The part of acute care nurse practitioners (ACNPs) has created in limit. More than 3500 propelled rehearse medical attendants have been guaranteed as ACNPs, and the quantity of practice settings where these experts work is consistently extending. Starting in 1996, progressions of reviews were directed of medical attendant experts looking for national affirmation as ACNPs. What began as an endeavor to accumulate data on the part of ACNPs advanced into a national 5-year longitudinal overview of ACNP practice? The aggregate consequences of the task are accounted for, and how the part of the ACNP was built up in cutting edge work on nursing is talked about.