APN Vs CC Set Development APN Vs CC Set Development

w 2001 – CC ANP endorsed by HRC

w 2001 – Retermed CCAPN to in line with NGR

w 2001 – Explore development of NP / APN in GOPC (Primary Care Setting)

w 2003 – Pilot the role of Advanced Practice Nurse (APN)

w 1997 – CC RN w 1998 – CC EN w 2000 – CC ANP

(Advance Nursing Practice)

*include : WM/NS/NO

w 1993 – Establish NS Position w 1996 – Pilot SNS w 2000 – Nursing Grade Reform

Introduce Advanced Practice Nurse (APN)

Core Competency Advanced Practice Nursing

Formalize the Advanced Practice Nurse level in

HA nursing career structure

Proposed New Structure Proposed New Structure

Nurse Consultant

Advanced Practice Nurse I Advanced Practice Nurse II

Practice Nurse

Enrolled Nurse

Conversion Programme

Advanced Practice Nursing in Advanced Practice Nursing in HA HA

“those nursing practices which are beyond the scope of practice provided by the registered nurse and focus on clinical care”

HA, 2000

“The difference in RN & APN level of practice relates to a greater depth and breadth of knowledge, a greater degree of Synthesis of data, and complexity of skills and interventions.” ANA, 1996

ICN definition of NP/ APN

“A Nurse Practitioner/Advanced Practice Nurse is a registered nurse who has acquired the expert knowledge base,, complex decision­making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or country in which s/he is credentialed to practice. A master's degree is recommended for entry level.”

Key Profiles of the Proposed Structure

Rank Profile

Advanced Practice Nurse II

•RN with PGD/Master degree in a clinical specialty

or •RN with PGD/Master degree in management and has specialized in one nursing specialty by completing a recognized advanced clinical nursing course •Able to demonstrate the competencies requirement of an APN

Advanced Practice Nurse I

• RN with Master degree and possesses professional expertise in a branch of specialty nursing

• Able to demonstrate the core competencies of an APN and leadership skills

• Act as a clinical leader of a department or related specialties

6 6 Key Job Objectives of APN Nurses in HA

1. Deliver advanced and expert level of care management in maximizing patient outcome. Manage difficult and complicated health conditions through self and other.

2. Provide expert advice and consultation for effective operations and high quality client care. Act as resource personnel in the health care team.

3. Ensure smooth operations and management of quality nursing service. Lead and implement changes to achieve organizational goals.

6 6 Key Job Objectives of APN Nurses in HA

4. Co­ordinate clinical services and inputs from various teams and team members to enhance patient­centered health care.

5. Develop and advance the practice of the nursing profession including the competencies of self and peers.

6. Ensure, enhance and advocate professional ethics in nursing.

Advanced Practice Nurse Pilot Advanced Practice Nurse Pilot

2003 2003

APN Pilot APN Pilot Oct 2003 Oct 2003 – – May 2005 May 2005

Scope: To pilot entry level APN

Objectives:

w To identify issues which may impact on the introduction of APN and migration to new nursing structure; and

w To examine the role and responsibility of APN within the existing nursing structure.

w Evaluation ­ 12 months after the introduction of APNs in the work place w Questionnaire survey of APNs and their colleagues on issues relating to their role and working relationship in the clinical settings. w Specific interviews may be supplemented for specific areas of concern. w Focus groups discussions will also be conducted during the pilot period to provide a forum for communication and identify areas for improvement for newly appointed APNs.

APN Pilot APN Pilot (Cont’d)

Key Responsibilities of APN in Key Responsibilities of APN in Pilot Pilot

w Perform specialist role in a clinical specialty w Provide advanced nursing care to patients and relatives w Act as a resources and referral agent w Teach and advise on clinical practice w Counsel and teach pateints/relatives/staff and public w Initiate and participate in evidence­based practice and research w Lead the nursing team within a clinical unit

Functional Functional Competency Competency

Personal

Organizational People & Team

Framework of Framework of Competency Competency