The development of advanced practice roles: implications in the international nursing community

Abstract

This article examined the critical elements that have been identified in the development of advanced practice roles of nurses in four countries: Brazil, Thailand, the United Kingdom and the United States of America. Several sociopolitical and professional forces were examined for possible insights and ways in which they may have shaped the development and evolution of the roles of advanced practice nurses (APNs). These forces were: the socio-political environment; the health needs of society; the health workforce supply and demand; governmental policy and support; intra- and interprofessional collaboration; the development of nursing education; and documentation of effectiveness of the advanced role. The development of APN roles in the four social systems was reviewed to illustrate how socio-political and professional forces may have shaped nursing roles in each health care delivery system. Commonalities and distinguishing features across the four health and social systems were analysed to assess the predictive forces that may be identified as advanced roles in nursing have evolved in the global community.

Jordanian perspectives on advanced nursing practice: an ethnography

“…However, their emphasis on the expansion of nurse education to meet manpower requirements and supply in the market could be seen as one way of defining the needs of the country. Similar drivers are reported in the broader literature (Ketefian et al. 2001; Thompson & Watson 2003).…”

Advanced practice nursing: A principle‐based concept analysis

“…The literature has a general consensus that advanced practice nursing is beyond basic clinical nursing practice. Advanced practice nursing includes higher clinical skill, specialization of care, depth, breadth, and expansion of knowledge, degree of data synthesis, advancement with complexity of skills and interventions acquired through graduate education, expanded theoretical and research‐based interventions, and autonomous roles with expanded boundaries and scope of practice (AANP, 2002; Bryant‐Lukosius et al, 2004; Davies & Hughes, 2002; DeBourgh, 2001; Donnelly, 2007; Fawcett, Newman, & McAllister, 2004; Gardner, Chang, & Duffield, 2007; Hamric et al, 2000; Hanson & Hamric, 2003; Hickey, Ouimette, Venegoni, 2000; Ingersoll, McIntosh, & Williams, 2000; Jamieson & Williams, 2002; Ketefian, Redman, Hanucharurnkul, Masterson, & Neves, 2001; MacDonald, Herbert, & Thibeault, 2006; Micevski, Mulcahy, Belford, & Kells, 2004; Murphy‐Ende, 2002; Mirr Jansen, & Zwygart‐Stauffacher, 2006; Spross & Heaney, 2000). Donnelly comments, “APNs provide services quite different and independent from mainstream nursing practice” (p. 4).…”

“…The literature identified the United States as leading in the attempt to clarify and define advanced practice nursing and ANP. There is consensus within the literature that advanced practice nursing, in its most general form, refers to the whole field and encompasses the environment, the roles, the resources, and the structures that permit ANP to occur (Bryant‐Lukosius & DiCenso, 2004; Bryant‐Lukosius et al, 2004; DeBourgh, 2001; Fawcett et al, 2004; Gardner et al, 2007; Hamric et al, 2000; Hanson & Hamric, 2003; Hickey et el., 2000; Ingersoll et al, 2002; Ketefian et al, 2001; Mirr Jansen, & Zwygart‐Stauffacher, 2006; Murphy‐Ende, 2002; Spross & Heaney, 2000; Wells, 2002). ANP, then, is an umbrella term that refers to the practice or what APNs do , and their different roles, practice domains, supportive and derivative factors (Bryant‐Lukosius & DiCenso; Bryant‐Lukosius et al; DeBourgh,; Gardner et al; Hamric et al; Hanson & Hamric; Micevski et al, 2004; Spross & Heaney).…”

“…The nursing literature recognizes that the definitions of advanced practice nursing and ANP were not seen as homogeneous categories but were, rather, heterogeneous sets of multiple sub‐roles (Bryant‐Lukosius & DiCenso, 2004; Bryant‐Lukosius et al, 2004; Ketefian et al, 2001). Grunder (2003) comments, “Advanced practice nursing is a constellation of roles and competencies” (p. 388).…”

Nurse practitioners in der medizinischen Grundversorgung der Schweiz?

“…Oft werden sie als eine effektive, patientenfreundliche und populäre Alternative wahrgenommen und ermöglichen Ärzten, sich um komplexere Gesundheitsprobleme zu kümmern [16]. Dies ist aber nur möglich, wenn Pflegefachkräfte sich fundiert weiterbilden und sich ihr Fachwissen auf Master-oder Doktoratstufe aneignen, damit sie seitens der Ärzte wie auch der Öffentlichkeit anerkannt werden [14].…”