Academic journal article
By Roux, Gayle
Nursing Education Perspectives , Vol. 25, No. 6
Nurse Practitioners: Evolution of Advanced Practice (4th ed.) edited by Mathy D. Mezey, EdD, RN, FAAN, Diane O. McGivern, PhD, RN, FAAN, and Eileen M. Sullivan-Marx, PhD, CRNP, FAAN; New York: Springer Publishing, 2003; 514 pages, $49.95
This book chronicles the historical and philosophical premise for advanced practice and provides detailed information about the diverse roles and practice settings for advanced practice nurses. It presents voices from nurses in the field and explores issues of payment, policies, and politics.
The chapters in the book's four sections offer a logical progression of the historical development of the APN role and an overview of rapidly changing events in the health care environment. sections on reimbursement legislation and other challenges highlight potential directions for practice, education, and research. The discussion and rebuttal provided on various topics present the reader with diverse viewpoints on the philosophy behind the roles and opportunities for APNs.
Several issues are particularly well argued, including the philosophy that advanced practice nurses are first and foremost nurses, and it is the "power inherent in the patient encounter that is the foundation of the Advanced Practice Nurse's authority base" (p. 61). The text also presents a clear perspective on the communication and collaborative practice issues that are inherent in nurse-physician relationships. A balanced viewpoint is used to promote a paradigmatic shift to shared responsibility for safe and effective care with physicians and other health care professionals, without the implication of inequality in status or reimbursement. …