, 2
Adv
anc
edPr
act
ic
eWa
shi
ngt
on
Ad
van
cedPr
act
iceNu
rsi
ngv
s.Ad
van
cedNu
rsi
ngPr
act
ice
Ad
van
cedn
urs
ingp
rac
ti
cea
nda
dva
nce
dpr
act
ic
enu
rsi
ngma
ysou
ndi
nte
rch
ang
eab
le,
but
t
hed
efi
ni
ti
onsoft
hes
ete
rmss
ayot
her
wis
e.On
eoft
hed
iff
ere
nce
sbe
twe
ena
dva
nce
dpr
act
ic
e
n
urs
inga
nda
dva
nce
dnu
rsi
ngp
rac
ti
cei
sth
ata
dva
nce
dnu
rsi
ngp
rac
ti
cec
arr
iesad
efi
ni
ti
ont
hati
s
ou
tofr
ang
etoa
dva
nce
dpr
act
ic
enu
rsi
ng.
Adv
anc
edn
urs
ingp
rac
ti
ceh
old
ssu
cha
nex
pan
ded
d
efi
ni
ti
ont
oin
cor
por
ates
pec
ial
ti
est
hatd
on’
ti
nvol
ved
ire
ctc
li
ni
cal
car
esu
cha
sad
min
ist
rat
ion
,
i
nfor
mat
ic
s,p
ubl
i
che
alt
h,e
tc.
(Tr
acy&O’
Gra
dy,
201
8).
Adv
anc
edp
rac
ti
cen
urs
ing
’sd
efi
ni
ti
oni
s
mor
econ
cre
tea
ndi
srol
efoc
use
d.Al
l
ema
n&Hou
le(
201
3)s
tat
e,t
hea
dva
nce
dpr
act
ic
enu
rse
mu
stb
eon
eoft
hef
ourr
ole
s:n
urs
epr
act
it
ion
er(
NP)
,cl
i
nic
aln
urs
esp
eci
al
is
t(CNS)
,ce
rti
fi
ed
n
urs
emi
dwi
fe(
CNM)
,an
dce
rti
fi
edn
urs
ean
est
het
is
t(CRNA)
.Se
con
d,wh
eth
eri
t’
sama
ste
r’
sora
d
oct
ora
lde
gre
e,t
hee
duc
ati
onr
equ
ire
men
tisap
rima
ryc
rit
eri
onf
ora
dva
nce
dpr
act
ic
enu
rsi
ng.
Tr
acy&O’
Gra
dy(
201
8)me
nti
ont
hatt
he“
APRN’
smu
stp
oss
essa
nea
rne
dgr
adu
ated
egr
eewi
tha
c
onc
ent
rat
ioni
nanAPRNr
ole
”(p
.66
).Wh
il
ead
van
cedn
urs
epr
act
ic
ewi
l
lre
comme
ndh
igh
er
e
duc
ati
ons
ucha
saDNP,
itd
oesn
otd
efi
near
oles
pec
ifi
ced
uca
tioni
nwh
ichTr
acy&O’
Gra
dy
s
tat
e,“
Someoft
hes
erol
esa
ren
otAPRNr
ole
sasa
dva
nce
dpr
act
ic
enu
rsi
ngi
sde
fin
edh
ere
”(p
.
6
4).
Thi
rda
ndl
astd
iff
ere
nceI
wil
lex
pla
ini
sth
edi
ff
ere
ncei
nth
efoc
usoft
het
wot
erms
.
Ad
van
cedp
rac
ti
cen
urs
ingi
she
avi
l
yba
sedont
hec
orec
omp
ete
nci
esa
ndd
ire
ctc
li
ni
cal
pra
cti
cei
s
ac
ent
ral
con
cen
tra
tion
.Iti
simp
era
tiv
eth
atAPRNsa
ref
ocu
sedonp
ati
enta
ndf
ami
l
y.I
fad
van
ced
n
urs
ingp
rac
ti
cec
arr
iesad
efi
ni
ti
ont
hatn
urs
eswh
oar
ewi
thi
nth
e“a
dva
nce
dsp
eci
al
ti
es”l
i
ke
a
dmi
ni
st
rat
ionori
nfor
mat
ic
san
dnoti
nth
efou
rrol
es,
the
yvi
ew“
dir
ectp
rac
ti
cea
sad
eva
lui
ngof
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