Introduction to Advanced Nursing Practice: An International by Madrean Schober

By Madrean Schober

Prepared less than the auspices of the foreign Council of Nurses (ICN), this primary quantity offers a finished review of the quickly rising box of complicated nursing perform. It addresses crucial concerns within the function and perform improvement which are basic to defining and differentiating the character of this box. themes contain defining the function, function features, scope of perform, schooling, rules and examine. stumbling blocks to and facilitators of that function are addressed and contain moral questions bobbing up within the context of perform improvement. With a global concentration, this quantity examines foreign advancements within the box, as mirrored in country-specific case reports and examples. It deals a beneficial source for complex perform nurses, educators and directors at healthcare institutions.

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The report suggests to introduce two roles: clinical nurse specialist (CNS) and nurse practitioner (NP), with Finnish translations for the titles. The Finnish clinical career path for nurses in the advanced roles is described based on the international literature and adapted to national standards and needs. The report includes five recommendations: (1) establish coherent titles, defined job descriptions and legislative changes, (2) establish education programs/ access to education to ensure the APNs obtain the required competencies (3) identify the number of APN nurses needed in the country based on the population’s healthcare needs, (4) ensure that wages correlate to the responsibilities and duties of the work, and (5) define a system to evaluate and follow the effectiveness and outcomes of the roles.

As a result, the MOH has envisioned that more services should be accessible in the community. The anticipation of increased demands on the health systems in the country and a shortage of physicians in certain specialties provide additional momentum supporting a call for more APNs in various healthcare settings. The path to successful role implementation was uncertain at times when attempting to differentiate what the APN can do that is different from the generalist nurse or the nurse clinicians who already held positions of advanced responsibility in the Singapore healthcare systems.

The Omani situation exemplifies one type of international organizational support that encouraged progression of interest in the ANP concept over a period of time from 2001 to 2016 (see Sect. 6 for the Oman country profile). 28 2 A Growing Presence When effective, international organizations provide the capacity to strengthen support for advanced nursing practice by conducting discussion forums, organizing conferences, sharing information through publications, and providing consultancy expertise.

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