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Introducing advanced practice nurses / nurse practitioners in health care systems: a framework for reflection and analysis

De Geest, S. and Moons, P. and Callens, B. and Gut, C. and Lindpaintner, L. and Spirig, R.. (2008) Introducing advanced practice nurses / nurse practitioners in health care systems: a framework for reflection and analysis. Swiss Medical Weekly, Vol. 138. pp. 621-628.

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Official URL: http://edoc.unibas.ch/dok/A6002897

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Abstract

An increasing number of countries are exploring the option of introducing Advanced Practice Nurses (APN), such as Nurse Practitioners (NP), as part of the health care workforce. This is particular relevant in light of the increase of the elderly and chronically ill. It is crucial that this introduction is preceded by an in depth understanding of the concept of advanced practice nursing as well as an analysis of the context. AIMS: Firstly, a conceptual clarification of Advanced Practice Nurses and Nurse Practitioners is provided. Secondly, a framework is introduced that assists in the analysis of the introduction and development of Advanced Practice Nurse roles in a particular health care system. Thirdly, outcomes research on Advanced Practice Nursing is presented. METHODS: Argumentation developed using data based papers and policy reports on Advanced Practice Nursing. RESULTS: The proposed framework consists of five drivers: (1) the health care needs of the population, (2) education, (3) workforce, (4) practice patterns and (5) legal and health policy framework. These drivers act synergistically and are dynamic in time and space. Outcomes research shows that nurse practitioners show clinical outcomes similar to or better than those of physicians. Further examples demonstrate favourable outcomes in view of the six Ds of outcome research; death, disease, disability, discomfort, dissatisfaction and dollars, for models of care in which Advanced Practice Nurses play a prominent role. CONCLUSION: Advanced Practice Nurses such as Nurse Practitioners show potential to contribute favourably to guaranteeing optimal health care. Advanced Practice Nurses will wield the greatest influence on health care by focusing on the most pressing health problems in society, especially the care of the chronically ill.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Institut für Pflegewissenschaft
03 Faculty of Medicine > Departement Public Health > Ehemalige Einheiten Public Health > Klinische Pflegewissenschaft (Spirig)
UniBasel Contributors:De Geest, Sabina M. and Spirig, Rebecca and Lindpaintner, Lyn
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:EMH
ISSN:1424-7860
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:11 Oct 2012 15:32
Deposited On:11 Oct 2012 15:28

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