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Many of the bargaining units which comprise PASNAP were originally organized in the 1960s, 1970s and 1980s by the Pennsylvania Nurses Association (PNA). However, the majority of PNA's members remained managers (and unable to form a labor union under the National Labor Relations Act) or associate members outside formal collective bargaining units.
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Areas of advanced nursing practice include that of a nurse practitioner (NP), a certified nurse midwife (CNM), a certified registered nurse anesthetist (CRNA), or a clinical nurse specialist (CNS). Nurse practitioners and CNSs work assessing, diagnosing and treating patients in fields as diverse as family practice, women's health care ...
In other nurse-managed health centers, nurses work independently. The National Nursing Centers Consortium is the national nonprofit organization that works to advance nurse-led health care through policy, consultation, programs and applied research to reduce health disparities and meet people's primary care and wellness needs.
Psychiatric Nurses or Mental Health Nurse Practitioners work with people with a large variety of mental health problems, often at the time of highest distress, and usually within hospital settings. These professionals work in primary care facilities, outpatient mental health clinics, as well as in hospitals and community health centers.
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]
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