There are three troublesome issues that have emerged in the advancement of APRN practice. These issues in APRN include: 1) the clear role development and morphed to fill gaps in services; 2) the lack of clarity regarding role uniqueness; and 3) the dearth in nursing specific outcomes. From your readings this week, discuss 1 of the 3 questions. Begin your discussion with the question you will be addressing.

Why might the development and morphing of roles based on gaps in medicine be problematic for advancement of APRNs? What actions might a nurse take to reduce this?
In what ways can an APRN distinguish his or her role from other nursing roles and medical counterparts? Why might this be important?
How can APRNs encourage nursing-based outcome studies?

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