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Regulation of advanced nurse practice: its existence and regulatory dimensions from an international perspective
Author(s) -
Carney Marie
Publication year - 2016
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12278
Subject(s) - cinahl , nursing , certification , legislature , medline , nursing practice , medicine , consistency (knowledge bases) , perspective (graphical) , political science , psychological intervention , geometry , mathematics , artificial intelligence , computer science , law
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.