Addressing Issues Impacting Advanced Nursing Practice Worldwide

Kleinpell, Ruth M.; Scanlon, Andrew; Hibbert, Denise; Ganz, Freda DeKeyser; East, Linda; Fraser, Debbie; Wong, Frances Kam Yuet; Beauchesne, Michelle A.

doi:10.3912/ojin.vol19no02man05

Cited by 55 publications

(28 citation statements)

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“…All the included sources were published between 1994 and 20 20, 39-73 and most (n = 24, 68.6%) were published from 2010 onward 39-60,66,69 . Nine articles included data about Saudi Arabia, 39,45,49-53,56,61 seven about Oman, 41,42,44,57,58,62,63 six about Jordan, 40,42,59,63,64,66 five about the United Arab Emirates, 42,43,46,61,63 three about Lebanon, 42,48,63 and three about Bahrain 42,55,63 . There were two articles each for Palestine, 54,67 Sudan, 63,68 Qatar, 42,47 and Tunisia 42,61 .…”

Section: Resultsmentioning

confidence: 99%

“…Yemen 63 and Egypt 42 were each mentioned in one paper. Two sources included information from more than one Arab country, 42,63 and five included information on several countries, including Arab countries 53,57,58,61,62 . Gray literature from organizational websites incorporated data from Oman, 69,70 Lebanon, 60,71 Qatar, 72 Bahrain, 73 and Jordan 65…”

Section: Resultsmentioning

confidence: 99%

“…First, the lack of national recognition has led to role ambiguity and confusion not only among health care providers who worked with advanced practice nurses but among advanced practice nurses who were not fully aware of their scope of practice 39,53,54,58,66 . This, in turn, has led to resistance from others, primarily physicians and nurses 39,54,57 .…”

Section: Discussionmentioning

confidence: 99%

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Advanced practice nursing roles in Arab countries in the Eastern Mediterranean region: a scoping review

Almukhaini

Weeks

Macdonald

et al. 2022

JBI Evidence Synthesis

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Objective:The objectives of this review were to map and summarize evidence regarding advanced practice nursing roles in Arab countries located in the Eastern Mediterranean region.Introduction:Many countries have reported an increase in the number and types of advanced practice nursing roles as research demonstrating their positive impact on patient and health system outcomes continues to accumulate. There is international evidence that the achievement of these outcomes depends on the effective implementation of advanced practice nursing roles at the organizational and country levels. A comprehensive review of the status of advanced practice nursing role implementation in Arab countries in the Eastern Mediterranean region has not been conducted.Inclusion criteria:Eligible studies included advanced practice nursing roles (including, but not limited to, nurse practitioners and clinical nurse specialists) in Arab countries in the Eastern Mediterranean region. Studies were considered if they focused on role development, titles, entry-level education, regulation and scope of practice, and facilitators and barriers to role implementation.Methods:A comprehensive systematic search was completed for both published and non-published literature. The databases searched included CINAHL, PubMed, PsycINFO, Embase, Nursing and Allied Health Database, and Scopus. Gray literature was searched using websites such as Google Scholar, ProQuest Dissertations and Theses, International Council of Nurses, World Health Organization regional office for the Eastern Mediterranean region, and websites of nursing associations and Ministries of Health in Arab countries. The search included literature published in Arabic and English from the inception of the databases to August 2020.Results:A total of 35 articles were included, the majority (n = 24) of which were published from 2010 onward. Ten of the included studies were empirical research papers that used qualitative and quantitative research designs. Advanced practice nursing role development is still in its infancy in most of the Arab countries in the Eastern Mediterranean region and can be described as slowly and steadily evolving. The main driving forces for the implementation of the roles in this region included a shortage of physicians both in number and specialties, the emergence of chronic diseases due to lifestyle changes, the desire to have more cost-effective primary care, and to advance nursing as a profession. Clinical nurse specialists and nurse practitioners are the most common titles for the advanced nursing roles practiced in the region. Some advanced practice nursing roles stipulated a master's degree as a minimum requirement, while others required a 12-month in-house training program. Oman is the only Arab country that authorizes nurse practitioners to prescribe pre-set medications. The common barriers to advanced practice nursing role implementation included a lack of recognition of roles at national levels, role ambiguity, lack of clear scope of practice, resistance ...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Advanced practice nursing roles in Arab countries in the Eastern Mediterranean region: a scoping review

Almukhaini

Weeks

Macdonald

et al. 2022

JBI Evidence Synthesis

View full text Add to dashboard Cite

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“…Many articles address the past and current educational, regulatory, and practice requirements for NPs internationally; 6,53,54 however, none address the transferability of NP credentials from one country to another. The review of the nursing regulatory bodies found in this article indicate that IENP transfers can and do occur.…”

Section: Discussionmentioning

confidence: 99%

International Transferability of Nurse Practitioner Credentials in Five Countries

Scanlon¹,

Bryant‐Lukosius²,

Lehwaldt³

et al. 2019

The Journal for Nurse Practitioners

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“…The World Health Organization (WHO) has acknowledged the need for APRNs in the Middle East, including Saudi Arabia [ 20 ]. However, various regulatory, institutional, and cultural barriers restrict the practice of APRNs.…”

Section: Barriers To Incorporating Aprns Into the Saudi Healthcare Systemmentioning

confidence: 99%

Nurse Practitioner: Is It Time to Have a Role in Saudi Arabia?

et al. 2020

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Low recruitment of Saudi nationals into the nursing profession, coupled with a growing population, has led to a severe nursing shortage in Saudi Arabia, particularly of nurses with advanced qualifications in clinical nursing. While the role of nurse practitioner has been successfully integrated into the healthcare systems of the U.S., Canada, the UK and Australia for decades, the advanced practice registered nurse (APRN), which includes nurse practitioners and clinical nursing specialists, is still not being implemented effectively in Saudi Arabia due to a variety of regulatory, institutional and cultural barriers. The author looks at some of those barriers and offers recommendations of how they might be overcome. Given that in many parts of the world, nurse practitioners are considered an essential component to meeting healthcare demands, the author considers the question of whether APRNs can find a role in Saudi Arabia’s healthcare system.

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Addressing Issues Impacting Advanced Nursing Practice Worldwide

Cited by 55 publications

References 0 publications

Advanced practice nursing roles in Arab countries in the Eastern Mediterranean region: a scoping review

Advanced practice nursing roles in Arab countries in the Eastern Mediterranean region: a scoping review

International Transferability of Nurse Practitioner Credentials in Five Countries

Nurse Practitioner: Is It Time to Have a Role in Saudi Arabia?

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