Factors Enabling Advanced Practice Nursing Role Integration in Canada

Perceived roles of oncology nursing

“…Despite increased demand for specialized nursing care, there are few parallel changes in the health care system to support the practice of oncology nurses such as autonomy in patient care, ability to integrate research evidence with clinical decision making, taking leadership roles, and more collaborative roles in the multidisciplinary team (DiCenso et al, 2010). Emphasis on the theoretical aspects of care and scope of practice provides knowledge, enhances nursing power, aids deliberate action, provides rationale when challenged, and professional autonomy by guiding practice, education and research (Ingram, 1991).…”

Value-based Healthcare: Part 2—Addressing the Obstacles to Implementing Integrated Practice Units for the Management of Musculoskeletal Disease

“…However, multiple health systems, such as 26 primary care clinics under the Interior Health Regional Health Authority in Ontario, Canada, and the head and neck cancer service at the University of Michigan Medical Center have implemented nonphysicianled delivery models demonstrating clinical outcomes similar to those of physician-led models while achieving greater patient and provider satisfaction, and greater specialist physician availability for more complex patients [4,8]. As described by the authors, some patients may not respond positively to seeing associate providers.…”

Advanced Practice Nursing, Health Care Teams, and Perceptions of Team Effectiveness

“…5 Advanced practice nurses contribute to patient care by applying an expanded scope of practice and integrating in-depth nursing knowledge and experience in domains related to clinical practice, education, research, professional development, and leadership. 6,9,10 Educational preparation of APN nurses differs across countries and within jurisdictions. DiCenso et al 8 completed a scoping review of the Canadian and international APN literature and identified a number of factors that are believed to influence APN role introduction.…”

“…The factors include educational preparation, adequate resources, clear objectives, an appreciation of the role, communication, and leadership. 6,10,12 Several studies 8,[13][14][15][16][17] have identified barriers and facilitators of the introduction of APN roles. 7 The International Council of Nurses recommends masterlevel education for APN nurses.…”

“…7 The International Council of Nurses recommends masterlevel education for APN nurses. DiCenso et al 10 identified different perceptions of interprofessional collaboration and team acceptance for APNs in acute and primary health care teams and found that most of the studies had been conducted in primary care settings. 6,10,12 Several studies 8,[13][14][15][16][17] have identified barriers and facilitators of the introduction of APN roles.…”