practitioners offer to patients of all ages is provided by highly trained medical professionals. In addition to evaluating, diagnosing, treating, and prescribing drugs, they also educate patients. In response to the increasing demand for primary care physicians, particularly in impoverished regions, the NP position evolved in the 1960s. In 1965, the University of Colorado’s NP program was established with the goal of preparing registered nurses for expanding responsibilities in healthcare, with a focus on primary care and health promotion (ANA, 2017).

The role of nurse practitioners has developed and grown throughout time, enabling them to deliver full primary care on their own. The healthcare team recognizes nurse practitioners as essential contributors who deliver high-quality, economical treatment in a variety of settings.

2. The 4 APRN role types are certified registered nurse anesthetist (CRNA), certified nurse-midwife (CNM), clinical nurse specialist (CNS), and certified nurse practitioner (CNP). An APRN includes elements that are essential such as licensure, accreditation, certification, and education. Definitions of APRNs can include those who have completed an accredited graduate level education program, passed national certification, and acquired those who demonstrate clinical knowledge and skills. In 1955 the NCSBN was directed by the Delegate Assembly to work with APRN to make certain examinations suitable for regulatory purposes. During the early 2000’s the APRN advisory board developed certain criteria fit for the elements of certification. The panel was brought together to form and improve the legal aspect and to promote communication with stakeholders. The vision paper was complete and that was drafted over the next 8-10 years. The CNP was prepared to diagnose and treat patients. This includes care along the wellness-illness continuum and that is a dynamic process (PointLoma, 2023). The CNP’s provide initial, ongoing and comprehensive care that includes taking history, physical examinations, and health assessments. The responsibilities includes health promotion, disease prevention, education and counseling for both acute and chronic diseases (NIH, 2023). They work alongside a doctor to provide care. Assess, diagnose, and treat the symptoms working towards disease prevention. The CRNA is prepared to provide full spectrum anesthesia. These individuals can range from healthy through all levels of acuity. A CRNA can work in a diverse amount of settings. The CNM provides a range of primary health services to women through a lifespan, including family planning services, reproductive health, childbirth, etc. This care can be provided in a number of settings. The CNS goal is the improvement of patient outcomes and care, this can create an environment through mentoring and empowering nurses to take responsibility and accountability through diagnosis and treatment (NIH, 2023). They can apply resaerach and provide clinical expertise as well as having communication leadership abilities.

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Advanced Practice Registered Nurses (APRNs) play a crucial role in providing high-quality healthcare services to patients across a wide range of settings. They are highly trained professionals who offer general and specialized care, including evaluation, diagnosis, treatment, prescription of drugs, and patient education. This article aims to discuss the four role categories for APRNs, namely Nurse Practitioner (NP), Certified Nurse Midwife (CNM), Certified Registered Nurse Anesthetist (CRNA), and Clinical Nurse Specialist (CNS), highlighting their roles and responsibilities.


The four role categories for Advanced Practice Registered Nurses (APRNs) are Nurse Practitioner (NP), Certified Nurse Midwife (CNM), Certified Registered Nurse Anesthetist (CRNA), and Clinical Nurse Specialist (CNS). These APRNs are extensively trained medical professionals who offer comprehensive care to patients of all ages.

Nurse Practitioners (NPs) are authorized to evaluate, diagnose, treat, and prescribe medications for patients. They also play a crucial role in patient education, providing knowledge and guidance to empower individuals in managing their healthcare. NPs emerged in the 1960s as a response to the increasing demand for primary care physicians, particularly in underserved areas. The University of Colorado’s NP program was established in 1965 to prepare registered nurses for expanded responsibilities in healthcare, focusing on primary care and health promotion.

Certified Nurse Midwives (CNMs) provide a wide range of primary health services to women across the lifespan. They offer reproductive health services, family planning, and comprehensive care during childbirth. CNMs can practice in various settings, ensuring women’s health needs are met from adolescence through menopause.

Certified Registered Nurse Anesthetists (CRNAs) are trained to provide full spectrum anesthesia services. They are capable of delivering anesthesia care to patients of varying acuity levels, ranging from healthy individuals to those with complex medical conditions. CRNAs can work in diverse settings, including hospitals, surgical centers, and pain management clinics, among others.

Clinical Nurse Specialists (CNSs) focus on improving patient outcomes and healthcare delivery. They apply their clinical expertise and research to create an environment that fosters nursing empowerment, mentorship, and accountability. CNSs play a vital role in diagnosing and treating patients, providing education, and demonstrating leadership and communication skills.

In conclusion, APRNs, including Nurse Practitioners, Certified Nurse Midwives, Certified Registered Nurse Anesthetists, and Clinical Nurse Specialists, contribute significantly to healthcare delivery by providing highly trained, comprehensive care. They work collaboratively with other healthcare professionals, offering specialized services, patient education, and promoting improved patient outcomes.

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