Abstract
In this introductory chapter, a brief description of advanced practice nursing on an international level and the background to and motivation for why advanced practice nursing provides an opportunity whereby healthcare services can be improved and developed are presented. First, advanced practice nursing is briefly introduced as an international phenomenon, including common positive effects of advanced practice nursing as demonstrated in earlier research and international experience. Then four clear reasons for why it is worthwhile to invest in the development of advanced practice nursing are presented. This includes the current need to improve access to nursing, care, and treatment; more effective use of available resources to meet increased demand for healthcare services; how advanced practice nursing supports the recruitment of future nurses through clinical career paths; and how advanced practice nursing can contribute to the sustainable development of healthcare services.
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References
Altersved E, Zetterlund L, Lindblad U, Fagerström L (2011) Advanced practice nurses − a new resource for Swedish primary health care teams. Int J Nurs Pract 17:174–180. https://doi.org/10.1111/j.1440-172X.2011.01923.x
Bing-Jonsson PC, Foss C, Bjørk IT (2016) The competence gap in community elderly care. Imbalance between expected and actual nursing staff competence. Nordic J Nurs Res 36(1):27–37. https://doi.org/10.1177/0107408315601814
Bodenheimer T, Wagner EH, Grumbach K (2002) Improving primary care for patients with chronic illness. JAMA Netw 288(14):1775–1779. https://doi.org/10.1001/jama.288.14.1775
Boman E, Egilsdottir Ö, Levy-Malmberg R, Fagerström L (2019a) Nurses’ understanding of a developing nurse practitioner role in the Norwegian emergency care context: a qualitative study. Nordic J Nurs Res 39(1):47–54. https://doi.org/10.1177/2057158518783166
Boman E, Glasberg AL, Levy-Malmberg R, Fagerström L (2019b) ‘Thinking outside the box’: advanced geriatric nursing in primary health care in Scandinavia. BMC Nurs 18:25. https://doi.org/10.1186/s12912-019-0350-2. eCollection 2019
Boman E, Duvaland E, Gaarde K, Leary A, Fagerström L (2020) Implementation of advanced practice nursing for orthopedic patients in the emergency care context – a study protocol for outcome studies. J Adv Nurs 76:1069–1076. https://doi.org/10.1111/jan.14299
Boman E, Duvaland E, Gaarde K, Leary A, Fagerström L (2021) Implementation of advanced practice nursing for minor orthoped injuires in the emergency care context – a non-inferiority study. Int J Nurs Stud 118:103910
Bryant-Lukosius D, Martin-Misener R (2017) Advanced practice nursing: an essential component of country level human resources for health ICN policy brief. https://www.who.int/workforcealliance/knowledge/resources/ICN_PolicyBrief6AdvancedPracticeNursing.pdf. Accessed 22 May 2020
Bryant-Lukosius D, Wong FKY (2019) International development of advanced practice nursing. In: Tracy MF, O’Grady ET (eds) Advanced Practice Nursing: An Integrative Apporach. St Louis, Missouri: Elsevier. 6th edition, pp 129–141
Campbell JL, Fletcher E, Britten N, Green C, Holt T, Lattimer V et al (2015) The clinical effectiveness and cost-effectiveness of telephone triage for managing same-day consultation requests in general practice. A cluster randomised controlled trial comparing general practitioner-led and nurse-led management systems with usual care (the ESTEEM trial). National Institute of Health Research. Health Technol Assess 19:1366–5278. https://doi.org/10.3310/hta19130
Christiansen J, Fagerström L (2016) Behov for avanceret klinisk sygepleje i Norden – Sygeplejelederes perspektiv. Nordisk sygeplejeforskning 6(3):278–294. https://doi.org/10.18261/issn.1892-2686-2016-03-06
Christmals CD, Armstrong SJ (2019) The essence, opportunities and threats to advanced practice nursing in sub Saharan Africa: a scoping review. Heliyon 5(10):e02531. https://doi.org/10.1016/j.heliyon.2019.e02531
