Kathleen Delaney's article in Archives [19(3) 2005, June] entitled “The Psychiatric Nurse Practitioner 1993–2003: A Decade That Unsettled a Specialty” was, in itself, worth an entire year's subscription fee! An even better bargain because one can receive this stellar journal as a benefit of an ISPN membership. The outstanding quality of Dr. Delaney's work is what readers familiar with her work have come to expect. The information was laudably comprehensive, clearly organized, and presented with her insightful comments to guide readers, unfamiliar and familiar, through the morass of this complex issue and implications of the impact on our specialty area.
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- The Psychiatric Nurse Practitioner 1993–2003: A Decade that Unsettled a SpecialtyArchives of Psychiatric NursingVol. 19Issue 3
- PreviewBetween 1993 and 2003, a debate raged in psychiatric mental health (PMH) nursing. It was a decade of discourse about the role and titling of PMH advanced practice nurses. The PMH role evolution that occurred throughout this decade was driven by several forces, not all of which were in the control of PMH nursing. This article traces the multiple dynamics that prompted the evolution of the PMH nurse practitioner role, foremost the ascendancy of primary care and the influence of managed care. It also anlyzes the conflict created by the American Nurses Credentialing Center PMH Nurse Practitioner examination that became a lightning rod for the disruption occurring in the traditional PMH role.