在美国卫生保健工作日趋严重的经济压力之下，越来越多的高级临床护士加入到初级卫生保健的队伍中来，工作的领域也日趋扩展、他们的存在从经济。技术、卫生服务的可得性等多个方面给卫生保健的发展带来了好处、ApplebyC．在1995年H＆HN杂志9月ZO日这一期上撰文，把高级临床护士的引入比喻成一只卫生保健出击的重拳。 Under the increasingly severe economic pressure of health care in the United States, more and more senior clinical nurses have joined the ranks of primary health care. The fields of work are also expanding, and their existence is from the economy. The availability of technology, health services and other aspects have brought benefits to the development of health care, ApplebyC. Written in the 1995 issue of H&HN Magazine’s September ZO Day, the introduction of senior clinical nurses is likened to a health care attack.