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A brief history of advanced practice nursing and its implications for WOC advanced nursing practice.

Although the evolution of clinical nurse specialists and nurse practitioners during the previous several decades has led to a sense of novelty regarding advanced practice, it is important to remember that nurses have engaged in such roles for nearly 100 years. This article will review the history of advanced nursing practice, summarize current definitions of specialty and advanced practice, discuss the evolution of advanced practice and its impact on contemporary nursing, and provide a background for advanced practice considerations for the WOC nurse, which are discussed in detail in subsequent articles by Janice Beitz (pp 55-64) and Dorothy Doughty (pp 65-8) in this issue.

History, 20th Century↗

Specialty practice, advanced practice, and WOC nursing: current professional issues and future opportunities.

Interest in clarification of the role of the WOC nurse as a specialized or advanced practice practitioner is increasing. Although much has occurred to delineate practice parameters, lack of expectations for specialty versus advanced nursing practice still exists. This article will differentiate advanced, specialty, and WOC nursing practice by examining their legal definitions, educational requirements, licensure, certifications, and practice milieus. Implications for the future of WOC nursing are posed within the context of the evolving American health care system.

Fecal Incontinence↗

Surviving redesign: basic concepts of patient-focused care and their application to WOC nursing.

The concept of patient-focused care continues to gain popularity in health care delivery throughout the United States. In an effort to compete more effectively in today's market, health care institutions have adopted strategies from industry to control rising costs. WOC nurses in every practice setting are feeling the effects of one such strategy, patient-focused care. The purpose of this article is to describe basic concepts of patient-focused care, a redesign technique that was born out of continuous quality improvement, and to present strategies tailored to strengthen WOC nursing practice in this changing and challenging environment.

Case Management↗