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

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

    • 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
    • Content
        • APN in context of the ICN- scope and definitions
        • APN Worldwide
        • Netherlands
        • Future
    • International Council of Nurses
      • Regulation
      • Socio-economic welfare
      • Professional practice
          • ICNP
          • Lederschip in change
          • APN
    • APN: an umbrella term
    • RN APN Specialization BACHELOR APN RN NP CNS Midwife Anesth.
    • Characteristics
      • Educational preparation
      • Nature of practice
      • Regulatory mechanism
    • Educational preparation
      • Educational preparation on advanced level
      • Formal recognition of educational programs
      • A formal system of licensure, registration certification or credentialing
    • 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
    • Http://www.youtube.com/watch?v=WmYBxOVo4oc -
      • 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)
    • NP HOW Patient service Staff Input Process outcome Review N=70 effectiveness, efficiency, and quality
    • Patient
      • Satisfaction equal or increase (special groups)
      • Increase compliance
      • Less antibiotics, shorter hospitalized
      • Self management
    • Quality
      • Health: equal or increased (assessment, treatment, less complications)
      • Safety; equal or increased
    • Service
      • Shorter waiting times, faster access
      • Rural areas, vulnerable populations
      • Less hospitalization
      • Equal mortality
      • Cost effective
      • Equal number of consultations for patients longer consultancies
    • Impact on the staff
      • Substitution
      • Increase coordination and organization
    • Disease, illness Consequences of diseases, illnesses
    • 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
    •  
    • 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
    •  
    •  
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    •  
    •  
    • Asia
      • Taiwan
      • Hong Kong
      • Japan
      • Singapore
      • Macau
      • Thailand
      • Korea
    •  
    • European Nations
      • UK (England, Wales, Scotland, Northern Ireland)
      • Sweden, Finland
      • Netherlands, Belgium
      • France
      • Germany, Switzerland
    •  
    • Characteristics
      • 16.4 Million inhabitants
      • Life expectancy 77.3 – 80.4
      • HDI no.6
      • Healthy 81,2%
      • Required insurance
    • Health Care typology
      • Affordable, accessible
      • Solidarity
      • Focus on primary care
      • Government determines
    • Healthcare problems
      • Chronically ill (1 million diabetes!)
      • Hearth diseases, cancer
      • Child obesity
      • Elderly (frailty)
    • History
      • NP 1997 (CNS: 1986)
      • Hospital based
      • Individual initiative
      • Answer on human resource problems
      • Fast, uncontrolled grow
      • Governmental (financial) support 2002
    •  
    • 2011
      • Program in nine cities
      • National competency profile
      • Association
      • Number +/-
      • Legislation
        • Independency
        • Prescriptive authority
        • Registration (previously acquired skills)
    • 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
      • Experienced, motivated nurses
      • Increasing continuity
      • Role models in holistic care
      • Organizational innovation
      • Positive research results
      Positive effects (2)
    • Negative effects
      • Medical socialization
      • Medical classification
      • Money driven
      • Diverse perception
      • Unverified grow
    • Acceptance
      • Government +++
      • Public ++
      • Physicians +
      • RN ++
      • (overcapacity of physicians; Physician assistants less acceptance)
    • Healthy Aging: statistics
    • Prevalence of selected chronic diseases 65+
    • Key strategies
      • Healthy life style behavior
      • Injury prevention
      • Delivery of culturally clinical preventive services
      • Immunization and preventive screenings
      • Self management for chronically ill
    •  
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    • Fit as possible Dementia
    •  
    • Advanced nursing practice