Advanced Nursing Practice

This paper will evaluate the local, national and international drivers that have influenced the development of advanced nursing practice. The discussion will include the political, economic, social, and technological influences that have contributed to the transformation from the traditional nursing role to the numerous exciting advanced level career opportunities achievable in nursing today. Dynamics that have shaped my own current advanced nursing role will be discussed and to conclude some thoughts on the future of advanced nursing practice.

Defining the role of an advanced nurse practitioner (ANP) is complex and commonly open to interpretation. Internationally there are many variances in what the role of the advanced practitioner entails, and the characteristics of individual roles are often shaped by the country and particular speciality in which they are practising (Mantzoukas & Watkinson 2006), (Sheer & Wong 2008), (Stasa et al 2014), (ICN 2008), (Dalton 2013), (NHS Wales 2010), (Haidar 2014), (Lowe et al 2011), (Pearson 2011).

Historically the first ANP roles and educational programmes were introduced in the USA in the 1960’s to fill a gap in a shortage of medical staff but also to address the issue of health inequalities in ethnic minorities, which highlighted at an early stage that nurses were a valuable resource in addressing particular health issues (Mantzoukas & Watkinson 2006), (Sheer & Wong 2008). ANP roles are well accepted as an effective approach to managing patient care however the introduction of these roles has soared often leading to a confusion around their scope of practice and a clear definition of the role (Pearson and Peels 2002), (Daly & Carnwell 2003), (Castledine 2003), (Gardner at al 2007), (Pears...

... middle of paper ..., H. Cashin, A. Buckley, T. Donoghue, J. (2014). Advancing advanced practice — clarifying the conceptual confusion. Nurse Education Today 34 (2014) pp. 356–361

51. Sturgeon, D. (2008). Advanced Nursing practice and Newton’s three laws of motion. British Journal of Nursing. Vol 17, No 11. Pp. 706-710

52. UKCC (1994). The future of Professional Practice – The Councils Standard for Education and Practice following registration. [Accessed 1/4/2014]

53. WHO (2005). Preparing a health care workforce for the 21st century. The Challenge of Chronic Conditions. World Health Organization, Non-communicable Diseases and Mental Health Cluster, Chronic Diseases and Health Promotion Department. [Accessed 1/4/2014]

More about Advanced Nursing Practice

Get Access