Chapter 5: Global Perspectives on Advanced Nursing Practice Flashcards

Question

EUROPE: SWITZERLAND

Answer 1

A drive to APNs fueled by physician shortage Exploration of APN roles that resemble PAs A master’s degree in advanced practice exists Absence of a framework that addresses legal, policy, standards, and reimbursement issues

Answer 2

RCN Accredits NP educational programs 7 accredited university program, and the Association of Advanced Nursing Practice Educators now has 43 higher education institutions in its membership Practice includes diagnosis and prescription More than 10,000 nurses are Independent Prescribers (IPs); but not all IPs are APNs There is no government regulation of APNs

Answer 3

First educational program, 4 months postentry Intend to move education for APNs to the master’s level, but continue to acknowledge the 4-month certificate preparation Certification offered by the Thailand Nurse and Midwifery Council Many APNs are working beyond their defined scope of practice

Answer 4

NP is a protected title Most states/territories agree that the master’s degree is the basic requirement for practice Role is compromised by state/federal differences in scope of practice Competency standards exist between Australia and New Zealand In 2011, more than 400 NPs in practice

Answer 5

Proceeding forward in exploring advanced nursing practice Recommendation made for task force to promulgate criteria, standards, and regulations for ANP (2011) Debate focused on alignment of NP and specialist roles with nurse-midwives under the ANP umbrella

Answer 6

Hong Kong has still to find a champion for APN practice to catch a foothold in the health-care system Although there is evidence of strong practice, there has been very little progress on advanced practice No regulatory oversight exists, resulting in uneven educational and clinical development

Answer 7

A variety of midlevel practitioners have provided health-care services for the populations of the Pacific island countries for more than 20 years

Answer 8

Fiji School of Nursing offers NP program with postgraduate 6-month internship Established scope of practice Published protocols, allowing prescriptive privileges Immediacy of health-care needs prohibits education at the master’s level Regional education well developed

Answer 9

Nurse specialists are considered to be APNs Nurses prescribe in life-threatening situations, but broader prescriptive rights are being reviewed Mental health specialist nurses function independently and fairly autonomously

Answer 10

Regulations include title protection, standards for educational programs, clinical competencies, and a description of role Master’s preparation or equivalent is required, 4-years’ experience in specialty, and presentation of a practice portfolio APNs are authorized to prescribe from an extensive formulary since 2005 As of May 2011, there were 96 NPs in NZ

Answer 11

No public policy that defines or recognizes the APN or their practice An emphasis on post-entry specialty education Post-entry specialists are informally recognized by government with certification/program accreditation Many entry-level and master’s programs, and at least three doctoral programs exist

Answer 12

A comprehensive master’s degree exists in advanced practice with no designated specialty; followed by an internship A second APN preparation exists in critical care APNs are placed on a government registry

Answer 13

NP-like nursing roles have been in place in Korea since the 15th century Community health nurse practitioners are very prominent in rural areas Scope of practice includes diagnosis, prescriptive authority, and referral Qualifications include master’s-level education, certification, and experience in a chosen specialty

Answer 14

ANP focus is chiefly acute care Education is mostly in hospital training schools, but one master’s and one doctoral program do exist A certification with both theoretical and hands-on evaluations is being offered Official NP recognition and title protection accomplished in 2000

Answer 15

The APN role surfaces from the needs and geography of the country These nursing roles are feasible, are sustainable, provide quality competent health care, and are growing Legislation and regulations are critical and necessary to legitimize the role, but they often lag behind practice Progression of the role is more an intricate maze or puzzle rather than a picture of coordinated forward motion International momentum is increasing, but it is fraught with frustration and role ambiguity APNs will be asked to provide evidence that they are cost-effective, valued, and sustainable

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Chapter 5: Global Perspectives on Advanced Nursing Practice Flashcards

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