Dawson AJ, Nkowane AM, Whelan A (2015) Approaches to improving the contribution of the nursing and midwifery workforce to increasing universal access to primary health care for vulnerable populations. A systematic review. Hum Resour Health 13:97. https://doi.org/10.1186/s12960-015-0096-1
Debout C (2020) APN role implementation: an opportunity to reconsider clinical leadership in France. In: Hassmiller SB, Pulcini J (eds) Advanced practice nursing leadership: a global perspective. Springer, pp 235–254
Delamaire M-L, Lafortune G (2010) Nurses in advanced roles: a description and evaluation of experiences in 12 developed countries. OECD Health Working Papers No 54. OECD Publishing. https://doi.org/10.1787/5kmbrcfms5g7-en. Accessed 22 May 2020
Delaney KR, Vanderhoef D (2019) The psychiatric mental health advanced practice registered nurse workforce: charting the future. J Am Psychiatr Nurses Assoc 25(1):11–18. https://doi.org/10.1177/1078390318806571
Donald F, Martin-Misener R, Carter N, Donald EE, Kaasalainen S, Wickson-Griffiths A et al (2013) A systematic review of the effectiveness of advanced practice nurses in long-term care. J Adv Nurs 69:2148–2161. https://doi.org/10.1111/jan.12140
Eide H, Eide T (2020) Digital helse, læring og mestring. In: Vågan A (ed) Helsepedagogiske metoder. Gyldendal akademisk, Oslo, pp 159–187
Fagerström L (2009) Developing the scope of practice and education for advanced practice nurses in Finland. Int Nurs Rev 56:269–272. https://doi.org/10.1111/j.1466-7657.2008.00673.x
Fagerström L (2016) Avancerat kliniskt vårdarbete som en del av den nya kliniska karriärmodellen för sjukskötare i Finland. Vård i Fokus 2:4–11
Fagerström L (ed) (2019) Avansert klinisk sykepleie, 1st edn. Oslo: Gyldendal Akademisk, Oslo
Fahey-Walsh J (2004) Practice component. Literature review report. Advanced nursing practice and the primary health care nurse practitioner: title, scope, and role. Canadian Nurse Practitioner Initiative, Ottawa. https://www.cna-aiic.ca/-/media/cna/page-content/pdf-en/06_practicefw_appendixb.pdf?la=en&hash=16D121B7951610FCB60C8AD11A88DD4245B95CB1. Accessed 22 May 2020
Finnbakk E, Skovdal K, Fagerström L, Olesen M, Store EB, Larsen R, Kulla G, Ahonen P (2010) An optimal future care for older people in the Nordic countries. J Clin Nurs 19(Suppl 1):115–128
Ford LC, Silver HK (1967) The expanded role of the nurse in child care. Nurs Outlook 15:43–45
Glasberg A-L, Fagerström L, Räihä G, Jungerstam S (2009) Erfarenheter av den nya yrkesrollen som klinisk expertsjukskötare – en kvalitativ studie. Vård i Norden 29:33–37. https://doi.org/10.1177/010740830902900208
Griffin M, Melby V (2006) Developing an advanced nurse practitioner service in emergency care: attitudes of nurses and doctors. J Adv Nurs 56(3):292–301. https://doi.org/10.1111/j.13652648.2006.04025.x
Hallman E-B, Gillsjö C (2005) Avancerad specialistsjuksköterska – från idé till verklighet. Vård i Norden 25:76–78. https://doi.org/10.1177/010740830502500317
Hamric AB (2009) A definition of advanced practice nursing. In: Hamric AB, Spross JA, Hanson CM (eds) Advanced practice nursing. An integrative approach. Saunders Elsevier, St. Louis, MO, pp 75–93
Hamric AB, Tracy MF (2019) A definition of advanced practice nursing. In: Tracy MF, O’Grady ET (eds) Advanced practice nursing an integrative approach. Elsevier, St. Louis, MO, pp 61–79
Hassmiller SB, Pulcini J (2020) Advanced practice nursing leadership: a global perspective. Springer, Cham. https://doi.org/10.1007/978-3-030-20550-8
Hauge S, Hestetun M, Kirkevold M (2011) Avansert geriatrisk sykepleie – hva er det og hvorfor trenger vi slike sykepleiere i Norge? Geriatrisk sykepleie 1:20–23
Helsedirektoratet (2014) Oppgavedeling i spesialisthelsetjenesten – utarbeidelse av opplegg for pilotprosjekter. https://www.helsedirektoratet.no/rapporter/oppgavedeling-i-spesialisthelsetjenesten-opplegg-for-pilotprosjekter/Oppgavedeling%20i%20spesialisthelsetjenesten%20%E2%80%93%20opplegg%20for%20pilotprosjekter.pdf/_/attachment/inline/29b254d5-aa49-4833-9ee4-7b58f9ff52d0:867aa844b83502fb7a117cdc071459a8356ace69/Oppgavedeling%20i%20spesialisthelsetjenesten%20%E2%80%93%20opplegg%20for%20pilotprosjekter.pdf. Accessed 22 May 2020
