Advanced Practice Nursing Roles, Regulation, Education, and Practice: A Global Study

Wheeler, Kathy J.; Miller, Minna; Pulcini, Joyce; Gray, Deborah C.; Ladd, Elissa; Rayens, Mary Kay

doi:10.5334/aogh.3698

Cited by 36 publications

(30 citation statements)

References 16 publications

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“…As previous research has shown and this study confirms, there is significant variation in the education requirements for ANP and APN (Beauchesne et al, 2020; Heale & Rieck Buckley, 2015; Kim et al, 2021; Pulcini et al, 2010; Wheeler et al, 2022; Zug et al, 2016). This study found that APN roles in the majority of participating LICs and LMICs did not meet all the educational requirements of the ICN APN guidelines, mainly being at master's level or above.…”

Section: Discussionsupporting

confidence: 84%

“…Again, this variation of characteristics present may indicate the need for further education to address potential gaps in service. This variation has been described in other global studies (Heale & Rieck Buckley, 2015;Kim et al, 2021;Pulcini et al, 2010;Wheeler et al, 2022;Zug et al, 2016).…”

Section: Regulatory Mechanismssupporting

confidence: 78%

“…Other studies identifying ANP or APN role practice did not directly relate to all the nature of practice characteristics (Heale & Rieck Buckley, 2015; Kim et al, 2021; Pulcini et al, 2010; Wheeler et al, 2022; Zug et al, 2016). Within this study, about 50% of all the roles described addressed each of the characteristics of the nature of practice.…”

Section: Discussionmentioning

confidence: 99%

“…Kim et al 2021 review of ANP and APN roles in the Western Pacific and Asia collected data from 14 countries, of which seven were LMICs (Kim et al, 2021). Recently, Wheeler et al (2022) surveyed 23 countries in relation to APN education, practice, and regulation. The majority of responses within this global study again were from high income countries with only three from LMICs.…”

Section: Discussionmentioning

confidence: 99%

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Advanced Nursing Practice and Advanced Practice Nursing roles within low and lower‐middle‐income countries

Scanlon

Murphy

Smolowitz

et al. 2022

J of Nursing Scholarship

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Introduction: Population health initiatives rely on the availability and skills of an appropriate workforce to meet required goals. One global workforce initiative with demonstrated ability to expand health care services and improve access to care is the development of Advanced Nursing Practice and Advanced Practice Nursing roles. Given the sparse published information about these roles in Low and Lower-Middle-Income countries, this study seeks to describe their development and application in these countries. Design: The researchers developed a descriptive cross-sectional multilingual survey for online distribution to nursing experts within the targeted countries. Survey questions addressed demographic information on the population served, Advanced Nursing Practice and Advanced Practice Nursing titles, the time frame and rationale for creating the title, and how the roles relate to the International Council of Nurses' Advanced Practice Nursing guidelines characteristics of education, practice, and regulation. Results: Of the 167 responses received, only 24 participants met the inclusion criteria.This represented five low-income countries and nineteen lower-middle-income countries from four World Bank regions. Seventy-one roles were identified. Roles emerged predominantly over the last 20 years, focusing on care for underserved populations, with an almost even spread across primary and acute care settings. There were differences in education, practice, and regulation amongst the roles. Roles that required a master's education or higher with practice-related characteristics had a broader scope of practice, which is consistent with international guidelines. Conclusion: This paper describes how Advanced Nursing Practice and AdvancedPractice Nursing roles from Low and Lower Middle-Income Countries have been implemented to address gaps in service and highlights disparities in education, practice and regulation compared to international guidelines. Maintaining and increasing support from organizations and universities internationally may be required to assist in developing and expanding educational programs for advanced nursing roles in these countries.Clinical Relevance: Understanding how these advanced nursing roles are operationalized in relation to education, practice, and regulation in Low and Lower-Middle-Income countries can provide baseline information that will inform workforce development policies to address healthcare needs in similar jurisdictions.

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Section: Discussionsupporting

confidence: 84%

Section: Regulatory Mechanismssupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Advanced Nursing Practice and Advanced Practice Nursing roles within low and lower‐middle‐income countries

Scanlon

Murphy

Smolowitz

et al. 2022

J of Nursing Scholarship

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“…Students who graduate from nursing programs will have more opportunities than ever to work in international health settings. Appropriately prepared nurses will be able to meet the increasing global demand for quality health care (Rosa et al, 2021; Wheeler et al, 2022). All nurses will provide global health care regardless of where they practice.…”

Section: Introductionmentioning

confidence: 99%

Developing and Implementing Entrustable Professional Activities to Prepare Global Nurses

Spies

Feutz

2022

J Transcult Nurs

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Introduction: Nurses work in global settings and must be prepared to enter practice and provide culturally appropriate care to diverse populations. As faculty we want to ensure the achievement of programmatic, national, and global competencies for our student’s successful future practice. Methods: Aligning current programs with American Association of Colleges of Nursing’s (AACN) New Essentials provides an opportunity to consider new approaches and address challenges. By merging the New Essentials with the Consortium of Universities for Global Health (CUGH) competencies, we facilitate the achievement of programmatic outcomes, mission, and values in nursing education. Results: Using an entrustable professional activities framework provides a clear measure of achieving priority competencies. We created an approach other faculty might find helpful. Discussion: Entrustable professional activities, well established in medical education, are emerging as a valuable tool to measure the achievement of competencies in the preparation of nurses.

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Role, education, policies and competencies for advanced practice in paediatric haematology‐oncology nursing in Europe: A scoping review

Amicucci,

Trigoso,

Nori

et al. 2024

Pediatric Blood & Cancer

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The aim of this scoping review is to describe the role, education, policies/regulation, skills and competencies required for advanced practice in paediatric haematology‐oncology nursing in Europe, highlighting the differences in development between the different European countries. A scoping review was conducted following the methodological framework of guidelines by Arksey and O'Malley and the recommendations for advancing the methodology by Levac et al. We searched MEDLINE/PubMed, EMBASE, CINAHL, Cochrane Library, Scopus, grey literature, webpages, reference lists and performed a manual search, without any restrictions on language or time. The intersection between databases, grey literature and evidence documents traced from the sites of the most authoritative European organisations in the field made it possible to identify the regulatory and training differences between the various countries that were examined. This scoping review highlights how advanced knowledge and competences are used in the care of paediatric haematology‐oncology patients, which are strictly necessary for implementing quality care. At present these competences are not recognised in policies and regulation in most of the countries that were examined. It is desirable that all EU member states work to implement a radical change and allow these more competent figures to assist patients in the best possible way.

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Advanced Practice Nursing Roles, Regulation, Education, and Practice: A Global Study

Cited by 36 publications

References 16 publications

Advanced Nursing Practice and Advanced Practice Nursing roles within low and lower‐middle‐income countries

Advanced Nursing Practice and Advanced Practice Nursing roles within low and lower‐middle‐income countries

Developing and Implementing Entrustable Professional Activities to Prepare Global Nurses

Role, education, policies and competencies for advanced practice in paediatric haematology‐oncology nursing in Europe: A scoping review

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