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Advanced Practice Nursing Roles, Regulation, Education, and Practice: A Global Study.

Kathy J Wheeler1, Minna Miller2, Joyce Pulcini3

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Summary
This summary is machine-generated.

Global advanced practice nursing (APN) roles show progress in education but face challenges in regulation, titling, and practice barriers. Further initiatives are recommended to support APN development worldwide.

Keywords:
advanced practice nursecertified nurse midwifeclinical nurse specialistmidwifenurse in advanced practicenurse midwifenurse practitioner

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Area of Science:

  • Nursing
  • Advanced Practice Nursing
  • Global Health

Background:

  • The International Council of Nurses Nurse Practitioner/Advanced Practice Nurse Network (ICN NP/APNN) has monitored global advanced practice nurse (APN) development.
  • APNs include nurse practitioners and clinical nurse specialists.

Purpose of the Study:

  • To describe the global status of APN practice, focusing on scope of practice, education, regulation, and practice climate.
  • To identify gaps in APN role development for future recommendations.

Main Methods:

  • An online survey was developed and distributed to gather data on APN roles, education, regulation/credentialing, and practice climate.
  • The survey was launched at the 10th Annual ICN NP/APNN Conference and disseminated online over one year.

Main Results:

  • Data from 325 respondents across 26 countries were analyzed.
  • While educational advancements were noted, the global APN profession faces persistent challenges with titling, title protection, regulation, credentialing, and practice barriers.

Conclusions:

  • Advanced practice nurses (APNs) are crucial for achieving universal health coverage.
  • Recommendations are provided to facilitate APN role advancement and support global health goals.