title: Tertiary nurse practitioners.
abstract: Tertiary nurse practitioners are proposed to meet the specialized health care needs of complex patients. Societal changes, increasing numbers of medically vulnerable people and increased costs of health care demand innovative responses to health care delivery. Nurse practitioners' effectiveness in primary care settings supports their introduction into acute care settings. Nurse practitioners are involved in tertiary care in response to a need for the delivery of care to patients with specialized needs. The evolution of the tertiary nurse practitioner role pre-dated the response of educational institutions to provide appropriate preparation for practitioners in tertiary care. Curricular imperatives and policy issues that will influence professional practice of the tertiary nurse practitioner are discussed.
authors.affiliation: University of Pennsylvania School of Nursing, Philadelphia 19104.
authors.forename: A
authors.initials: A
authors.lastname: Keane
authors.forename: T
authors.initials: T
authors.lastname: Richmond
mesh_terms: D003479:Curriculum; D004509:Education, Nursing, Continuing; D006801:Humans; D009720:Nurse Clinicians; D009722:Nurse Practitioners / Q000193:education; D011361:Professional Competence; D011364:Professional Practice; D013041:Specialties, Nursing