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Advanced practice nursing: unification through a common identity.

Jo-Ann MacDonald1, Rosemary Herbert, Catherine Thibeault

  • 1UPEI School of Nursing, Charlottetown, 550 University Avenue, Charlottestown, Prince Edward Island, Canada.

Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing
|June 9, 2006
PubMed
Summary

This study proposes a unified "advanced practice nurse" (APN) identity to address role confusion. Adopting this common identity can strengthen the connection between knowledge and practice, improving nursing care responsiveness.

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Area of Science:

  • Nursing
  • Healthcare Policy

Background:

  • Diverse advanced practice roles in nursing exist with documented differences.
  • Nurses in advanced roles often experience role confusion within and outside the profession.

Purpose of the Study:

  • To advocate for a common identity of "advanced practice nurse" (APN) for all advanced nursing roles.
  • To explore the core elements defining advanced practice nursing.
  • To examine the historical development and current issues of APNs in Canada and the US.

Main Methods:

  • Historical analysis of advanced practice nursing development in North America.
  • Exploration of key components: knowledge, education, scope of practice, regulation, and outcomes.
  • Literature review and synthesis of existing research on advanced nursing practice.

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Main Results:

  • Advanced practice nursing has distinct historical influences in Canada and the US.
  • Core elements of advanced practice nursing include knowledge, education, scope of practice, regulatory issues, and outcomes.
  • Current issues facing APNs were identified.

Conclusions:

  • A common APN identity can reduce role confusion and strengthen the link between knowledge development and practice.
  • Adopting a unified identity ensures advanced nursing practice remains responsive to societal needs.
  • This unified identity can enhance the visibility and impact of advanced nursing roles.