Descriptive Summary

This collection consists of training program protocols, practice protocols, legislative materials, educational pamphlets, journal articles, and newspaper articles related to the nurse practitioner movement in the 1970s. The materials in the Jaquette Papers are the result of her research into NP protocols for the National Health Service, a task assigned by the Service with the intent to use the data to develop a standard NP protocol. After collecting information from NP public health programs around the country, however, the Service concluded that conditions of practice were so variable, and medical practice changed so rapidly, that the establishment of a uniform national NP protocol was not feasible. The papers reflect the state of NP practice in the United States in the 1970s, a period when the NP movement was just beginning and standards were being determined. The nurse practitioner now is a recognized advanced practice nursing specialty, with established professional organizations, certification standards, and standards of practice. The Jaquette Papers help to shed light on the early development of this important nursing specialty.

Biographical Information

Information provided by Kathryn Jaquette.

Kathryn Jaquette graduated from Duke University in 1972 and entered the Cornell University Nurse Practitioner (NP) certificate program, one of the two earliest NP programs in the United States. During this time she participated in the National Health Service Corps, a program that provided educational funding in return for service by health care practitioners. Jaquette worked as a nurse in rural areas of the South for the first part of her service. During her last several months with the Corps, working out of Rockville, Md., Jaquette was assigned to research NP protocols in effect in various areas of the United States. After a period of practice as a family nurse practitioner (FNP), she went on to attend the University of Virginia, obtaining a master's degree in psychiatric nursing, with a minor in teaching, in 1976. In 1984, Jaquette acquired a midwifery degree from the Frontier School of Nursing and went into private practice as an FNP in Charlottesville, Virginia.

Scope and Content

Box 1 Expanded Role for Nurses

Folder 1 Expanded Role for Nurses:

Doctors and nurses: changing roles and relations; The primary care nurse; Questionnaire on selected professional activities of the FNP; The nature of nursing tomorrow

Folder 2 (Continuation of Folder 1):

Family doctors’ use of office assistants and opinions; Doctor-patient communication; Not quite MD, more than PA; The two languages of nursing and medicine; Who will provide more health care? Nurse and physician’s assistant: issues and relationships

Folder 3 (Continuation of Folder 1):

A year in Mayo: The Lafayette County Health Center; Lafayette County Health report for 1970; NLN news: nurses in expanded roles; Situation for Martin County population in Appalachia, Kentucky

Folder 4 (Continuation of Folder 1):

Curriculum for nurse practitioners; Suggested reading list: expanded role of nurses; ANA: nurses, in the expanded role, are not physician’s assistants; The nursing practice act of New York State; Nurse’s role in clinical practice; Expanded Duty Program

Folder 5 (Continuation of Folder 1):

The nurse’s role; Expanded role article list (Volume I and II); 1973 Primex internship class content; MD assistants course to continue in 1975; The medical educational environment; Georgia loses a nurse in medical dispute; Suggested reading list for expanded role of nurses; New health professionals at Kaiser; A question of role ambiguity

Folder 6 (Continuation of Folder 1):

Primex family nurse practitioner program; Primex core objectives for educational program

Folder 7 (Continuation of Folder 1):

Primex family nurse practitioner program calendar, NHSC utilization of nurse

Folder 8 (Continuation of Folder 1):

Suggested reading list of expanded role of nurse; Working definition of family nurse practitioner; Doctor and nurse: changing roles and relations

Folder 9 (Continuation of Folder 1):

The new standing orders and their pitfalls; Legal material regarding nurse practitioners; Rules of composite state board of medical examiners—physician assistant

Folder 10 (Continuation of Folder 1):

State legislation for physician’s assistants—a review and analysis; Special article on the training of physician assistants

Folder 11 (Continuation of Folder 1):

Abstracts of articles related to nurse practitioner clinics; Let’s get the nurse’s role into focus; A health maintenance service for chronically ill patients; Guidelines for prospective reimbursement experiments and demonstration projects under the Medicare, Medicaid, and maternal child health program

Folder 12 (Continuation of Folder 1):

Laying the foundation for medical nursing practice; The legal bases for nursing practice; Certification of school nurses

Folder 13 (Continuation of Folder 1):

Seeking a co-equal status for nurses and physicians; ANA convention journal

Folder 14 (Continuation of Folder 1):

Thanks to Martha Schwebach; Two nurses open Suffolk Clinic to give primary health care; Fund drive for Saluda Medical Center is officially underway

Folder 15 (Continuation of Folder 1):

ANA convention journal; Newspaper articles related to nurse practitioners and physician assistants

Folder 16 (Continuation of Folder 1):

Selected geographic locations in which extended roles of the nurse are now being demonstrated; Program for nurse clinician; ANA scope of practice for pediatric nurse practitioner

Folder 17 (Continuation of Folder 1):

A community wants a family nurse clinician; Experience of a nurse practitioner in a general medical clinic; Madison health access station

