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Regulation of advanced nurse practice: its existence and regulatory dimensions from an international perspective
1Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland.
Aim:
To explore the regulation of advanced nurse practice internationally and to identify differences and commonalities.
Background:
Regulation of advanced practice nursing does not occur in many countries. Ireland is currently in the minority in regulating advanced practice at a national level.
Key Issues:
Lack of regulation poses difficulties for national governments and for society due to uncertainty in advanced practice concept and role.
Methods:
A literature review of 510 scholarly nursing papers published in CINAHL, PubMed and MEDLINE between 2002 and 2013 and 30 websites was undertaken.
Results:
There is a lack of consistency in legislative systems internationally. Nursing organisations have recognised advanced nurse practice by regulation in some countries and by voluntary certification in others.
Conclusions:
Research has demonstrated that care delivered by advanced nurse practitioners has enhanced patient outcomes yet regulation of advanced practice is not undertaken in most countries.
Implications For Nurse Manager:
Nurse managers need to know that criteria for the regulation of advanced practice are in place and reflect the minimum requirements for safe practice.
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