Progress and challenges for advanced practice nursing in Mexico and the United Kingdom

Abstract

Aim The aim of this study is to compare the advanced practice nursing development in Mexico with the United Kingdom. Background In spite of the involvement of global and local bodies to establish and develop advanced practice nursing worldwide, progress remains variable due to the lack of homogeneity in health care systems and policies. Evaluation Using thematic analysis from interviews of 29 health care professionals in Mexico, we identified four major issues that impact on the development of advanced practice nursing: (a) workforce, (b) organizational and institutional, (c) regulatory and legal and (d) academic and educational. Key Issues Learning from the UK experience in relation to overcoming some of these issues has been insightful in terms of how advanced practice nursing skills in Mexican nurses can be developed. Conclusions Mexico is still in early stages of the development of APN. Based on the UK experience, the government may have to move forward to support higher level training, create labour market positions, establish new nursing functions, promote task‐shifting and particularly implement solid regulation. Implications for Nursing Management The development of advanced practice nursing represents important challenges for training and practice of nursing in Mexico and the United Kingdom; therefore, interested actors will have to reach key agreements that could work as the foundations of an assertive planning process.

Exploración de facilitadores y barreras para implementar los roles ampliados de enfermería en México

“…La falta de una planificación adecuada al aplicar una nueva estrategia, o no incluir a los involucrados puede generar mayor desgaste en el capital humano (28). Para reducir esta barrera, es importante, en principio, desarrollar un modelo regulatorio de la ampliación de funciones de enfermería independiente del sistema de salud en el que se inserte, como se ha propuesto en publicaciones recientes (4,29). Además, es importante entender cómo funcionan los equipos y considerar estos factores al planificar la ampliación de los roles e impartir un programa educativo acorde a la normativa y a la experiencia de los participantes con el fin de mejorar la calidad del trabajo en equipo (30).…”

Exploring Factors Affecting the Rollout of a Policy on Registered Advanced Nurse Practitioners in Ireland

“…Findings of a study of role satisfaction, highlighted that empowerment-related factors were also critical, including collegiality, professional growth and research [17]. Other studies have identifed the importance of organisational readiness and policies, governance and future planning in relation to succession and regulation [1,9,18,19]. An understanding of such factors is pivotal to the success of the ANP role and the redress of healthcare needs if sustainable change is to be achieved [14,20].…”

Advanced Practice Nursing Roles: A Comparison Between Mexico and the United Kingdom

“…As part of the Better Health Programme, a gap analysis and thematic research were undertaken to identify the facilitators and barriers to advanced practice nurse development in Mexico ( Nigenda et al, 2021 ). Four major issues were identified that impact the development of advanced practice nursing: (a) workforce, (b) organizational and institutional, (c) regulatory and legal, (d) academic and educational.…”

“…It is clear that further work needs to be done in both locations to expand and develop advanced practice nursing in a way that is consistent, productive, uniformly understood, and safe for the public and professionals. The gap analysis report undertaken as part of the Better Health Programme identified clear challenges for the education, training, and practice of nursing in Mexico and the United Kingdom, and it highlighted the need for stakeholders to reach key agreements to establish rigorous frameworks to support the development of advanced practice nursing in both settings ( Nigenda et al, 2021 ).…”

“…This scope of practice differs across the globe, but the framework provides a solid foundation to standardize the advanced practice nurse role. The examination of both Mexico and the United Kingdom demonstrates that developing appropriate education and professional standards are really important for advanced practice nurse roles ( Nigenda et al, 2021 ) and that further work is needed in both countries ( American Association of Nurse Practitioners, 2015 ; Schober, 2016 ).…”