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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Published on: February 16, 2011

Advancing advanced practice - clarifying the conceptual confusion.

Helen Stasa¹, Andrew Cashin², Thomas Buckley¹

¹Sydney Nursing School, University of Sydney, 88 Mallett St, Camperdown, NSW 2050, Australia; Nurse Practitioner Standards Review Project, Sydney Nursing School, University of Sydney, 88 Mallett St, Camperdown, NSW 2050, Australia.

Nurse Education Today

|August 20, 2013

Summary

This summary is machine-generated.

International definitions for advanced practice nursing and related terms are unclear and vary significantly. This confusion impacts nurses, patients, and policymakers, necessitating clearer, standardized terminology for advanced nursing roles.

Keywords:

Advanced nursing practice Advanced practice nursing Expanded practice Nurse practitioner Scope of practice

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Area of Science:

Nursing
Healthcare Policy
Professional Terminology

Background:

Increasing numbers of nurses are entering advanced practice roles globally.
Significant confusion exists due to unclear definitions and international variability in terms like 'advanced practice nursing' and 'scope of practice'.
This ambiguity poses challenges for nurses, healthcare professionals, consumers, educators, and policymakers, especially with a mobile nursing workforce.

Purpose of the Study:

To identify and highlight the international variability in definitions and regulations of advanced practice nursing and associated terms (e.g., extended, expanded practice) across key English-speaking countries (US, UK, New Zealand, Canada, Australia).
To propose strategies for the nursing profession to achieve greater precision and consensus in advanced practice terminology.

Main Methods:

This study is based on a discursive paper, analyzing existing literature and regulatory frameworks.

Main Results:

A considerable lack of clarity surrounds the precise definitions of key terms in advanced practice nursing.
There are significant disparities in the regulation of advanced practice nursing and roles like nurse practitioners among the five selected countries.

Conclusions:

Reducing the use of the term 'expanded practice' can help clarify terminology.
Defining 'advanced practice nursing' should refer to practice within defined and regulated scopes.
Defining 'advanced nursing practice' as expert practice within a regulated nursing scope can enhance clarity.