Advanced Practice Nursing (APN) has evolved over the years in many countries as a result of their healthcare reforms. It specifically refers to the role that is provided by the nurse in this profession, as compared to other previous roles. Still, there is much ambiguity with respect to the APN as different educational systems provide different interpretations of APN (Bryant-Lukosius, DiCenso, Browne, & Pinelli, 2004).

Advanced Practice Nursing (APN) has evolved over the years in many countries as a result of their healthcare reforms. It specifically refers to the role that is provided by the nurse in this profession, as compared to other previous roles. Still, there is much ambiguity with respect to the APN as different educational systems provide different interpretations of APN (Bryant-Lukosius, DiCenso, Browne, & Pinelli, 2004).
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History and development of APN
The APN developed the best in the United States. During this time several developments were made in the nursing practice. This included elaboration of the roles and jobs of nurse anesthetists, clinical nurse specialists, nurse-midwives (including the defunct role of wet nurses), and nurse practitioners in general. During this time, the nursing profession received much public approbation and the numbers of registered nurses grew exponentially overtime in all the different fields of nursing. Further development in the field came around the world when multiple nursing educational institutions and associations were developed to better identify the roles of the APN. Some well-known organizations included American Nurses Association, National Organization of Nurse Practitioner Faculties, and other associations established around the world. At the same time, a number of different APN models were also postulated that further defined the role (Hamric, Hanson, Tracy, & O’Grady, 2014).
Patient-based practice is also a prerequisite for all advanced nursing roles. This is as the nursing competencies cannot be achieved without this criterion. The attainment of the DNP requires completed several projects based on patient-based practice.
Conclusion
The historical development of APN in the United States and abroad has been phenomenal. The concept and practice was developed systematically through the creation of educational curricula, practice models, and organizations to promote APN. However, there was still role ambiguities and conflicts that emerged. My peers also agree with the proposition that patient-based nursing practice is the main criterion of ANP. There are more than two peers who believe this.

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