Certified Nurse Midwives

Advanced Practice Nursing Part I

  • Evidence based practice
  • Leadership
  • Collaboration
  • Ethical decision making

“Advanced practice nursing is the patient-focused application of an expanded range of competencies to improve health outcomes for patients and populations in a specialized clinical area of the larger description of nursing.” , Hamric, Ann B. p. 71

Hamric (2004, 70) considers there are four roles that form the basis of advanced practice nursing : the Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Nurse Midwife (CNM) and Certified Registered Nurse Anesthetist (CRNA). Certain baseline qualifications must be met for a nurse to be considered an advanced practice nurse ; these are graduate education, certification and practice focused on patients and families. (Hamric, 2004, 71).

Core  Competencies of Advanced Practice Nursing[2]

  • Direct clinical practice.- Central to all the other competencies.
  • Guidance and coaching
  • Consultation

State Boards of Nursing define APRN’s for  licensure . For example, the Massachusetts Board of Nursing regulations state:

 “Advanced Practice Registered Nurse (APRN) means a currently licensed Massachusetts Registered Nurse (RN) who has current authorization by the Board to engage in advanced practice nursing activities.  APRN practice activities include, but are not limited to: advanced assessment; diagnosis; treatment, referrals, consultations, and other modalities for individuals, groups or communities across the life span for health promotion or health maintenance and for those who are experiencing acute or chronic disease, illness, trauma or other life-altering event in which rehabilitative, and/or palliative interventions are necessary.  APRN practice is defined to include only those activities within the APRN’s authorized clinical category, scope of practice competencies, and accepted standards of Advanced Practice Nursing.”[3]

[1] Hamric, Ann B. , (2004). A Definition of Advanced Practice Nursing. Chapter 3 in Hamric, A., Hanson, C. M., Tracy, M.F. & Grady, E.T. Advanced Practice Nursing: An Integrative Approach

[2] Ibid  pp 75 - 77


Link to AANP website and Historical Timeline

Nurse Practioners

Bringing Health Care to Rural Families

Frontier Nursing Service - Nurse Midwives and Family Nurse Practitioners

Loretta Ford Celebrating 40 years . of NP History

Certified Nurse Midwives

Are you a Nurse Practitioner? CNS? Nurse Midwife? CRNA ?

Consider sharing your story – your journey through student days and your career can contribute to the shared history of nursing education and can inspire future men and women to seek a nursing career.

Your oral history can easily be recorded by phone, or thru internet  communication technology  -  SKYPE, ZOOM

Contact: dmichaels@nursingeducationhistory.org

Conceptual Definition of Advanced Practice Nursing

Nurse Practitioner Notes

Dr. Loretta Ford, Nurse Practitioner

50 Years Later: UR Nurses Carry on Legacy of Innovation

Dr. Loretta Ford’s work a half century ago thrust the nursing profession in a new direction and transformed the health care system. Ever since, UR nurses have paved the way for generations of nurses to follow.