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Advanced practice role delineation within Finland: A comparative descriptive study.

Krista Jokiniemi¹, Asta Heikkilä², Merja Meriläinen³

¹Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.

Journal of Advanced Nursing

|October 16, 2021

Summary

This study differentiated nursing roles in Finland, finding that comprehensive care and education were most common. Understanding these nursing practice patterns is key for effective human resource management.

Keywords:

advanced practice nursing clinical nurse specialist nurse clinician nurse practitioner nurse specialist registered midwife registered nurse role delineation

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Area of Science:

Nursing Practice
Healthcare Human Resources
Professional Role Delineation

Background:

Advanced practice nursing roles emerged in Nordic countries around 2000.
Finland has over 60,000 registered nurses/midwives, with a described but not fully implemented career pathway.
The precise number and activities of non-advanced and advanced practitioner roles remain unclear.

Purpose of the Study:

To identify and differentiate practice patterns of generalist, specialist, and advanced practice nursing roles.
To compare these roles within specialist and central hospital settings.
To inform human resource management and career development in nursing.

Main Methods:

A descriptive comparative study utilizing an online self-report survey.
A census sample of nurses (registered, midwife, specialist, advanced practice) was recruited from six hospitals.
Data were analyzed using descriptive statistics and analysis of variance (ANOVA).

Main Results:

1497 responses were obtained (10% response rate).
Comprehensive care and education activities were most frequently utilized across roles.
Research, publication, and professional leadership activities were least utilized.

Conclusions:

Delineating nursing roles by their activities is essential for effective human resource management.
The findings contribute to international literature on nursing role spectrums.
Formalizing roles can promote career development and optimal utilization of nursing expertise.