Folder 18 (Continuation of Folder 1):

The expanded role of the nurse at the Atlanta Southside Comprehensive Health Center; Procedural Suggestions for State Nurses Associations in supporting the nurse practitioner in the area of dependent nursing function; The relative roles of the public health nurse and the physician in prenatal and infant supervision

Folder 19 (Continuation of Folder 1):

A report of the Secretary’s Committee to study extended roles for nurses; Nursing Outlook regarding the nurse practitioner

Folder 20 (Continuation of Folder 1):

Federal nursing service award; miscellaneous hand written documents

Box 2 Nurse Practitioner Primary Care Guide and Protocols

Folder 1 Nurse Practitioner Primary Care Guide and Protocols

Standing orders for the use of the health team of United Health Services of Kentucky and Tennessee

Folder 2 (Continuation of Folder 1):

Primary care guide for hypertension, diabetes

Folder 3 (Continuation of Folder 1):

Primary care guide for diabetes and skin complication

Folder 4 (Continuation of Folder 1):

Medical standing orders for Itinerant public health nurses

Folder 5 (Continuation of Folder 1):

Maternal and Infant care and communicable disease management

Folder 6 (Continuation of Folder 1):

Acute and chronic conditions management

Folder 7 (Continuation of Folder 1):

General medical and legal management and recommended prescriptions

Folder 8 (Continuation of Folder 1):

The nurse clinician’s workbook (Part I)

Folder 9 (Continuation of Folder 1):

The nurse clinician’s workbook (Part II)

Folder 10 (Continuation of Folder 1):

Pediatric care from State University of IOWA department of Pediatrics

Folder 11 (Continuation of Folder 1):

Criteria and techniques for diagnosis of gonorrhea, treatment for skin problems

Folder 12 (Continuation of Folder 1):

Coronary artery disease treatment

Folder 13 (Continuation of Folder 1):

Nutrition clinic: Recipes for Diabetic Diet

Folder 14 (Continuation of Folder 1):

Standing orders for pediatric care

Folder 15 (Continuation of Folder 1):

Nurse practitioner standing orders for adult medical patients

Folder 16 (Continuation of Folder 1):

Obstetrics in general practice; Standing orders for Pediatric Nurse Associate

Folder 17 (Continuation of Folder 1):

Protocols for paramedics; data base

Folder 18 (Continuation of Folder 1):

Pediatric screening for nurse practitioner; Instruction for medications

Box 3 Training Programs and Job Description Materials
Materials Related to Legislation

Folder 1 NP Training Program, Job Description, and Legislation

General nurse practitioner training programs throughout U.S.; FNP program experience log; Nurse clinician job description

Folder 2 (Continuation of Folder 1):

Job descriptions for nurse practitioners

Folder 3 (Continuation of Folder 1):

Nurse practitioner—job description

Folder 4 (Continuation of Folder 1)

Folder 5 (Continuation of Folder 1):

Proposed rules and regulations for certified nurse practitioners

Folder 6 (Continuation of Folder 1):

A directory of program training: physician support training; The emerging physician’s assistant

Folder 7 (Continuation of Folder 1):

A survey of health care functions and responsibilities of physician’s assistants

Folder 8 (Continuation of Folder 1):

Practice profiles; Community relations activities

Folder 9 (Continuation of Folder 1):

Staff protocols

Folder 10 (Continuation of Folder 1):

Examples for financial, medical record, registration

Folder 11 (Continuation of Folder 1):

Miscellaneous

Folder 12 (Continuation of Folder 1):

Lincoln Hospital house-staff medical manual

Folder 13 (Continuation of Folder 1):

Essentials of the neurological examination; Commonly encountered neurologic disorders

Folder 14 (Continuation: NP Training Program, Job Description, and Legislation):

Revision of standing orders for registered nurse practitioners; miscellaneous treatment protocol

Folder 15 (Continuation of Folder 1):

Standing orders for diabetes; miscellaneous treatment protocols

Folder 16 (Continuation of Folder 1):

Hope Medical Center adult and child chart

Folder 17 (Continuation of Folder 1):

Basic treatment guidelines for nurse practitioners

Folder 18 (Continuation of Folder 1):

Standing orders for pediatric care

Folder 19 (Continuation of Folder 1):

Medical directives for the use of the nursing staff of the Frontier Nursing Service

Folder 20 (Continuation of Folder 1):

Nurse administered units; Final report for a new manpower model of rural-urban linkage for improved health services

Series Description

The collection has been arranged into one topical series, reflecting the order in which the material was originally organized.

Notes

Administrative Information

Access
No Restrictions

Use Restrictions
No Restrictions

Preferred Citation
University of Virginia School of Nursing, Eleanor Crowder Bjoring Center for Nursing Historical Inquiry, Kathryn Jaquette Collection

Processing Information
Processed by Mei Xue in 2001.