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Home Health Care Management & Practice, Vol. 20, No. 1, 34-40 (2007)
DOI: 10.1177/1084822307305379

The Global Emergence of Advanced Practice Nurses in Providing Home and Community Health Care Services

Madrean Schober, MSN, APN, FAANP

Organizations, health systems, and interested individuals globally are assessing and investigating issues related to community health care services, home health management, and advanced nursing practice. Scarcity of financial and human resources has motivated health care policy makers to rise to the challenge to explore skill mix in the health care workforce in the hope of improving multidisciplinary collaboration in the provision of care for the world's populations. Nurses with advanced knowledge and skills are at the forefront of providing health care in home-based and community settings. This article describes the extent of this global phenomenon as it relates to advanced nursing practice and identifies a variety of international strategies utilized to introduce advanced practice nurses into health care systems.

Key Words: advanced nursing practice • advanced practice nurse • home and community services • global phenomenon • skill mix

References

  • Buchan, J., & Calman, L. (2005). Skill-mix and policy change in the health workforce: Nurses in advanced roles (OECD Health Working Paper 17). Paris: Organisation for Economic Co-operation and Development. Buchan, J., & Dal Poz, M.R. (2002). Skill mix in the health care workforce: Reviewing the evidence. Bulletin of the World Health Organization, 80(7), 575-580.[Medline] [Order article via Infotrieve]
  • Gardner, G., Carryer, J., Dunn, S.V., & Gardner, A. (2004). Nurse Practitioner Standards Project. Brisbane, Australia: Queensland University of Technology, Australian Nursing Council.
  • International Council of Nurses. (2002). Definition and characteristics of the role. Retrieved March 20, 2007, from http://www.icn-apnetwork.org Kim, D.D. (2003, June). The APN in Korea. Presented at the ICN Conference, Geneva, Switzerland.
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This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
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What's this?