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The present-day concept of advanced practice nursing as a primary care provider was created in the mid-1960s, spurred on by a national shortage of physicians. [7] The first formal graduate certificate program for NPs was created by Henry Silver, a physician, and Loretta Ford, a nurse, in 1965. [7]
The American Association of Nurse Practitioners (AANP) is a North American professional association formed in 2013 as a result of a merger between the American Academy of Nurse Practitioners (founded in 1985) and the American College of Nurse Practitioners (founded in 1995) to provide nurse practitioners with a unified way to network and advocate their issues. [1]
The states that have granted full practice authority since 2013 has increased from 17 to 27 plus DC and 3 territories. Because the majority of NPs now have full practice authority it makes sense that the term mid-level practitioner is no longer generally used.
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Scope of practice for nurse practitioners is defined at four levels: 1) professional, 2) state, 3) institutional, and 4) self-determined. [3] At the professional level, nursing organizations such as the AACN and the ANCC regulate nursing certification and publish guidelines for the scope and standards of practice for ACNP's.
Board certification must be maintained by obtaining continuing nursing education credits. In the US, board certification is provided either through the American Nurses Credentialing Center (awards the FNP-BC credential) or through the American Association of Nurse Practitioners certification program (awards the NP-C credential). [3]
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