Under the Auspices of the International Council of Nurses (ICN) The field of advanced nursing practice and diverse levels of advanced nursing is a growing trend worldwide in the provision of a variety of healthcare services. This book introduces the concept of advanced nursing practice by offering an international definition and key characteristics of an advanced practice nurse. Assumptions that should be found wherever nursing exists are identified as the foundation for progressing to advanced levels of nursing. Topics to consider when forging a new nursing role are discussed along with country issues that shape advanced nursing practice development.
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Chapter 1: Introduction. Advanced Nursing Practice: A Growing Presence. Advanced Nursing Practice: Patterns of Development. Definition of Advanced Practice Nurse. Conclusion. References. Chapter 2: Nature of Practice. Introduction. Advanced Practice Nursing (APN) Characteristics. - ICN Official Position on APN Characteristics. - Country Illustrations. Labelling the Role. - Titling. - Title Protection. Scope of Practice. - What is Scope of Practice?. - What Influences Scope of Practice?. - Points to Consider When Defining Scope of Practice?. Core Competencies. Competency: The Basis for Education and Practice. - Creating a Competency Map. - Formulating Competency Statements. Advanced Tasks versus Advanced Roles. Controversial Practice Topics. - Prescriptive Authority. - Approaching APN Prescribing. - The Diagnosis Debate. - Approaching APN Diagnosing. - Hospital Privileges. - Approaching APN Hospital Privileges. Domains of Practice. Practice Settings. Conclusion. References. Chapter 3.
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Journal of Clinical Nursing
Aim. The aim of this article is to review the nursing literature on the notion of advanced nursing practice (ANP) and consequently provide clarifications on the concept of advanced nurse practitioner by developing its’ generic features.Background. This paper commences by critically reviewing the concept of advanced nursing practice as it is portrayed within the literature. From this review, a series of contradictions emerged in terms of definitions and roles. On further analysis of the literature the core aims and goals of the ANP are revealed.Methods. An informative and narrative systematic literature review was undertaken, using specific inclusion and exclusion criteria. The mass of retrieved material was carefully screened and methods of data saturation were used. Consequently, the material was read, re-read and indexed as to develop seven thematic units that formed the generic features of the ANP.Findings. The generic features that emerged are: (i) the use of knowledge in practice, (ii) critical thinking and analytical skills, (iii) clinical judgement and decision-making skills, (iv) professional leadership and clinical inquiry, (v) coaching and mentoring skills, (vi) research skills and (vii) changing practice.Conclusion. Reviewing the literature on the concept of ANP, a great variety of definitions, conceptualizations and roles emerged. Nonetheless, on a closer reading, a common goal was identified, which was the attainment of practice and professional autonomy via ANP roles for enhanced practice provision. Eventually, from the reviewed literature, seven generic features of the ANP were developed, thus providing clarification to the role and the characteristics of the ANP.Relevance to clinical practice. Clarifying the confusion surrounding advanced nursing practice and gaining an in-depth understanding of its’ generic features would facilitate practitioners, practice educators and clinical managers to develop those skills that would allow them or their staff or students to practise at an advanced level.
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Journal of Nursing Scholarship
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Journal of Advanced Nursing
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Online journal of issues in nursing
Advanced practice nursing roles are developing globally, and opportunities for advanced practice nursing are expanding worldwide due to the need for expert nursing care at an advanced level of practice. Yet it is well recognized that barriers exist with respect to APRNs being able to practice to the full extent of their education and training. Addressing barriers to APRN practice worldwide and ensuring that APRNs are able to practice to the full extent of their education and training can help to promote optimal role fulfillment as well as assessment of the impact of the APRN role.
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