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  • Book
  • © 2023

Nurse Practitioners and Nurse Anesthetists: The Evolution of the Global Roles

  • Endorsed by the International Council of Nurses

  • Provides a unique perspective of the NP and NA advanced clinical role global development

  • Grounded in the principles found in the ICN Guidelines for Advanced Practice Nursing

Part of the book series: Advanced Practice in Nursing (APN)

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Table of contents (31 chapters)

  1. Front Matter

    Pages i-ix
  2. The Role of the Nurse Practitioner

    1. Front Matter

      Pages 1-1
    2. Nurse Practitioner Education and Curriculum: A US Focus

      • Elizabeth Miller Walters, Tracy Vernon-Platt, Ashley Kellish, Manisha Mittal, Sean DeGarmo
      Pages 69-81
    3. NP Practice Competencies

      • Mary Beth Bigley, Elizabeth Miller Walters, Joshua Evans, Sean DeGarmo
      Pages 83-94
    4. The Nurse Practitioner as a Leader

      • Joyce Pulcini, Nancy Street, Steven Purcell
      Pages 95-101
    5. The NP and Research: A Global Perspective

      • Patricia F. Flannery Pearce
      Pages 103-118
    6. Nurse Practitioner Outcomes Evaluation

      • Ruth Kleinpell, April N. Kapu, Brigitte Woo, Zhou Wentao
      Pages 119-127
  3. NP Country Exemplars

    1. Front Matter

      Pages 129-129
    2. The Nurse Practitioner in the USA: Role Exemplars

      • Mary Ellen Roberts, Joyce Knestrick
      Pages 131-143
    3. The NP Role and Practice in Canada

      • Minna Miller, Natasha Prodan-Bhalla, Stan Marchuk
      Pages 145-155
    4. The NP Role and Practice in Finland

      • Anna Suutarla, Virpi Sulosaari, Johanna Heikkilä
      Pages 181-195
    5. The Nurse Practitioner Role in Ireland

      • Daniela Lehwaldt, Emily B. Lockwood
      Pages 197-206
    6. Nurse Practitioner Development in German-speaking Countries: Germany, Austria, and Switzerland

      • Elke Keinath, Andreas Dirksen, Daniela Lehwaldt, Manela Glarcher, Roland Essl-Maurer, Christoph von Dach et al.
      Pages 207-223
    7. The Nurse Practitioner Role and Practice in Botswana

      • Deborah C. Gray, Mabedi Kgositau, Gaonyadiwe Lubinda-Sinombe
      Pages 225-234
    8. Nurse Practitioner Role in Kenya

      • Rachel Wangari Kimani, Eunice Ndirangu-Mugo
      Pages 235-245

About this book

As the only book of its kind, this publication provides students, clinicians, researchers, ministries of health, and others with a valuable, thorough, and focused understanding of the development of the nurse practitioner (NP) and nurse anesthetist (NA), two advanced practice nursing roles which have improved access to care and healthcare outcomes as bilateral role development has progressed internationally.  As the two roles have significant clinical differences, the book will appraise each role separately within two sections utilizing different approaches.  After a thorough platform of defining and describing each role, including history and origins, education, practice, regulation, and leadership, the book guides by example, utilizing unique country case studies divided by WHO regions as exemplars for international role development as well as an outlook for the future of advanced practice nursing on the global stage.  The book expands on the tenets and principles as outlined in the ICN Guidelines on Advanced Practice Nursing for Nurse Practitioners (2020) and Nurse Anesthetists (2021), providing the reader with an internationally vetted and accepted comprehension of the roles, guiding and inspiring future role development to improve global health care.


