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Conceptualization, Definition, and Competencies of Advanced Practice Nursing with a Focus on Endocrinology

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Advanced Practice in Endocrinology Nursing

Abstract

Advanced practice roles emerged from a combination of economic factors, staffing needs, political action, and supportive legislation. Fuelled by similar issues, there is a global movement for the development and implementation of advanced practice roles in primary care (general practice) and specialty roles, including endocrinology. Predicted shortages of physicians, particularly for practice in rural and underserved populations, along with spiralling health care costs have made more attractive the philosophy of integrating independent advanced practitioners into an organization and health care system.

To this end, a global definition is needed that clarifies the concept of ‘advanced’ practice and forms a basis for operationalization of these roles. Scope of practice regulations, and credentialing requirements for practice, are dependent on this conceptualization. Specialty practice can be further delineation with a description of competencies.

The increasing complexity of illness and knowledge explosion have resulted in more specialization and driven the need for higher education in nursing. This is also a global trend.

Utilization of nurses as physician substitutes and different country and organizational specific practice models have resulted in role confusion and poor standardization. Using a unifying concept can help to alleviate this confusion for patients and other health care practitioners. More standardization allows for comparative research to further support the efficacy and quantify improvement in patient outcomes achievable by advanced practice nurses.

In this chapter, these issues are explored with recommendations for the application in endocrine nursing.

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Abbreviations

APN:

Advanced practice nurse

CNS:

Clinical nurse specialist

NC:

Nurse Consultant

NHS:

National Health System (Trust)

NP:

Nurse practitioner

RN:

Registered nurse

WHO:

World Health Organization

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Acknowledgement

The author acknowledges Phillip Yeoh RGN BSc MSc NIP who is the Consultant Nurse in Endocrinology, The London Clinic, 5 Devonshire Place London W1G 6HL UK.

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Authors and Affiliations

  1. School of Health Sciences, City, University of London, London, UK

    Sofia Llahana

  2. William F. Connell School of Nursing, Chesnut Hill, MA, USA

    Andrew A. Dwyer

  3. Boston College, Chesnut Hill, MA, USA

    Andrew A. Dwyer

  4. Northwest Pituitary Center, Oregon Health and Sciences University, Portland, OR, USA

    Christine Yedinak

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  1. Sofia Llahana
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  2. Andrew A. Dwyer
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  3. Christine Yedinak
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Corresponding author

Correspondence to Sofia Llahana .

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Editors and Affiliations

  1. School of Health Sciences, City, University of London, London, UK

    Sofia Llahana

  2. Department of Oncology, Skåne University Hospital, Lund, Sweden

    Cecilia Follin

  3. Northwest Pituitary Center Oregon Health and Sciences University, Portland, OR, USA

    Christine Yedinak

  4. Churchill Hospital, University of Oxford, Oxford, UK

    Ashley Grossman

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Llahana, S., Dwyer, A.A., Yedinak, C. (2019). Conceptualization, Definition, and Competencies of Advanced Practice Nursing with a Focus on Endocrinology. In: Llahana, S., Follin, C., Yedinak, C., Grossman, A. (eds) Advanced Practice in Endocrinology Nursing. Springer, Cham. https://doi.org/10.1007/978-3-319-99817-6_67

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