Nurse Practitioners and Nurse Anesthetists: The Evolution of the Global Roles

Dr. Sophia L. Thomas, APRN, DNP, MN, FNP-BC, PPCNP-BC, FNAP, FAANP, is a Past President of the American Association of Nurse Practitioners® (AANP). She is a certified Family and Pediatric Primary Care Nurse Practitioner (NP) dedicated to providing and advocating for access to Primary Care to medically underserved families. Thomas practices at DePaul Community Health Center, a federally qualified health center in New Orleans, Louisiana, and is a clinical preceptor. As a primary care provider, Thomas provides her patients with access to cost-effective, patient-centered care. She impacts NP education through publications and presentations on multiple clinical topics and lends her expertise as a legal expert witness on Nurse Practitioner Scope of Practice and Standards of Care.As AANP President, Thomas concentrated efforts on providing NPs with policy and clinical information, on boosting direct member communications, enhancing continuing education offerings, and ensuring the organization was responsive to social and cultural needs. She initiated AANP position statements against racial and health disparities. Thomas serves on several advisory boards, including the Healthy Blue Louisiana Credentialing and Medical Advisory Committees, Prevention Magazine, and the Journal for Nurse Practitioners.  She has served the NP role in several elected and appointed positions within her home state of Louisiana as well as nationally. Thomas holds a doctoral degree in nursing practice from Loyola University, where she was honored with the Post-Master’s DNP Nightingale Award, and she has a master’s in nursing from Louisiana State University Health Sciences Center. In 2020, Thomas was chosen as one of Modern Healthcare’s 100 Most Influential People in Healthcare.Dr. Jackie Rowles, DNP, MBA, MA, CRNA, ANP-BC, NSPM-C, FNAP, FAANA, FAAN is a Certified Registered Nurse Anesthetist and Board-Certified Adult Nurse Practitioner who is also board certified in Non-Surgical Pain Management. She is well-known leader and sought out speaker nationally and internationally. Rowles is an Associate Professor of Professional Practice and Director of the Advanced Pain Management Fellowship in the Texas Christian University School of Nurse Anesthesia (Fort Worth, TX, USA). Currently serving in her fifth term as President of the International Federation of Nurse Anesthetists (IFNA), Rowles is a former president and interim executive director of the American Association of Nurse Anesthesiology (AANA). Dr. Rowles is a co-editor, researcher, and multiple chapter author for the book The Global Voice for Nurse Anesthesia: International Federation of Nurse Anesthetists (1989-2021). She was a catalyst and task force member for the 2021 publication of the International Council of Nurses Guidelines for Advanced Practice Nursing: Nurse Anesthetist. Rowles serves on the Ball State University College of Health Advisory Council (Muncie, IN, USA) and is the recipient of numerous leadership and service awards including the highest honors from the AANA and IFNA:  the Agatha Hodgins award for Outstanding Accomplishment, and the Hermi Lohnert award for Outstanding Global Accomplishment. In 2022 she received the AANA Foundation Rita L LeBlanc Philanthropist of the Year Award.

• PART I.-  Chapter 1: The History of the NP Role.- Chapter 2: The Global Emergence of the NP Role.- Chapter 3: Differentiation of International Advanced Practice Nursing Roles: NP and CNS.- Chapter 4: NP Education and Curriculum.-  Chapter 5: NP Practice Competencies.- Chapter 6: The NP as a Leader and Contributor to Research.- Chapter 7: The NP Role and Practice in the United States.- Chapter 8: The NP Role and Practice in Canada.- Chapter 9: The NP Role and Practice in Jamaica.- Chapter 10:  The NP Role in Honduras.- Chapter 11: The NP Role and Practice in the United Kingdom.- Chapter 12: The NP Role and Practice in Finland.- Chapter 13: The NP Role and Practice in the Netherlands.- Chapter 14: The NP Role and Practice in Anglophone African Countries.- Chapter 15: The NP Role and Practice in Botswana.- Chapter 16: The NP Role in Kenya.- Chapter 17: The NP Role in Tanzania.- Chapter 18: The NP Role and Practice in the New Zealand.- Chapter 19: The NP Role and Practice in Australia.- Chapter 20: The NP Role in Taiwan.- Chapter 21:  The Future for International NP Role Development Part II.- Chapter 22 Challenges to Global Access to Anesthesia and Surgical Care.- Chapter 23 The International Federation of Nurse Anesthetists: Past, Present, Future.- Chapter 24: Nurse Anesthetist Education and Training: From the Battlefields to Academic Institutions.- Chapter 28 Nurse Anesthetist Recognition: Title Protection, Licensure, Practice Challenges.- Chapter 29 Nurse Anesthetist Contributions to Universal Health.- Chapter 30 Nurse Anesthetists In Action.PART I.- Chapter 1: The History of the NP Role.- vChapter 2: The Global Emergence of the NP Role.- Chapter 3: Differentiation of International Advanced Practice Nursing Roles: NP and CNS.- Chapter 4: NP Education and Curriculum.- Chapter 5: NP Practice Competencies.- Chapter 6: The NP as a Leader.- Chapter 7: The NP as a Contributor to Research.- Chapter 8: The NP as ClinicalLeader and Autonomous Practitioner.- Chapter 9: NP Outcomes Evaluation.- Part II.- Chapter 10: The NP Role and Practice in the United States.- Chapter 11: The NP Role and Practice in Canada.- Chapter 12: The NP Role and Practice in Jamaica.- Chapter 13:  The NP Role in Honduras.- Chapter 14: The NP Role and Practice in the United Kingdom.- Chapter 15: The NP Role and Practice in Finland.- Chapter 16: The NP role in Ireland.- Chapter 17: The NP Role in German Speaking Countries.- Chapter 18: The NP Role and Practice in Anglophone African Countries.- Chapter 19: The NP Role and Practice in Botswana.- Chapter 20: The NP Role in Kenya.- Chapter 21: The NP Role in Tanzania.- Chapter 22: The NP Role and Practice in the New Zealand.- Chapter 23: The NP Role and Practice in Australia.- Chapter 24:  The NP Role in Taiwan.- Chapter 25: The NP Role and Practice in Saudi Arabia.- Chapter 26 : The NP Role and Practice in Pakistan.- Chapter 27:  The Future for International NP Role Development.- Part III.- Chapter 28: Challenges to Global Access to Anesthesia and Surgical Care .- Chapter 29: The International Federation of Nurse Anesthetists: Past, Present, Future.- Chapter 30: Nurse Anesthetist Education and Training: From the Battlefields to Academic Institutions.- Chapter 31: Nurse Anesthetist Recognition: Title Protection, Licensure, recertification, Practice Challenges.- Chapter 32: Nurse Anesthetist Contributions to Universal Health.- Chapter 33: Nurse Anesthetists In Action.- Chapter 34: Nurse Anesthetists: Sharing our Caring.

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