Background: The advanced practice nursing role has been characterized as task sharing between physicians and nurses, and commonly is a part of national or health system schemes to expand healthcare access and/or to improve efficiencies. However, lack of regulatory uniformity can lead to inconsistent qualifications, competencies, and a limitation of expansion of healthcare services, based on regulated scope of practice. Methods: The SWOT analysis technique (strengths, weaknesses, opportunities, threats) was used to assess the current state of advanced practice nursing worldwide, with specific focus on regulation, education, licensure, and practice. Data were collected broadly from peer reviewed, governmental and regulatory sources, as well as grey literature. Results: Key regulatory elements that frame advanced practice nursing vary significantly by country and region and remain dynamic. However, practice and educational models are outpacing regulatory standards in all six WHO regions. Overall, advanced practice nursing is expanding at an accelerated pace in order to meet population and health system needs, despite weaknesses of the regulatory system, or threats from systems that are not ready to accept innovative strategies. Conclusion: Advanced practice nursing is an innovative role that is progressing broadly in response to the global drivers of an aging population, workforce shortages, the increasing prevalence of non-communicable disease, and the need to develop system-based efficiencies for cost containment. The role is developing organically, driven by local needs, but still lags in terms of the formal regulatory legitimization in many countries. Notably, it is being buoyed by the global movement toward universal health coverage.

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A number of important issues regarding mental illness, including its identification and treatment, were not considered by teens to be part of their mental health concerns. The implications of these findings for the development of community-based mental health programs for adolescents are discussed.

Purpose The purpose of this article is to describe an immersion model implemented in a doctor of nursing practice program with the goal of engaging students and optimizing learning. Description of the Project The immersion model was designed to support learners in an online doctor of nursing practice program to promote self-direction and active involvement in diagnosing, planning, implementing, and evaluating their own learning. The Community of Inquiry framework, based on learning and teaching theory, was used in developing this immersion model. Outcome Students expressed positive opinions about immersion. Students valued simulation and skills practice, peer interaction, engagement with faculty, and the leadership colloquium. Faculty reported value in having group advising meetings and in collaborating across specialty tracks for skills laboratory experiences. Conclusion The immersion model has enhanced student engagement and helped optimize learning outcomes. Students and faculty found the use of the immersion model to be beneficial for practicing skills, use of simulated learning experiences, and student advising.

T is really very hard to say something definite and scalar interaction, is correct, and further, we do not~p recise about meson theories. This is partly because know exactly what is meant by the cutoG in the theory. of the strong interaction between mesons and nucleons, A safe way of explaining the cutoff is to accept the as well as between two nucleons. But more than that, view that it is a mere expression of our ignorance. it is so because any simple-minded meson theory Perhaps this is an extreme viewpoint, but it is not easy cannot be a complete and closed theory. Obviously, to express more moderate views clearly. In the case it is much more an open theory than quantum electroof the pseudoscalar coupling, it is mell known that the dynamics. There are two reasons for this: First, the eGect of nucleon pair creation is so enormous that so existenceof newstrangeparticlescompelsustoenlarge far there is no satisfactory way of dealing with it. the scope of the theory so as to include these particles;This question is certainly very intimately connected second, we believe some real fundamental change is with the question of the nucleon-antinucleon internecessary in quantum Geld theory. We do not know action. We do not yet know exactly what the interwhen and how it will come, but the future modification action is; perhaps the complete understanding of the in Geld theory will aGect meson theory substantially antinucleon and nucleon system will come in a later whereas, in the case of quantum electrodynamics, the stage of development in what we may call a comprehenchange will be much more academic. For these reasons, sive theory. itis clear that the validity of any simple meson theory There was another feature in the simple-minded is considerably limited.meson theory from which we started. Twenty years Despite the fact that the present situation is dBBcult, ago, beta decay was a very important and outstanding definite progress certainly has been made in meson problem. Although Fermi's theory worked very nicely, theory in recent years due to Taketani, Levy, Chew, we could think at that time that we didn't need a and many others. This has been partly due to the direct Fermi interaction, but could account for beta increase in our knowledge of the pion-nucleon interdecay equally well through the meson field, by introaction. In the early days we had only limited knowledge ducing some weak interaction between the meson field about the nucleon-nucleon interaction, We actually and electron-neutrino system. Later such attempts knew nothing about mesons themselves. They were became more and more diKcult for two main reasons; just introduced in order to account for nuclear forces. one was that we came to know that the interaction At that time I was a little more ambitious; I wanted to responsible for beta decay is mainly scalar and tensor. incorporate the phenomenon of beta decay into the This is contradictory to the pseudoscalar nature of same scheme, but this was also rather speculative. the pion. Furthermore, the intervention of t...