Nurse Practitioners and Nurse Anesthetists: The Evolution of the Global Roles

Dr. Sophia L. Thomas, APRN, DNP, MN, FNP-BC, PPCNP-BC, FNAP, FAANP, is a Past President of the American Association of Nurse Practitioners(R) (AANP). She is a certified Family and Pediatric Primary Care Nurse Practitioner (NP) dedicated to providing and advocating for access to Primary Care to medically underserved families. Thomas practices at DePaul Community Health Center, a federally qualified health center in New Orleans, Louisiana, and is a clinical preceptor. As a primary care provider, Thomas provides her patients with access to cost-effective, patient-centered care. She impacts NP education through publications and presentations on multiple clinical topics and lends her expertise as a legal expert witness on Nurse Practitioner Scope of Practice and Standards of Care.As AANP President, Thomas concentrated efforts on providing NPs with policy and clinical information, on boosting direct member communications, enhancing continuing education offerings, and ensuring the organization was responsive to social and cultural needs. She initiated AANP position statements against racial and health disparities. Thomas serves on several advisory boards, including the Healthy Blue Louisiana Credentialing and Medical Advisory Committees, Prevention Magazine, and the Journal for Nurse Practitioners. She has served the NP role in several elected and appointed positions within her home state of Louisiana as well as nationally. Thomas holds a doctoral degree in nursing practice from Loyola University, where she was honored with the Post-Master's DNP Nightingale Award, and she has a master's in nursing from Louisiana State University Health Sciences Center. In 2020, Thomas was chosen as one of Modern Healthcare's 100 Most Influential People in Healthcare.

Dr. Jackie Rowles, DNP, MBA, MA, CRNA, ANP-BC, NSPM-C, FNAP, FAANA, FAAN is a Certified Registered Nurse Anesthetist and Board-Certified Adult Nurse Practitioner who is also board certified in Non-Surgical Pain Management. She is well-known leader and sought out speaker nationally and internationally. Rowles is an Associate Professor of Professional Practice and Director of the Advanced Pain Management Fellowship in the Texas Christian University School of Nurse Anesthesia (Fort Worth, TX, USA). Currently serving in her fifth term as President of the International Federation of Nurse Anesthetists (IFNA), Rowles is a former president and interim executive director of the American Association of Nurse Anesthesiology (AANA). Dr. Rowles is a co-editor, researcher, and multiple chapter author for the book The Global Voice for Nurse Anesthesia: International Federation of Nurse Anesthetists (1989-2021). She was a catalyst and task force member for the 2021 publication of the International Council of Nurses Guidelines for Advanced Practice Nursing: Nurse Anesthetist. Rowles serves on the Ball State University College of Health Advisory Council (Muncie, IN, USA) and is the recipient of numerous leadership and service awards including the highest honors from the AANA and IFNA: the Agatha Hodgins award for Outstanding Accomplishment, and the Hermi Lohnert award for Outstanding Global Accomplishment. In 2022 she received the AANA Foundation Rita L LeBlanc Philanthropist of the Year Award.

Dr. Sophia L. Thomas, APRN, DNP, MN, FNP-BC, PPCNP-BC, FNAP, FAANP，曾任美國護理執業者協會（AANP）會長。她是一位認證的家庭及兒科初級護理執業者（NP），致力於為醫療資源不足的家庭提供和倡導初級護理的獲取。Thomas 在路易斯安那州新奧爾良的德保羅社區健康中心（DePaul Community Health Center）執業，該中心為聯邦合格健康中心，並擔任臨床指導教師。作為初級護理提供者，Thomas 為她的病人提供具成本效益且以病人為中心的護理。她透過多項臨床主題的出版物和演講影響護理執業者的教育，並作為法律專家證人提供有關護理執業者執業範圍和護理標準的專業知識。作為 AANP 會長，Thomas 專注於為護理執業者提供政策和臨床資訊，增強會員之間的直接溝通，提升持續教育的提供，並確保該組織能夠回應社會和文化需求。她發起了 AANP 針對種族和健康差異的立場聲明。Thomas 參與多個諮詢委員會，包括健康藍路易斯安那州的認證和醫療諮詢委員會、預防雜誌和護理執業者期刊。她在路易斯安那州及全國的多個選舉和任命職位中擔任護理執業者角色。Thomas 擁有洛約拉大學的護理實踐博士學位，並獲得了碩士後 DNP 奈廷格獎（Post-Master's DNP Nightingale Award），同時她也擁有路易斯安那州立大學健康科學中心的護理碩士學位。2020年，Thomas 被選為《現代醫療》100位最具影響力的醫療人員之一。

Dr. Jackie Rowles, DNP, MBA, MA, CRNA, ANP-BC, NSPM-C, FNAP, FAANA，是一位認證的註冊護理麻醉師和董事會認證的成人護理執業者，並且在非手術疼痛管理方面也獲得董事會認證。她是一位知名的領導者，並在國內外受到廣泛邀請演講。Rowles 是德克薩斯基督教大學護理麻醉學院的專業實踐副教授及高級疼痛管理獎學金主任（Fort Worth, TX, USA）。目前，她正擔任國際護理麻醉師聯合會（IFNA）會長的第五個任期，並曾任美國麻醉護理學會（AANA）會長及臨時執行董事。Rowles 博士是《護理麻醉的全球聲音：國際護理麻醉師聯合會（1989-2021）》一書的共同編輯、研究者及多章節作者。她是2021年國際護理理事會《高級實踐護理指導方針：護理麻醉師》出版的催化劑和工作小組成員。Rowles 參與巴爾州立大學健康學院諮詢委員會（Muncie, IN, USA），並獲得多項領導和服務獎項，包括 AANA 和 IFNA 的最高榮譽：阿嘉莎·霍金斯獎（Agatha Hodgins award）以表彰卓越成就，以及赫爾米·隆特獎（Hermi Lohnert award）以表彰卓越的全球成就。2022年，她獲得 AANA 基金會的瑞塔·L·勒布朗年度慈善家獎。