Hollinghurst S, Horrocks S, Anderson E, Salisbury C (2006) Comparing the cost of nurse practitioners and GPs in primary care. Modelling economic data from randomised trials. Br J Gen Pract 56(528):530–535
Holm Hansen E, Boman E, Bing-Jonsson P, Fagerström L (2020) Introducing nurse pracititoner into norwegian primary health care – experiences and learning. Res Theory Nurs Pract Int J 34(1):21–34
Horrocks S, Anderson E, Salisbury C (2002) Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ 324:819–823. https://doi.org/10.1136/bmj.324.7341.819
Hu JY, Tung HH, Tsay SL, Lin WC (2018) An outcome analysis of nurse practitioner care in a community hospital in Taiwan. J Am Assoc Nurse Pract 30(8):464–471. https://doi.org/10.1097/JXX.0000000000000066
Imhof L, Naef R, Wallhagen MI, Schwarz J, Mahrer-Imhof R (2012) Effects of an advanced practice nurse in-home health consultation program for communitydwelling persons aged 80 and older. JAGS 60:2223–2231
International Council of Nurses (2020) Guidelines of advanced practice. Geneva, Switzerland. https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf. Accessed 30 Apr 2020
Jangland E, Becker D, Börjeson S, Doherty C, Gimm O, Griffith P, Johansson A-K, Juhlin C, Pawlow P, Sicoutris C, Yngman-Uhlin P (2014) The development of a Swedish nurse practitioner program – a request from clinicians and a process supported by US experience. J Nurs Educ Pract 4:2. https://doi.org/10.5430/jnep.v4n2p38
Jennings N, O’Reilly G, Lee G, Cameron P, Free B, Bailey M (2008) Evaluating outcomes of the emergency nurse practitioner role in a major urban emergency department, Melbourne, Australia. J Clin Nurs 17(8):1044–1050. https://doi.org/10.1111/j.1365-2702.2007.02038.x
Jennings N, Clifford S, Fox AR, O’Connell J, Gardner G (2015) The impact of nurse practitioner services on cost, quality of care, satisfaction and waiting times in the emergency department. A systematic review. Int J Nurs Stud 52(1):421–435. https://doi.org/10.1016/j.ijnurstu.2014.07.006
Johansen E, Fagerström L (2010) An investigation of the role that nurses play in Norwegian home care. Br J Community Nurs 15(10):497–502. https://doi.org/10.12968/bjcn.2010.15.10.78742
Jokiniemi K (2014) Clinical nurse specialist role in Finnish health care. Doctoral dissertation. University of East-Finland, Nursing Science, Kuopio. http://urn.fi/URN:ISBN:978-952-61-1579-5. Accessed 22 May 2020
Kazer MW, Grossman S (2011) Gerontological nurse practitioner certification review. Springer, New York
Kinnersley P, Anderson E, Parry K, Clement J, Archard L, Turton P, Stainthorpe A, Fraser A, Butler CC, Rogers C (2000) Randomised controlled trial of nurse practitioner versus general practitioner care for patients requesting “same day” consultations in primary care. BMJ 320(7241):1043–1048. https://doi.org/10.1136/bmj.320.7241.1043
Kittelsen SAC, Magnussen J, Anthun SA (2007) Sykehusproduktivitet etter statlig overtakelse. En nordisk komparativ analyse. Helseøkonomisk forskningsprogram. Skriftserie 1. Universitetet i Oslo, Oslo
Kleinpell R (2005) Acute care nurse practitioner practice. Results of a 5-year longitudinal study. Am J Crit Care 14:211–219. https://doi.org/10.4037/ajcc2005.14.3.211
Laurant M, Reeves D, Hermens R, Braspenning J, Grol R, Sibbald B (2005) Substitution of doctors by nurses in primary care. Cochrane Database of Systematic Reviews(2). https://doi.org/10.1002/14651858.CD001271.pub2
Lenz E, O’Neil Mundinger M, Kane RL, Hopkins SC, Lin SX (2004) Primary care outcomes in patients treated by nurse practitioners or physicians. Two-year follow-up. Med Care Res Rev 61(3):332–351. https://doi.org/10.1177/1077558704266821
Lindblad E, Hallman E-B, Gillsjö C, Lindblad U, Fagerström L (2010) Experiences of the new role of advanced practice nurses in Swedish primary health care – a qualitative study. Int J Nurs Pract 16:69–74. https://doi.org/10.1111/j.1440-172X.2009.01810.x
Ljungbeck B, Sjögren FK (2017) Advanced nurse practitioners in municipal healthcare as a way to meet the growing healthcare needs of the frail elderly: a qualitative interview study with managers, doctors and specialist nurses. BMC Nurs 16:63. https://doi.org/10.1186/s12912-017-0258-7
