In the late 80s, early in my grad year, I recall telling my mum I was puzzled that the most experienced nurses were the furthest from the bedside.

Pathways to promotion led away from clinical practice to management and education roles. The 90’s saw the introduction of Clinical Nurse Specialists and Clinical Nurse Consultants, followed in 2001 by the first Nurse Practitioner (NP).

The NP role in Australia developed slowly. Planning began in the early 90’s but advancement was hindered by legislative barriers and opposition from medical colleagues. Once established, momentum built, as advanced practice registered nurses acquired the necessary qualifications and experience for endorsement.

Now, in 2024, there are 2,860 endorsed NPs in Australia.

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