The nurse practitioner

Pearson, Alan; Peels, Stephenie

doi:10.1046/j.1440-172x.2002.00372.x

Cited by 27 publications

(24 citation statements)

References 6 publications

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“…This series of supplements has focused on the international trend to develop advanced roles for nurses and has examined the concept of advanced practice in nursing; 12 the nurse practitioner; 13 and, in this supplement, the clinical nurse specialist. The establishment of new, advanced nursing roles is characterized on the one hand by over‐rapid development surrounded by ambiguity, and on the other, a clear demonstration of nursing's willingness and capacity to transform itself in response to the needs of communities.…”

Section: Resultsmentioning

confidence: 99%

Clinical nurse specialists

Pearson

Peels

2002

Int J of Nursing Practice

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Section: Resultsmentioning

confidence: 99%

Clinical nurse specialists

Pearson

Peels

2002

Int J of Nursing Practice

Self Cite

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“…The ANP role was first introduced in the United States of America (USA) and Canada in the mid-1960s, followed by the UK in the mid-1980s, then New Zealand and Australia in the 1990s (Pearson and Peels, 2002a, Furlong and Smith, 2005, Griffin and Melby, 2006. Many factors influenced the introduction of ANP roles worldwide, including a shortage of doctors, a need to improve access to primary care, to improve care for particular patient groups, government policy, inter/ intraprofessional collaboration, nurse education and positive evaluations of the role (Ketefian et al, 2001, Schober andAffara, 2006).…”

Section: The Development Of Anp Rolesmentioning

confidence: 99%

“…Many factors influenced the introduction of ANP roles worldwide, including a shortage of doctors, a need to improve access to primary care, to improve care for particular patient groups, government policy, inter/ intraprofessional collaboration, nurse education and positive evaluations of the role (Ketefian et al, 2001, Schober andAffara, 2006). In the UK factors influencing the development of the ANP role included a need to reduce healthcare costs, to improve access to healthcare and to respond to the reduced availability of doctors (Pearson and Peels, 2002a). ANPs in the USA and UK were first employed in primary care to ease the workload of doctors, however they are now more prevalent in secondary care (Pulcini et al, 2010).…”

Section: The Development Of Anp Rolesmentioning

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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“…The main stated concerns of the medical professionals are that NPs will set up practice in direct competition to them and that the educational preparation of the NP is inadequate and may jeopardize patient safety. On the other hand, specialist mental health nurses argue that they have been undertaking an informal NP role, unrecognized, unrewarded, and unprotected by legislation, and they wish their expertise to be formally recognized (Appel & Malcolm 2002; Pearson & Peels 2002; Sydney Morning Herald 2002). Quite clearly partnerships and support from physicians is central to the successful development of the NP role in NSW Australia.…”

Section: Credentialingmentioning

confidence: 99%

Mental health nurse practitioners in Australia: Improving access to quality mental health care

Fisher

2005

Int J Mental Health Nurs

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Under The Nurses Amendment (Nurse Practitioners) Act 1998, New South Wales became the first state in Australia to legislate for nurse practitioners. Mental health was identified as a priority 'area of practice' for nurse practitioners. Issues surrounding the implementation of the nurse practitioner role in Australia and the potential for the role to address the current crisis in mental health nursing and the mental health sector will be discussed. The potential for partnerships with other health-care providers, in particular medical practitioners, will demonstrate how successful implementation of the role can fulfil consumer demand for primary prevention counselling, improve access to mental health services and early intervention, and provide mental health services that better reflect national priorities. This examination of the Australian context will be contrasted with a review of the overseas literature on mental health nurse practitioners.

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The nurse practitioner

Cited by 27 publications

References 6 publications

Clinical nurse specialists

Clinical nurse specialists

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

Mental health nurse practitioners in Australia: Improving access to quality mental health care

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