Lops V R, Dixon L, Hunter L P
University of California, San Diego, USA.
Adv Pract Nurs Q. 1995 Summer;1(1):29-36.
Increasingly, nurses nationwide are assuming expanded roles in the provision of health care. Certified nurse-midwives (CNMs) are one example. These practitioners function in varied settings from the home to the level three hospital. As with any change, the transition to this present role has been a long and, very often, a difficult one. Their efficacy, safety, and cost-effectiveness is today unquestioned; however, impediments to practice still exist. Whether the impediment be in securing hospital privileges or prescriptive capability, the CNM continues to strive to overcome these obstacles in order to ensure the accessibility of nurse-midwifery care to all women.
全国范围内，护士在提供医疗保健方面所扮演的角色越来越广泛。认证助产护士（CNM）就是一个例子。这些从业者在从家庭到三级医院的各种环境中工作。与任何变革一样，向当前这一角色的转变历程漫长，而且往往充满困难。如今，她们的效能、安全性和成本效益已毋庸置疑；然而，执业障碍依然存在。无论是在获得医院执业权限还是处方权方面遇到阻碍，认证助产护士都在不断努力克服这些障碍，以确保所有女性都能获得助产护理服务。
