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An international perspective of advanced practice nursing regulation
Author(s) -
Heale R.,
Rieck Buckley C.
Publication year - 2015
Publication title -
international nursing review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.84
H-Index - 51
eISSN - 1466-7657
pISSN - 0020-8132
DOI - 10.1111/inr.12193
Subject(s) - credentialing , scope of practice , nursing , nurse education , licensure , legislation , medicine , nursing research , scope (computer science) , political science , health care , computer science , law , programming language
Background There is no common understanding about the role of the advanced practice nurse across the globe and there is wide variation in the regulation of advanced practice nursing roles as well as their educational, licensing and credentialing requirements. Aim The goal of this research was to examine the status of advanced practice nursing regulation globally. Methods An online survey link was emailed to National Nursing Associations and nursing health policy makers worldwide from June to D ecember 2011. Questions focused on regulation, education, scope of practice, and barriers and opposition. Analysis included frequency statistics and descriptive data for survey questions and content analysis for two open‐ended questions. Limitations The survey was offered online and only in E nglish. Therefore, technology and language barriers may have influenced the results. Results There is wide variation in educational requirements, regulation and scope of practice of advanced practice nurses. The barriers to advanced practice nursing are often linked to the status of legislation and credentialing in specific jurisdictions. Conclusion A database of advanced practice nursing regulation and issues related to practice has the potential to become a valuable resource for individual countries. Implications for nursing and health policy Each country has unique challenges related to health policy for advanced practice nursing roles. International nursing organizations have established programmes for regulation development; however, a stronger focus on monitoring regulation and more effective dissemination of information about available supports may have a bigger impact on the development and revision of health policy related to advanced practice nursing.