Long A, McCann S, McKnight A, Bradley T (2004) Has the introduction of nurse practitioners changed the working patterns of primary care teams?: a qualitative study. Prim Health Care Res Dev 5:28–39. https://doi.org/10.1191/1463423604pc183oa
Maier CB, Barnes H, Aiken LH, Busse R (2016) Descriptive, cross-country analysis of the nurse practitioner workforce in six countries: size, growth, physician substitution potential. BMJ Open 6(9):e011901. https://doi.org/10.1136/bmjopen-2016-011901
Maier CB, Aiken LH, Busse R (2017) Nurses in advanced roles in primary care. Policy levers for implementation. OECD Health Working Papers, 98. https://doi.org/10.1787/a8756593-en
Marsden J, Street C (2004) A primary healthcare team’s views of the nurse practitioner role in primary care. Prim Health Care Res Develop 5:17–27. https://doi.org/10.1191/1463423604pc181oa
Martin-Misener R, Harbman P, Donald F, Reid K, Kilpatrick K, Carter N, Bryant-Lukosius D, Kaasalainen S, Marshall DA, Charbonneau-Smith R, DiCenso A (2015) Cost-effectiveness of nurse practitioners in primary and specialised ambulatory care: systematic review. BMJ Open 5:e007167. https://doi.org/10.1136/bmjopen-2014-007167
Mboineki JF, Zhang W (2018) Healthcare provider views on transitioning from task shifting to advanced practice nursing in Tanzania. Nurs Res 67(1):49–54. https://doi.org/10.1097/NNR.0000000000000259
McCormack B (2004) Person-centredness in gerontological nursing: an overview of the literature. J Clin Nurs 13:31–38. https://doi.org/10.1111/j.1365-2702.2004.00924.x
Ministry of Health, Nursing Council of New Zealand, DHBNZ, NPAC-NZ (2009) Nurse practitioners: a healthy future for New Zealand. Wellington: Ministry of Health. https://www.health.govt.nz/system/files/documents/publications/nurse-practitioners-a-healthy-future-for-nz.pdf. Accessed 22 May 2020
Myers PC, Lenci B, Sheldon MG (1997) A nurse practitioner as the first point of contact for urgent medical problems in a general practice setting. Fam Pract 14:492–497. https://doi.org/10.1093/fampra/14.6.492
Newhouse RP, Stanik-Hutt J, White KM, Johantgen M, Bass EB, Zangaro G, Wilson RF, Fountain L, Steinwachs DM, Heindel L, Weiner JP (2011) Advanced practice nurse outcomes 1990–2008. A systematic review. Nurs Econ 29(5):1–22
Nygren B (2006) Inner strength among the oldest old. A good ageing. Doctoral dissertation, Umeå University, Department of Nursing, Umeå, Sweden. http://www.diva-portal.org/smash/get/diva2:144984/FULLTEXT01.pdf. Accessed 21 May 2020
Parker JL, Desborough MP, Forrest LE (2012) Stakeholder perception of a nurse led walk-in centre. BMC Health Serv Res 12:382. http://www.biomedcentral.com/1472-6963/12/382
Prosser B, Olson R (2009) Changes 2009 rd, Finland. https://www.eduskunta.fi/SV/vaski/HallituksenEsitys/Documents/rp_283+2009.pdf. Accessed 21 May 2020
Roodbol P (2016) Role and scope of the APN in primary care and hospital in the Netherlands. Dagskonferanse Avanserte kliniske sykepleieres kliniske kompetanse, funksjon og oppgaver i kommunene og på sykehus – nasjonale og internasjonale perspektiv. Høgskolen i Sørøst-Norge, Drammen. Regeringens proposition. Regeringens proposition med förslag till lag om ändring av lagen om yrkesutbildade personer inom hälso- och sjukvården och vissa lagar som har samband med den. Regeringens proposition RP 283, Sverige (Sweden)
Roots A, MacDonald M (2014) Outcomes associated with nurse practitioners in collaborative practice with general practitioners in rural settings in Canada: a mixed methods study. Hum Resour Health 12:69. https://doi.org/10.1186/1478-4491-12-69
Sakr M, Angus J, Perrin J, Nixon C, Nichol J, Wardrope J (1999) Care of minor injuries by emergency nurse practitioners or junior doctors: a randomised controlled trial. Lancet 354:1321–1326. https://doi.org/10.1016/s0140-6736(99)02447-2
Schober M (2016. (eBook)) Introduction to advanced nursing practice an international focus. Springer, Cham. https://doi.org/10.1007/978-3-319-32204-9
Schober M, Affara FA (2006) International Council of Nurses. Advanced nursing practice. Blackwell Publishing, Singapore
