By Ann B. Hamric
Complex perform Nursing : Integrative procedure 4TH variation through Ann B. Hamric, Judith A. Spross and Charlene M. Hanson. W.B. Saunders Co.,2008
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Extra resources for Advanced Practice Nursing: An Integrative Approach, 4th Edition
That same year, Lillian Wald spearheaded the creation of the Children's Bureau, a federal organization whose early studies of infant and maternal mortality rates led to the government's conclusion that a substantial number of maternal and infant deaths could be prevented by adequate prenatal care. Later in the decade, two significant events coincided: the United States entered the war in Europe, and an influenza epidemic swept the country. Both events would provide new challenges for the nursing profession: (1) the realities of war and the demands for immediate treatment on the battlefield would expand nurses' scope of practice; and (2) the critical shortage of nurses, all too apparent as influenza devastated towns and cities across the country, initiated debates among professional nursing leaders about the use of nurses' aides to meet the health care needs of the nation.
Clarity regarding advanced practice nursing is a professional imperative—while we are encouraged at the progress being made and the use of our work in this progress, the profession has not yet achieved this clarity at all levels. APPROACH We continue to describe advanced practice nursing at its best—as it is being enacted by APNs throughout the country. There is still much work to be done: not all APN students are educated to practice with the competencies described here; too many nurses are in APN roles without the necessary credentials or competencies, and thus true advanced practice nursing is not demonstrated; and there is still too much “alphabet soup” in role titles (for example, CNSs are variously called clinical coordinators, outcomes managers, educators, or consultants).
In fact, only a handful of nurse training schools1 existed, and for the most part, laywomen cared for families and friends when they were ill. Thus when the first shots were fired on Fort Sumter, thousands of laywomen from both the North and the South volunteered to nurse. For the most part, these women read to patients, served them broths and stimulants such as tea, coffee, and alcohol, and assisted with the preparation of food in diet kitchens. Societal restrictions prohibited them from giving direct patient care.