“…One of the first graduate courses in the USA for nurses, from the perspective of APN, took place in 1967, in the area of child care in the community. The care produced by nurses with this training proved to be very relevant, even demonstrated in a large study that recommended APN to the entire population ( 11 ) . Favorably at the time, for recognition of APN, the US Department of Health, Education and Social Welfare committee’s conclusions pointed to clinical practice as the main objective of APN’s function, involving direct and indirect care for patients and their families, groups, communities or populations.…”