Each registered nurse who is able to complete further education in nursing, usually a master’s degree, and has been practicing in the field of diagnosis and medical management qualified to become a nurse practitioner. Nurse practitioners are medical professionals who can provide basic health care services such as doctors. But how does the nurse practitioner profession come and what are the challenges along the way?
At that time during the 1960s when a nurse educator, Dr. Loretta Ford, and Dr. Henry Silver started the education program for nurses at Colorado University. It responded to the needs of health staff at the rural location. This new program was originally developed in the field of pediatrics with the nursing model as the basis. This will be one of the first nursing practitioner programs established and the end of the 1960s delivered the first graduate of this program.
Because the concept of a radical nurse practitioner at that time, it did not match other people in the nursing education community. Many express their concerns with relatively new educational processes. They argue that every nursing education program trains nurses to become an extension of a doctor who conflict with the orientation of public health care nurses. The concern finally ended when there was growth in the number of nurses practitioners and training and academic programs to be formalized.
Interestingly enough, only in 2000 that nursing practitioners can legally practice their profession in every state and in the Columbia district. However, the scope of their practice still varies according to the country. Various state nursing boards and government institutions regulate the practice of nursing practitioners.
Different regulations are determined in terms of legal relations with doctors, direct replacement and their prescriptive authority. In almost all countries and in Columbia District, nursing practitioners held prescriptive authorities. Some countries allow nurse practitioners to prescribe legend drugs only while others can issue substances controlled to patients.
There are many nurses practitioners today who are looking for autonomy in their profession. They quote formal collaboration with doctors as a form of their main cooperation with a doctor. However, there are several states that view supervision of doctors as a common practice method.
At present, there are more than 320 medical institutions that offer teacher or post-master programs for nursing practitioners. These programs are accredited by the Collegiate Nursing Education Commission, the National Association of Nurse Practitioners in Women’s Health (for nurses’ practitioner programs related to women’s health), and the National League of Nursing Accreditation Commission. In 2000, 72 percent of those who graduated entered the nurse fields of children, adults and families. This shows that primary care remains the main focus of most nurses practitioners.
At present, an estimated 95,000 nursing practitioners who work in the United States, a large increase of just 28,000 during 1992. It is an increase of 240 percent or more in the range of 8 years. Is the request of nurses practitioners will continue to increase? Nothing sure. However, as long as the nursing practitioner program continues to evolve, there will be more nurses who will be interested in this profession.