Advanced nursing practice (ANP): ANP is a continuum along which nurses develop their professional knowledge, clinical reasoning and judgement, skills and behaviours to higher levels of capability (that is recognisable). Nurses practising at an advanced level incorporate professional leadership, education and research into their clinically based practice. Their practice is effective and safe. They work within a generalist or specialist context and they are responsible and accountable in managing people who have complex health care requirements.
Advanced nursing practice is a level of practice and not a role. It is acknowledged that advanced nursing practice is individually attributed within a regulated nursing scope (enrolled nurse, registered nurse or nurse practitioner).
Advanced practice nursing (APN): APN in the Australian nursing context identifies the additional legislative functions of an endorsed nurse practitioner that are outside the contemporary registered nurse scope of practice.
Advanced practice nursing as a nurse practitioner is a qualitatively different level of advanced nursing practice to that of the registered nurse due to the additional legislative functions and the regulatory requirements. The requirements include a prescribed educational level, a specified advanced nursing practice experience; and continuing professional development.
Advanced practice nursing should not be confused with the term ‘practice nurse’ that is used colloquially to describe nurses working in the general practice setting.
Attributes: Are characteristics that underpin competent performance. Refer to National competency standards for the registered nurse under Codes and guidelines on the National Board website.
Competence: The combination of skills, knowledge, attitudes, values and abilities that underpin effective and/or superior performance in a profession/occupational area. Refer to National competency standards for the registered nurse under Codes and guidelines on the National Board website.
Cues: Key generic examples of competent performance. They are neither comprehensive nor exhaustive. They assist the assessor when using their professional judgement in assessing nursing practice. They further assist curriculum development. Refer to National competency standards for the registered nurse under Codes and guidelines on the National Board website.
Nurse Practitioner: A nurse practitioner is an advanced practice nurse endorsed by the Nursing and Midwifery Board of Australia (National Board) to practise within their scope under the legislatively protected title ‘nurse practitioner’.
Person/people: In these Standards, person/ people is used to refer to those individuals who have entered into a relationship with a nurse practitioner. Person/ people encompass patients, clients, consumers and families that fall within the NP scope and context of practice.
Prescribing: is defined as the steps of information gathering, clinical decision making, communication and evaluation which results in the initiation, continuation or cessation of a medicine.
Scope of practice: The scope of nursing practice is that in which nurses are educated, competent to perform and permitted by law. The actual scope of practice of individual practitioners is influenced by the settings in which they practise, the health needs of people, the level of competence and confidence of the nurse and the policy requirements of the service provider.