Third ICN International NPAPN Network Conference

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Third ICN International NP/APN Network Conference

• Groningen
• The Netherlands
• June 29, 2004

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Dimensions Dynamics of International Advanced
Nursing Practice
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Critical Pathways
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Global Sensitivity

• Language
• Culture
• Religion

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Context adaptability

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

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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

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Illustrations of APN Development
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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

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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

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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

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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

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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

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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

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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

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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

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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

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Challenges for APN Development

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

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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

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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

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Building BridgesOpening Doors

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

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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

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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)

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Network Objectives

• Provide relevant and timely information
• Offer a forum for exchange of knowledge expertise
  and experience
• Support nurses and countries in the process of
  introducing NP and APN roles
• Access international resources that are pertinent
  to the field

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Accomplishments

• NP/APN Definition Characteristics
• Scope standards of practice
• Survey results
• NP/APN Programme directory
• Web site
• News bulletin
• Conferences
• Network logo

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Future Plans

• Improved global representation
• Research
• Enhanced visibility for network activities
• Exchange programs
• Fundraising/sponsorship
• Travel grants for conferences
• Support for special projects

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Network Challenge

• Developing a new ICN Network
• while at the same time
• Representing newly emerging nursing roles

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Formula for success

• Concept development
• Committed individuals
• Active, enthusiastic ICN support
• Interest from the international community

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ICN INPAPNN logo
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Network News Resources

• Web http//www.icn-apnetwork.org