Visual analysis of global comparative mapping of the practice domains of the nurse practitioner/advanced practice nursing role in respondent countries

Abstract

Background: Internationally, there is increasing demand for nurse practitioner (NP) and advanced practice nursing (APN) roles; however, high variability exists in how NP/APN roles are defined and understood. Purpose: The aim of this research was to improve our understanding of how the NP/APN is defined globally by: 1) examining role definitions, competencies, and standards of practice for advanced practice nurses internationally; 2) describing from a global perspective the core concepts and common features of NP/APN associated with practice domains; and 3) exploring the utility of text mining and visual analytics in identifying the clustered core concepts common to NP/APN roles organized around the five advanced practice domains of the Strong Advanced Practice Model. Methods: This article describes the findings of a secondary analysis of an international NP/APN competency mapping project, using innovative text mining and visual analysis techniques to reexamine and summarize the NP/APN role in 19 countries from Africa, Australia, Asia, Europe, and North America. Results: Although weak aggrupation/associations suggest that further work is needed to define the domains of advanced practice with associated model development, visual analysis points to the identification of common concepts and linkages between concepts for each practice domain of advanced practice outlined in the Strong Model. Implications for practice: The secondary text mining and visual analysis presented in this article allows for comparison of core elements between advanced practice role descriptions, standards, and competencies globally to ultimately provide a global perspective on the common features of NP/APN roles and areas where further delineation is required.

Evaluation of an APN service in acute inpatient care of patients with a malignant brain tumor: a qualitative study in a Swiss university hospital / Evaluation eines APN-Angebots in der akut-stationären Versorgung von Patienten und Patientinnen mit malignem Hirntumor: eine qualitative Studie in einem Schweizer Universitätsspital

“…einem Fachbereich zu implementieren, und 3) die/der Advanced Practice Nurse mit einem gemischten Profil aus 1) und 2) (ICN AANP, 2020). Je nach Patientengruppe, klinischem Setting und nationalen Rahmenbedingungen variieren die Rollen hinsichtlich ihrer Ausübung der Kompetenzen und ihren Möglichkeiten, Leistungen eigenständig abrechnen zu können (Sastre-Fullana et al, 2020).…”

A global perspective of advanced practice nursing research: A review of systematic reviews

“…It is challenging to distinguish between the roles of nurses and advanced practice nurses [ 11 ]. For example, some jurisdictions (e.g., Belgium) employ the term nurse-led for all nursing roles [ 1 , 8 , 12 , 13 ]. A clearer understanding of the roles that are in place, titles used across the globe and relevant outcomes will support optimal use of advanced practice nursing roles, and inform global priorities for advanced practice nursing education, research, and policy reform.…”

Advanced practice nursing initiatives in Africa, moving towards the nurse practitioner role: Experiences from the field

“…Several countries in Africa have begun to show interest in advanced practice nursing, specifically in developing the NP role as a potential solution to their population‐specific primary health care needs. However, there has been much confusion both within Africa and worldwide regarding advanced practice nursing, particularly the NP role, education needed, necessary policy regulations, as well as best practices for implementation and integration (Beauchesne et al., 2020; Ladd et al., 2020; Sastre‐Fullana et al., 2020). Countries ready to embrace the NP role have been unsure how to do so and have identified a need for guidance.…”