Third ICN International NPAPN Network Conference

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Third ICN International NPAPN Network Conference

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Specialization: concentrating or focusing on part of the whole field of nursing ... Reconfiguring your perspective. Innovative thinking. Network Beginning ... – PowerPoint PPT presentation

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Title: Third ICN International NPAPN Network Conference

1
Third ICN International NP/APN Network Conference

Groningen
The Netherlands
June 29, 2004

2
Dimensions Dynamics of International Advanced
Nursing Practice
3
Critical Pathways
4
Global Sensitivity

Language
Culture
Religion

5
Context adaptability

Developed vs. developing regions of the world
Priorities in health care
Approach
Burdens of health illness
Financial human resources

6
Concepts/Terminology

Specialization concentrating or focusing on part
of the whole field of nursing
Expansion acquisition of new practice knowledge
and skills
Advancement specialization expansion
characterized by the integration of theoretical,
research-based and practical knowledge

7
Illustrations of APN Development
8
South Korea

Role emergence 1950 Changing Client needs
changing direction in health policy
1973 special field nurses were identified
1980 CHNPs for farming fishing villages
1990 Home care included
2000 title of special field nurses changed to
Advanced Practice Nurses

9
Taiwan

Term CNS used
1994 ANP concept emerged
3 nurses posted to cardiovascular surgical care
1995 Health care reform shortage of physicians
improved nursing education CNS role
2000 legislation supportive of CNS
95 CNSs hospital based
Unclear data on who is APN
Emergence of PA role

10
USA

1900 - word specialist used
1943 reference to nurse clinician CNS
1960s/1970s NP role emerged
By 1980 ANA affirmed specialization as feature
of the advancement of nursing
2004 advanced refers to commonalties of APN
specialties NMW, NA, CNS, NP

11
UK

1990 - RCN offered 1st NP course
NP RN specific course at Honors Level
2001 - NONPF initiated
2004 - Estimate over 2,000 NPs
Title of NP awaiting formal recognition
NP courses offered at BScN MScN level

12
Botswana

1970 shift from hospital to primary health care
Increased responsibility for nurses similar to NP
level without proper education
1981 1st FNP program 14 students
1 year program developed to 18 months
2004 activity to develop an FNP-nurse led
clinic with government support
Estimate 200 practicing FNPs

13
Pakistan

Double burden of disease compounded by
overwhelming financial poverty
Unsanitary conditions at every level
Limited access to services
Overrepresentation of MDs
Under representation of nurses
2001 - MScN Programme APN label

14
Global Trends

Identified population needs for services
Advancement of nursing education nursing as a
profession
Health care reforms related changes leading to
APN opportunities
View APNs enhance health care access services

15
Challenges for APN Development

Medical Model Dominance of health care systems
Lack of clarity supportive of APN roles
Inadequate nursing education
APN programs not easily available
Lack of respect for nursing
Populations unaware of nursing capacity

16
Challenges for APN Development

Standardization of education
Credentialing of APNs APN programs
Intercountry credentialing
Licensure registration for students seeking
practicum experience
Consistency in international scope standards

17
Challenges for APN Development

Journals textbooks mainly from USA/UK
Increasing gaps in knowledge
Limited publications from nurses

18
Strengths

Conceptual framework of the global advancement of
nursing as a profession
Capacity of nurses to enhance their roles
Needs of the worlds populations
Nursings connection to people
The potential of APNs as a link for improving
health systems

19
Strategies

Utilize expand on resources
Capacity building
Contextual adaptation of role development
education
Sensitivity in expert knowledge exchange
Use of consistent terminology
Exploration of doable solutions

20
Building BridgesOpening Doors

International Resources
Identifying Needs
Opening your heart while maintaining
consciousness Consciousness is the only Reality
Reconfiguring your perspective
Innovative thinking

21
Network Beginning

Response to identified global development of
NP/APN roles
Interested professionals initiated conferences
discussions
ICN explored options for development of an APN
resource
Network launching October 2000

22
Network Goal

Key Goal
To be an international resource for nurses,
nurse practitioners and advanced practice
nurses as well as interested others (e.g.
policymakers, educators, regulators, health
planners)

23
Network Objectives