  • Healthcare
  • Advanced practice nursing
  • International advanced practice nursing
  • International nursing roles
  • Global nursing role development

Editors and Affiliations

  • DePaul Community Health Center, New Orleans, USA

    Sophia L. Thomas

  • School of Nurse Anesthesia, Texas Christian University, Fort Worth, USA

    Jackie S. Rowles

About the editors

Dr. Sophia L. Thomas, APRN, DNP, MN, FNP-BC, PPCNP-BC, FNAP, FAANP, is a Past President of the American Association of Nurse Practitioners® (AANP). She is a certified Family and Pediatric Primary Care Nurse Practitioner (NP) dedicated to providing and advocating for access to Primary Care to medically underserved families. Thomas practices at DePaul Community Health Center, a federally qualified health center in New Orleans, Louisiana, and is a clinical preceptor. As a primary care provider, Thomas provides her patients with access to cost-effective, patient-centered care. She impacts NP education through publications and presentations on multiple clinical topics and lends her expertise as a legal expert witness on Nurse Practitioner Scope of Practice and Standards of Care.As AANP President, Thomas concentrated efforts on providing NPs with policy and clinical information, on boosting direct member communications, enhancing continuing education offerings, and ensuring the organization was responsive to social and cultural needs. She initiated AANP position statements against racial and health disparities. Thomas serves on several advisory boards, including the Healthy Blue Louisiana Credentialing and Medical Advisory Committees, Prevention Magazine, and the Journal for Nurse Practitioners.  She has served the NP role in several elected and appointed positions within her home state of Louisiana as well as nationally. Thomas holds a doctoral degree in nursing practice from Loyola University, where she was honored with the Post-Master’s DNP Nightingale Award, and she has a master’s in nursing from Louisiana State University Health Sciences Center. In 2020, Thomas was chosen as one of Modern Healthcare’s 100 Most Influential People in Healthcare.

Dr. Jackie Rowles, DNP, MBA, MA, CRNA, ANP-BC, NSPM-C, FNAP, FAANA, FAAN is a Certified Registered Nurse Anesthetist and Board-Certified Adult Nurse Practitioner who is also board certified in Non-Surgical Pain Management. She is well-known leader and sought out speaker nationally and internationally. Rowles is an Associate Professor of Professional Practice and Director of the Advanced Pain Management Fellowship in the Texas Christian University School of Nurse Anesthesia (Fort Worth, TX, USA). Currently serving in her fifth term as President of the International Federation of Nurse Anesthetists (IFNA), Rowles is a former president and interim executive director of the American Association of Nurse Anesthesiology (AANA). Dr. Rowles is a co-editor, researcher, and multiple chapter author for the book The Global Voice for Nurse Anesthesia: International Federation of Nurse Anesthetists (1989-2021). She was a catalyst and task force member for the 2021 publication of the International Council of Nurses Guidelines for Advanced Practice Nursing: Nurse Anesthetist. Rowles serves on the Ball State University College of Health Advisory Council (Muncie, IN, USA) and is the recipient of numerous leadership and service awards including the highest honors from the AANA and IFNA:  the Agatha Hodgins award for Outstanding Accomplishment, and the Hermi Lohnert award for Outstanding Global Accomplishment. In 2022 she received the AANA Foundation Rita L LeBlanc Philanthropist of the Year Award.

Bibliographic Information

  • Book Title: Nurse Practitioners and Nurse Anesthetists: The Evolution of the Global Roles

  • Editors: Sophia L. Thomas, Jackie S. Rowles

  • Series Title: Advanced Practice in Nursing

  • DOI:

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023

  • Hardcover ISBN: 978-3-031-20761-7Published: 06 June 2023

  • Softcover ISBN: 978-3-031-20764-8Due: 20 June 2024

  • eBook ISBN: 978-3-031-20762-4Published: 05 June 2023

  • Series ISSN: 2511-3917

  • Series E-ISSN: 2511-3925

  • Edition Number: 1

  • Number of Pages: IX, 454

  • Number of Illustrations: 3 b/w illustrations, 29 illustrations in colour

  • Topics: Nursing, Anesthesiology, Nursing Management

Buy it now

Buying options

eBook USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Other ways to access