There are four recognized categories of APNs, including nurse practitioners, clinical nurse specialists, nurse anesthetists and certified nurse-midwives. APNs can provide either primary care or specialized care for patients in complex medical situations. Their practice is recognized, regulated and licensed by individual states. Nurse Practitioners Nurse practitioners provide primary and specialty care to their patients.
The aim of this paper is to discuss six issues influencing the introduction of advanced practice nursing APN roles: Health care restructuring in many countries has led to substantial increases in the different types and number of APN roles.
The extent to which these roles truly reflect advanced nursing practice is often unclear. The misuse of APN terminology, inconsistent titling and educational preparation, and misguided interpretations regarding the purpose of these roles pose barriers to realizing their full potential and impact on health.
Role conflict, role overload, and variable stakeholder acceptance are frequently reported problems associated with the introduction of APN roles.
Challenges associated with the introduction of APN roles suggests that greater attention to and consistent use of the terms of the terms advanced nursing practice, advancement and advanced practice nursing is required.
Advanced nursing practice refers to the work or what nurses do in the role and is important for defining the specific nature and goals for introducing new APN roles. The concept of advancement further defines the multi-dimensional scope and mandate of advanced nursing practice and distinguishes differences from other types of nursing roles.
Advanced practice nursing refers to the whole field, involving a variety of such roles and the environments in which they exist.
Many barriers to realizing the full potential of these roles could be avoided through better planning and efforts to address environmental factors, structures, and resources that are necessary for advanced nursing practice to take place.
Recommendations for the future introduction of APN roles can be drawn from this paper. These include the need for a collaborative, systematic and evidence-based process designed to provide data to support the need and goals for a clearly defined APN role, support a nursing orientation to advanced practice, promote full utilization of all the role domains, create environments that support role development, and provide ongoing evaluation of these roles related to predetermined goals.Head Office: International Road Unit 5 Akwesasne, Ontario K6H 0G5 ×.
A Nurse Practitioner/Advanced Practice Nurse is a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or country in which s/he is credentialed to practice.
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AIM: The aim of this paper is to discuss six issues influencing the introduction of advanced practice nursing (APN) roles: confusion about APN terminology, failure to define clearly the roles and goals, role emphasis on physician replacement/support, underutilization of all APN role domains, failure.