Advanced practice nurse roles in Europe: Implementation challenges, progress and lessons learnt

Unsworth, John, Greene, Karen, Ali, Parveen, Lillebø, Gro and Mazilu, Doina Carmen (2022) Advanced practice nurse roles in Europe: Implementation challenges, progress and lessons learnt. International Nursing Review. ISSN 0020-8132 (In Press)

[img]
Preview
Text (Advance online version)
International Nursing Review - 2022 - Unsworth - Advanced practice nurse roles in Europe Implementation challenges .pdf - Published Version
Available under License Creative Commons Attribution 4.0.

Download (319kB) | Preview
[img] Text
Accepted Paper Advanced Practice Roles for Nurses.pdf - Accepted Version
Restricted to Repository staff only until 12 September 2023.

Download (342kB) | Request a copy
Official URL: https://doi.org/10.1111/inr.12800

Abstract

Background: Advanced Practice Nursing (APN) roles offer improved access to care, and increased quality and more timely care. Despite the advantages of APN roles, there is a disparity between European countries when it comes to implementing APN roles.
Aim: To explore the implementation of advanced practice nursing roles in a range of European countries and to explore what factors facilitate or hinder the implementation of these roles.

Methods: A case study evaluation of the process of implementing APN roles. The sample included four countries where APN roles were well-developed (Ireland, Spain, Norway, and the United Kingdom) and four where APN roles were implemented (Estonia, Slovenia, Cyprus, and Romania). Interviews were conducted with key informants (n = 28) from government departments, regulatory bodies, Nursing Associations, and Universities. The COREQ Consolidated criteria for reporting qualitative research has been used throughout.

Limitations: The small number of countries when considering the size of the region and key informants representing the view of only 3-4 people in each country.

Results: Four themes were identified including the rationale for the development of the roles, influence, the evolutionary nature of role development, and evidence. The data also revealed a mismatch between the perceptions of how the roles develop among the different countries in the early stages of implementation.

Conclusion: Successful role implementation is dependent upon a tripartite approach between managers, practitioners, and educators. An evolutionary approach to role development was used. Regulation and policy come later on in the process of implementation.

Implications for nursing policy: APN policy should be based on patient need rather than on the workforce or professional imperatives. The process of implementation can take 15-20 years in total. Recognising the importance of the relationships between service managers and educators is key to the early development of these roles.

Item Type: Article
Uncontrolled Keywords: Advanced Practice Nursing, Role, Implementation, Europe, Drivers, Barriers, Case Study, Evaluation
Subjects: B700 Nursing
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Depositing User: Elena Carlaw
Date Deposited: 18 Aug 2022 07:18
Last Modified: 13 Sep 2022 08:01
URI: https://nrl.northumbria.ac.uk/id/eprint/49890

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics