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Historical Perspectives On An Expanded Role For Nursing

This document discusses the historical antecedents of an expanded nursing role from the 1960s to the 1970s. It describes how Lillian Wald established visiting nurse services in the 1900s that expanded the types of care provided. In the 1920s, Mary Breckenridge founded midwife services on horseback and developed standing orders to legally cover nurses' practices. In the 1950s, definitions of nursing emphasized that nurses should not diagnose or prescribe. The 1960s saw the emergence of nurse practitioners to address gaps in pediatric care. By the early 1970s, committees recommended national nurse practitioner certification and expanded scopes of practice to improve healthcare access for all Americans.

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Angela Cudia
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100 views1 page

Historical Perspectives On An Expanded Role For Nursing

This document discusses the historical antecedents of an expanded nursing role from the 1960s to the 1970s. It describes how Lillian Wald established visiting nurse services in the 1900s that expanded the types of care provided. In the 1920s, Mary Breckenridge founded midwife services on horseback and developed standing orders to legally cover nurses' practices. In the 1950s, definitions of nursing emphasized that nurses should not diagnose or prescribe. The 1960s saw the emergence of nurse practitioners to address gaps in pediatric care. By the early 1970s, committees recommended national nurse practitioner certification and expanded scopes of practice to improve healthcare access for all Americans.

Uploaded by

Angela Cudia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Historical Perspectives on an Expanded Role for Nursing

Arlene W. Keeling, PhD, RN, FAAN


May 31, 2015
Summary:
The article discerns and describes historical antecedents, foundation, documents, and
legislative acts that served to set the stage for today, laying the preliminary for an
expanded role for advanced practice nursing in the 21st century. Started in the year
1960, nurse practitioners referred to as a healthcare provider who provides a limitless,
and extensive array of care.
Lillian Wald and the Henry Street Settlement Visiting Nurses
established Henry Street Settlement served different ranges of services to people.
Demands for nurses' service increased, as well as the nurses on the HSS staff.
nurses' dispensing practice (visits patients with physician-prescribed medicines) was
questioned because nurses acted out things that are supposed to be done by the
physicians at that time.
Resulted to changes of boundaries with medical and nursing professionals
Mary Breckenridge and the Frontier Nursing Service
Certified nurse midwife
founded Frontier Nursing Service
travel with horses
set up an advisory committee of physicians- developed a set of Medical Routines
(standing orders) to legally cover the nurses practice.
Political Forces at Mid-Century
1955 the American Nurses Association developed a model definition of nursing
emphasized the fact that nurses were neither to diagnose nor prescribe
The Nurse Practitioner
Loretta Ford and pediatrician Henry Silver envisioned a nursing role that could bridge
the gap between health care needs of children and families ability to access and afford
primary health care.
Nurse practitioner certification project was introduced
In early 1970s a committee to study the extended roles for nurses had a critical
examination of the professions boundaries. They have concluded that extending the
scope of the nurse's role was essential to providing equal access to healthcare for all
Americans. Advised national certification for nurse practitioners, and had developed a
model nurse practice law that could be applied throughout the nation.
Based on my understanding, the bottom line is for modern nurses should abide historical
circumstances to reinstate elements of past practices in todays nursing practice. Where
innovations are welcome to meet the new trend in the new generation with the
application of earlier practices.

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