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care), or a treatment category (e.g. chemotherapy) (Delp et al. 2016). The provision of this role confined CNSs as a nonmedical prescriber and therefore being considered as ill afforded luxury by many in administration which resulted in them being displaced into other healthcare settingsor be redirected to less specialist work. Certified Nurse Practitioner (CNP)Pros: CNPs involve in the provision of primary care. They provide care to individuals, families, and groups in accordance with their educational preparation and national certification such as providing prenatal care, gynaecological exams, family planning services, wellness visits, performing some biopsies and suturing (Buppert, 2011). They work both independently and in collaboration with other healthcare professionals. An independent CNP has full prescriptive privileges that include the administration and prescription of pharmacologic and non-pharmacologic interventions. In states where CNPs can work without physician oversight; they can open their own clinic/practice. There are opportunities to work in many different settings and there is flexibility in scheduling depending on your setting.
Cons: Licensure and practice laws for CNPs vary from states to states. Some states are much more restrictive in terms of prescriptive authority, collaboration, and autonomy. Variation of scope-of-practice across states has an indirect impact on patient care because the degree of physician supervision affect practice opportunities and payer polices for NPs (Yee, Boukus, Cross& Samuel, 2013). Unlike physicians that have residency program, CNPs don’t have this support as they transition to practice. As employers are searching for providers with the training, experience and proven competence to work with these complex populations, a little more practice would have tremendous appeal. Lack of awareness and understanding of the CNP role limits their ability of NPs to comprehensively meet the needs of the patients. According to Brassard et al. (2014) when a CNP gets approval to work in the hospital there is still a lot of grey