Sample Essay on Advanced Practice Roles

The role of Nurse practitioners developed in the 1960’s. This role evolved in order to respond to the healthcare services shortage that was being experienced in the entire nation. The initial program of Nurse Practitioner was formulated as a curriculum for master’s degree that was based on the model of Nursing. The Nurse Practitioner was developed at the School of Nursing in the University of Colorado. Henry Silver and Loretta Ford jointly founded this program. The initial program specialized in pediatrics but later on there was addition of other healthcare services. This was as a result of the development of the programs across the entire nation, with an aim of providing primary healthcare services to underserved populations (DeNisco & Barker, 2013).

In the year 1971, the secretary of Health, Education, and Welfare made recommendations. These recommendations supported the roles of the nurses as PCPs. This led to the issuing of federal money with a goal of increasing the programs of Nurse Practitioners throughout the country. There were more than five hundred certificate programs in the mid-1970s that trained nurses on providing primary care. In the 1970s and 1980s certifying bodies in nursing, hence shifting the Nurse Practitioner from certificate training to Master ’s Degree training, required a master ’s degree. By the year 2000 legal rights had been granted to Nurse Practitioners to practice in all states (DeNisco & Barker, 2013). There has been a current shift that will require all Nurse Practitioners to obtain a Doctorate Degree in Nursing as from 2015.


Factors that have led to the formulation of advanced practice roles

The Nurse Practitioner was developed with an aim of providing primary health care services. This was mainly on ambulatory patients. This role was designed to educate patients, increase healthcare services, to meet the health needs of the nation, and to promote the continuity of care in the communities. The Nurse Practitioner allowed for important access in areas that experienced physician shortages in primary healthcare. The role of certified nurse-midwives was developed for various reasons. Some public health nurses together with other advocates believed that nurse-midwives were important as they would meet the needs of the underserved populations. Some women were rediscovering normal birth and hence choosing to give birth at their homes. It is for this reason that there was a great need for nurse-midwives so as to serve these women. The need for increased healthcare also led to the development of the role of nurse-midwives as they also provided primary care in addition to providing care to women during birth and pregnancy (Dreher & Glasgow, 2011).

The original role of the clinical nurse specialist was to help the head nurses in preparing staff for clinical quality. The aim of the development of CNS was to improve healthcare by providing high quality services. Clinical nurse specialists are experts in special areas such as pediatrics, mental health, acute care, community health etc. their role was hence developed to achieve high quality care in Nursing care. Certified registered nurse anesthetists are specialized in administering anesthesia. Their role was developed for them to conduct multiple forms of anesthesia care. More importantly, this role was developed in order for these nurses to provide emergency services, and pain management. Another important role of these nurses has been evident in the battlefields, where they provide care and emergency services.

From my perspective, the force of providing primary health care has the most significant impact. This force has led to the expansion of the role of the Nurse Practitioners throughout the nation. Primary care is essential to all citizens as most people suffer problems that call for primary care. Nurse Practitioners are providing this care in all states and this has led to the improvement of healthcare in the entire nation. This, therefore, labels the force of providing primary healthcare as the force with the most significant impact.


DeNisco, S., & Barker, A. M. (2013). Advanced practice nursing: Evolving roles for the transformation of the profession. Burlington, Mass: Jones & Bartlett Learning.

Dreher, H. M., & Glasgow, M. E. S. (2011). Role development for doctoral advanced nursing practice. New