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Global trends and issues in APN practice: engage in the change
Deena A Nardi1, Reneau Diallo2
1Professor and Director, DNP Program, University of St. Francis, Joliet, IL.
Summary
Advanced practice nurses (APNs) globally face shared challenges in achieving independent practice, including external opposition and internal nursing barriers. A unified approach is crucial for APNs to advance quality healthcare delivery and overcome obstacles.
Area of Science:
- Nursing Science
- Healthcare Policy
Background:
- The advanced practice nursing (APN) movement is a global phenomenon.
- APNs encounter similar challenges across diverse countries, political systems, and cultures.
- External opposition from medicine and internal nursing barriers impede APN independent practice.
Purpose of the Study:
- To present reflections on key practice issues discussed at the 7th International Nurse Practitioner/Advanced Practice Nursing Network Conference.
- To highlight major challenges and opportunities for APNs worldwide.
Main Methods:
- Reflections on discussions from the 7th International Nurse Practitioner/Advanced Practice Nursing Network Conference (London, August 2012).
- Focus on major issues including independent practice, barriers, educational standards, and the role in research and evidence-based practice.
Main Results:
- Global APNs face common obstacles to independent practice.
- Key issues identified include practice barriers, educational standards, and the integration of research and evidence-based practice.
- APNs are positioned to lead advanced, quality healthcare.
Conclusions:
- APNs must unite and develop consensus models to advocate for independent practice.
- A unified APN force is essential for advancing the profession and improving healthcare outcomes.
- Overcoming barriers is critical for APNs to fulfill their potential in healthcare delivery.
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