Smailhodzic E, Fagerström L (2016) Behov for avansert kliniske sykepleiere innen eldreomsorgen i Norden. En kvalitativ studie fra legenes perspektiv, Master’s thesis, Høgskolen i Sørøst-Norge, Drammen
St. meld. nr. 47 (2008–2009) Samhandlingsreformen. Rett behandling – på rett sted – til rett tid. Helse- og omsorgsdepartementet, Oslo. https://www.regjeringen.no/no/dokumenter/stmeld-nr-47-2008-2009-/id567201/?ch=1. Accessed 21 May 2020
St.meld. nr. 26 (2014–2015) Fremtidens primærhelsetjeneste – nærhet og helhet. Helse – og omsorgsdepartementet, Oslo. https://www.regjeringen.no/no/dokumenter/meld.-st.-26-2014-2015/id2409890/?ch=1. Accessed 21 May 2020
Statens Offentliga Utredning (2018) Framtidens specialistsjuksköterska – ny roll, nya möjligheter. Betänkande av Utredningen om specialistsjuksköterskeutbildning och vissa andra hälso- och sjukvårdsutbildningar. SOU 17/2018, Stockholm. https://www.regeringen.se/4ab6f6/contentassets/6f67c0e786f0491899a98579a002508c/framtidens-specialistsjuksköterska%2D%2Dny-roll-nya-mojligheter-sou-201877. Accessed 21 May 2020
STM/Social och hälsovårdsministeriet (2019) Social- och hälsovårdsministeriets förordning om ändring av social-och hälsovårdsministeriets förordning om förskrivning av läkemedel 922/2019. https://www.finlex.fi/sv/laki/alkup/2019/20190992. Accessed 21 May 2020
Stolee P, Hillier LM, Esbaugh J, Griffiths N, Borrie MJ (2006) Examining the nurse practitioner role in long-term care: evaluation of a pilot project in Canada. J Gerontol Nurs 32(10):28–36. https://doi.org/10.3928/00989134-20061001-05
Talerico KA, O’Brien JA, Swafford KL (2003) Person-centered care. An important approach for 21st century healthcare. J Psychosoc Nurs Ment Health Serv 41:12–16
Teunissen DTAM, Stegeman MM, Bor HH, Lagro-Janssen TALM (2015) Treatment by a nurse practitioner in primary care improves the severity and impact of urinary incontinence in women. An observational study. BMC Urol 15:51. https://doi.org/10.1186/s12894-015-0047-0
United Nations (1987) Report of the world commission on environment and development. https://digitallibrary.un.org/record/139811#record-files-collapse-header. Accessed 25 May 2020
Vaartio-Rajalin H, Fagerström L (2019) Professional care at home: patient-centeredness, interprofessionality and effectivity? A scoping review. Health Soc Care Community 27:e270–e288. https://doi.org/10.1111/hsc.12731
Vaartio-Rajalin H, Rauhala A, Fagerström L (2019) Person-centered home-based rehabilitation for persons with Parkinson’s disease: a scoping review. Int J Nurs Stud 99:103395. https://doi.org/10.1016/j.ijnurstu.2019.103395
Vallimies-Patomäki M, Perälä M-L, Lindström E (2003) Miten sairaanhoitajien tehtäväkuvien laajentaminen on onnistunut – systemoitu kirjallisuuskatsaus. Tutkiva Hoitotyö 1(2):10–15
Venning P, Durie A, Roland M, Roberts C, Leese B (2000) Randomised controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care. BMJ 320(7241):1048–1053. https://doi.org/10.1136/bmj.320.7241.1048
Wisur-Hokkanen C, Glasberg A-L, Mäkelä C, Fagerström L (2015) Experiences of working as an advanced practice nurse in Finland – the substance of advanced nursing practice and promoting and inhibiting factors. Scand J Caring Sci 29(4):793–802. https://doi.org/10.1111/scs.12211
Wong FKY (2018) Development of advanced nursing practice in China: act local and think global. Int J Nurs Sci 5:101e104. https://doi.org/10.1016/j.ijnss.2018.03.003
World Health Organization (2016) Global strategy on human resources for health: workforce 2030. https://www.who.int/hrh/resources/global_strategy_workforce2030_14_print.pdf?ua=1. Accessed 3 Apr 2020
World Health Organization (2018) Aging and health. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health. Accessed 2 Apr 2020
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Fagerström, L.M. (2021). Advanced Practice Nursing: A Justified Need. In: A Caring Advanced Practice Nursing Model . Advanced Practice in Nursing. Springer, Cham. https://doi.org/10.1007/978-3-030-53555-1_1
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