Advanced practice nursing; an expanded nursing role on an international level

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Eduprof Expertmeeting 14-15 April 2011 Groningen. …

Eduprof Expertmeeting 14-15 April 2011 Groningen.

Workshop Nursing

presentation on Advanced practice nursing; an expanded nursing role on an international level by Mrs. P. Roodbol, Hanze University of Applied Sciences Groningen. The Netherlands

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  • 1. dr. Petrie F. Roodbol, Hanze University of Applied Science, UMCG Netherlands, Chair ICN APN/NP Advanced practice nursing; an expanded nursing role on an international level
  • 2. Content
      • APN in context of the ICN- scope and definitions
      • APN Worldwide
      • Netherlands
      • Future
  • 3. International Council of Nurses
  • 4.
    • Regulation
    • Socio-economic welfare
    • Professional practice
        • ICNP
        • Lederschip in change
        • APN
  • 5. APN: an umbrella term
  • 6. RN APN Specialization BACHELOR APN RN NP CNS Midwife Anesth.
  • 7. Characteristics
    • Educational preparation
    • Nature of practice
    • Regulatory mechanism
  • 8. Educational preparation
    • Educational preparation on advanced level
    • Formal recognition of educational programs
    • A formal system of licensure, registration certification or credentialing
  • 9. Nature of practice
    • Integration research, education, clinical management
    • Independency, autonomy
    • Advanced assessment, decision-making skills
    • Recognized advanced clinical competencies
    • Recognized first point of service
    • Consultation
  • 10. Http://www.youtube.com/watch?v=WmYBxOVo4oc -
  • 11.
    • Right to diagnose
    • Authority to prescribe
    • Authority to refer to other professionals
    • Authority to admit to hospitals
    • Title protection
    • Legislation specific to advanced practice
    Regulatory Mechanism (country specific)
  • 12. NP HOW Patient service Staff Input Process outcome Review N=70 effectiveness, efficiency, and quality
  • 13. Patient
    • Satisfaction equal or increase (special groups)
    • Increase compliance
    • Less antibiotics, shorter hospitalized
    • Self management
  • 14. Quality
    • Health: equal or increased (assessment, treatment, less complications)
    • Safety; equal or increased
  • 15. Service
    • Shorter waiting times, faster access
    • Rural areas, vulnerable populations
    • Less hospitalization
    • Equal mortality
    • Cost effective
    • Equal number of consultations for patients longer consultancies
  • 16. Impact on the staff
    • Substitution
    • Increase coordination and organization
  • 17. Disease, illness Consequences of diseases, illnesses
  • 18. Starting an APN…….
    • A definition of the ANP role
    • Recommendations for collaborative practice
    • A curriculum
    • Recruitment, retention and deployment strategies
    • Recommendations for legislation and regulation
    • Strategies to reduce barriers to practice
  • 19.  
  • 20. Country Physicians Nurses Netherlands 3,8 13,73 South Africa 0,77 4,08 UK 2,2 9,9 Italy 3,8 7,79 Greece 5 4,2 Germany 3,9 9,2 Mexico 1,9 2,3 US 2,4 10,5 Hong Kong 1,7 5,28 Korea 2,0 3,58
  • 21.  
  • 22.  
  • 23.  
  • 24.  
  • 25.  
  • 26.  
  • 27. Asia
    • Taiwan
    • Hong Kong
    • Japan
    • Singapore
    • Macau
    • Thailand
    • Korea
  • 28.  
  • 29. European Nations
    • UK (England, Wales, Scotland, Northern Ireland)
    • Sweden, Finland
    • Netherlands, Belgium
    • France
    • Germany, Switzerland
  • 30.  
  • 31. Characteristics
    • 16.4 Million inhabitants
    • Life expectancy 77.3 – 80.4
    • HDI no.6
    • Healthy 81,2%
    • Required insurance
  • 32. Health Care typology
    • Affordable, accessible
    • Solidarity
    • Focus on primary care
    • Government determines
  • 33. Healthcare problems
    • Chronically ill (1 million diabetes!)
    • Hearth diseases, cancer
    • Child obesity
    • Elderly (frailty)
  • 34. History
    • NP 1997 (CNS: 1986)
    • Hospital based
    • Individual initiative
    • Answer on human resource problems
    • Fast, uncontrolled grow
    • Governmental (financial) support 2002
  • 35.  
  • 36. 2011
    • Program in nine cities
    • National competency profile
    • Association
    • Number +/-
    • Legislation
      • Independency
      • Prescriptive authority
      • Registration (previously acquired skills)
  • 37. Positive effects (1)
    • Bridging the cap: physicians/nurses
    • Integration cure and care
    • (Cost) effective care
    • Self management
    • Patient centred care
    • Easily accessible
    • Innovation, quality driven
  • 38.
    • Experienced, motivated nurses
    • Increasing continuity
    • Role models in holistic care
    • Organizational innovation
    • Positive research results
    Positive effects (2)
  • 39. Negative effects
    • Medical socialization
    • Medical classification
    • Money driven
    • Diverse perception
    • Unverified grow
  • 40. Acceptance
    • Government +++
    • Public ++
    • Physicians +
    • RN ++
    • (overcapacity of physicians; Physician assistants less acceptance)
  • 41. Healthy Aging: statistics
  • 42. Prevalence of selected chronic diseases 65+
  • 43. Key strategies
    • Healthy life style behavior
    • Injury prevention
    • Delivery of culturally clinical preventive services
    • Immunization and preventive screenings
    • Self management for chronically ill
  • 44.  
  • 45.  
  • 46. Fit as possible Dementia
  • 47.  
  • 48. Advanced nursing practice