Regulation of advanced nurse practice: its existence and regulatory dimensions from an international perspective

Carney, Marie

doi:10.1111/jonm.12278

Cited by 56 publications

(42 citation statements)

References 29 publications

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“…[40][41][42][43] Those competency mapping developments for APN closely related to Anglo-Saxon countries show that despite differences in APN role development approaches due to different healthcare system needs response, they share commons traits when working in identifying core APN competencies no matter the specific role described/ 4.2 Encourages individuals to share any issue or problem that may affect their personal development and any idea or suggestion related to this, helping them solve their problems in an objective or constructive way.…”

Section: Discussionmentioning

confidence: 99%

Advanced Practice Nursing Competency Assessment Instrument (APNCAI): clinimetric validation

et al. 2017

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ObjectiveTo describe the development and clinimetric validation of the Advanced Practice Nursing Competency Assessment Instrument (APNCAI) through several evidence sources about reliability and validity in the Spanish context.Design and settingAPNCAI development was based on a multisequential and systematic process: literature review, instrument content consensus through qualitative Delphi method approach (a panel of 51 Advanced Practice in Nursing –APN– experts was selected) and the clinimetric validation process based on a sample of 600 nurses from the Balearic Islands public healthcare setting.MethodsAn initial step for tool's content development process based on Delphi method approach of expert consensus was implemented. A subsequent phase of tool validation started from the analysis of APN core competencies latent measurement model, including exploratory and confirmatory techniques. Reliability evidence for each latent factor was also obtained. Items' scores were submitted to descriptive analysis, plus univariate and multivariate normality tests.ResultsAn eight-factor competency assessment latent model obtained adequate fit, and it was composed by ‘Research and Evidence-Based Practice’, ‘Clinical and Professional Leadership’, ‘Interprofessional Relationship and Mentoring’, ‘Professional Autonomy’, ‘Quality Management’, ‘Care Management’, ‘Professional Teaching and Education’ and ‘Health Promotion’.ConclusionsAdequate empirical evidence of reliability and validity for APNCAI makes it useful for application in healthcare policy programmes for APN competency assessment in Spain.

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Section: Discussionmentioning

confidence: 99%

Advanced Practice Nursing Competency Assessment Instrument (APNCAI): clinimetric validation

et al. 2017

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“…A recent review of the similarities and differences of international regulation of ANPs found that national regulation occurs in Ireland, Japan, New Zealand, Singapore, Hong Kong, Australia, and the USA, but not in the UK (Carney, 2016). This raises the question of why the UK has not followed suit.…”

Section: What About Compulsory National Regulation?mentioning

confidence: 99%

Development and regulation of advanced nurse practitioners in the UK and internationally

2017

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The UK National Health Service (NHS) is currently under increasing pressure due to financial and recruitment problems, as well as our increasing aging population.Nursing has continued to adapt its role to meet the needs of these challenging times.Over the last few years the Advanced Nurse Practitioner (ANP) role has been implemented widely in both primary and secondary care. However these roles have lacked consistency in scope of practice, training and regulation. This paper summarises the development of the ANP role in the UK and internationally, and current issues around regulation. Globally ANPs are regulated by one of three different mechanisms, nationally by central government or a professional body, or locally by employers. In the UK the role is regulated by local procedures, relying on employers to make decisions about the scope and preparation for practice. Some of the challenges of the UK position in relation to ANP regulation will be discussed, including variations in scope, organisational constraints, and lack of support. It has been suggested that these challenges are exacerbated by a lack of role clarity, therefore highlighting a need to improve regulation of ANPs. The RCN has moved some way to responding to these challenges by introducing 'credentialing'; a system for recording qualifications, skills and experience, but the uptake of this is yet to be evaluated. This review highlights that employers and ANPs need to be aware of their collective responsibility for ensuring appropriate role regulation.

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“…Expansion of the current nursing role, or formally recognizing the ANP role, is consistent with recommendations from the World Health Organization and the Organization for Economic Co‐operation and Development to increase utilization of advanced clinical nurses in health care. The benefit to Danish nurses on the global stage is to modernize the role of nursing in Denmark, consistent with that seen in other countries . It is a reflection of the expert knowledge base, scope of practice and interdisciplinary nature of the emerging model for health care delivery.…”

Section: Discussionmentioning

confidence: 76%

“…There is no regulation in Denmark for advanced nursing practice . Reforms in Denmark changed nursing education from an apprenticeship model to one requiring a university‐based system; in 1990 Denmark established the bachelor's degree as entry‐level for nursing, called Sygeplejerske (certified nurse).…”

Section: Discussionmentioning

confidence: 99%

Review of advanced nursing practice in Denmark with an exemplar

Quallich

Grauengaard

Ohl

et al. 2018

Int J of Uro Nursing

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Advances in independent nursing practice can expand the professional identity of nurses. Although there is no formal recognition for an advance practice nursing role in Denmark, there are clear examples of nursing expanding its scope to meet the meet of individual patients and larger community needs. Many Danish nurses work with expanded competencies in surgical settings, medical settings, psychiatric environments, and are instrumental in promoting continuity of care for patients who have chronic conditions. Expansion of the nursing role is an example of health care evolving to meet societal and patient needs, even within a controlled research environment, and will promote job satisfaction and retention among its most experienced nurses. This paper offers a review of expanded nursing roles in Denmark and offers further evidence of expanded autonomy for nurses in a clinical research environment.

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Regulation of advanced nurse practice: its existence and regulatory dimensions from an international perspective

Abstract: Nurse managers need to know that criteria for the regulation of advanced practice are in place and reflect the minimum requirements for safe practice.

Cited by 56 publications

References 29 publications

Advanced Practice Nursing Competency Assessment Instrument (APNCAI): clinimetric validation

Advanced Practice Nursing Competency Assessment Instrument (APNCAI): clinimetric validation

Development and regulation of advanced nurse practitioners in the UK and internationally

Review of advanced nursing practice in Denmark with an exemplar

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