Prepared under the auspices of the International Council of Nurses (ICN), this first volume provides a comprehensive overview of the rapidly emerging field of advanced nursing practice. It addresses central issues in the role and practice development that are fundamental to defining and differentiating the nature of this field. Topics include defining the role, role characteristics, scope of practice, education, regulation and research. Obstacles to and facilitators of that role are addressed and include ethical questions arising in the context of practice development. With an international focus, this volume examines international developments in the field, as reflected in country-specific case studies and examples. It offers a valuable resource for advanced practice nurses, educators and administrators at healthcare institutions.
Madrean Schober, PhD, MSN, ANP, FAANP is a nurse practitioner, educator, mentor, writer, lecturer and consultant with expertise in the development of advanced practice nursing roles, healthcare policy, curriculum design and programme development. She has been an international consultant with expertise in role development for 15 years, past-Chair of the ICN International Nurse Practitioner/Advanced Practice Nursing Network as well as International Relations Liaison for the American Academy of Nurse Practitioners. With a background in family health, family nursing and community healthcare, she has an aim to provide healthcare services to diverse populations along with strategic planning for improved access to all. These services include the promotion of advanced nursing practice in the provision of healthcare services.
1. Overview of Advanced Nursing Practice 1.1 Definition and profile of the role2. A Growing Presence2.1 Incentives and motivators for interest in the role2.2 Patterns of development2.2.1 Launching an ANP initiative2.2.2 Nursing education as the origin2.2.3 Legislation and Policy as the beginning2.3 A global overview 2.3.1 Country examples2.3.2 Organisational interest18.104.22.168 ICN22.214.171.124 WHO3. Nature of Practice3.1 Titles3.2 Role Characteristics3.3 Scope of Practice 3.4 Controversial and debatable issues3.4.1 Prescriptive authority3.5 Competencies and practice settings3.5.1 Advanced tasks versus advanced critical thinking3.5.2 Task reallocation within the healthcare workforce4. Education4.1 Curriculum design4.1.1 Teaching methods4.1.2 elearning4.1.3 Flexibility adapted to context4.2 Programme planning4.2.1 Entry criteria for students 126.96.36.199 Self selection188.8.131.52 External/Institutional selection4.2.2 Collaborative and complimentary faculty/staff184.108.40.206 Nursing, medicine, other professionals4.2.3 Clinical supervision and clinical sites for experience4.3 Competency statements and core competencies4.3.1 Developing competence4.3.2 Mentors and preceptors4.3.3 Clinical experience/sites5 Role and practice development5.1 Introducing the role and function5.2 Interconnectedness 5.2.1 Among institutions5.2.2 Among other settings5.2.3 Between other healthcare professionals5.3 Role support5.4 Situational ethics6 Regulation 6.1 Regulatory/legislative frameworks and models6.2 Credentialing6.3 Certification and licensure7 Challenges: obstacles and facilitators7.1 Interprofessional conflict7.1.1 Nursing7.1.2 Medicine7.2 Identifying APN function in the healthcare workforce7.3 Public Acceptance8 Evaluation and assessment8.1 Career pathways8.1.1 Performance review8.2 Adaptation of the role8.3 Continuing education 9 Research 9.1 Evidence based practice9.1.1 Joanna Briggs Model9.2 Conduct of and participation in research10 Future Outlook