Health policy for advanced practice nurses: the nurse-led care evolution and policy implications for improving services for populations experiencing disproportionate health disparities

Hansen-Turton, Tine; Rothman, Nancy L.

doi:10.1016/b978-0-323-99993-9.00005-6

Cited by 1 publication

(1 citation statement)

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“…This does not completely abandon the idea of collaborative work with other professionals, but it grants APNs greater autonomy. Some may argue that collaborative practice regulations are necessary to protect patient safety and quality of care; however, these regulations could hinder healthcare access and quality of some services (Hansen‐Turton & Rothman, 2022).…”

Section: Discussionmentioning

confidence: 99%

How do healthcare professionals and managers view the role of the advanced practice nurse?

Sevilla Guerra,

Zabalegui,

Comellas Oliva

et al. 2023

International Nursing Review

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BackgroundAdvanced practice nurses (APN) growth depends on the implementation and acceptance of APNs in each country.IntroductionGiven the diversity of the different contexts and varying population health needs where APNs are developing, this study focuses on exploring the viewpoints of the multidisciplinary and management team who have worked with APNs in public hospitals in Catalonia, Spain.MethodsA cross‐sectional study with previously identified APNs, health professionals, and health managers. EVOHIPA, a valid and reliable scale, was used. The STROBE checklist was followed.FindingsThe results showed high levels of agreement among the 746 participants (predominantly physicians and nurses), with statements relating to the APN's contribution in enhancing care continuity and processes, resulting in safer and more patient‐centered care. The results showed low levels of agreement with statements relating to legal support for the APN position, regulation, and practice scope.DiscussionThe study provides discussion elements and reflection to determine the axes on which it will be necessary to act to promote APNs and their conditions of service in the context of practice within hospital teams.ConclusionThe study highlights the differences in opinion on APN roles among health professionals and managers who have worked with APNs and allows exploring expectations about current changes in workflows and clinical activities among healthcare team members.Implications for nursing and health policyResults highlight the importance of fostering a common understanding among healthcare teams to maximize the benefits of collaborative work and recognize the significant contributions of APNs within the multidisciplinary team.Health policy plays a crucial role in recognizing and promoting the contribution of APNs within hospital healthcare teams, acknowledging their autonomy and expertise in improving patient outcomes.

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Section: Discussionmentioning

confidence: 99%