Nursing and Midwifery Board of Ireland

Advanced Practice (Nursing)

Statutory Instruments No 3 and No 689 (2010)

Assignment to ‘The Board’ of additional functions

In accordance with criteria set by the National CouncilDetermine applications for the accreditation of postsDetermine applications for the registration of nurses as Advanced Nurse Practitioners (ANPs)To accredit ANP postsTo register an ANP who

Has been determined to meet the criteria Has received an offer of employment

To remove name of any ANP who No longer meets the criteriaCeases employment in the ANP post

To remove accreditation of any ANP post who No longer meets the criteria

Current Process Framework for the Establishment of Advanced Nurse Practitioner and Advanced Midwife Practitioner Posts

(NCNM 2008)

Definition of Registered Advanced Nurse Practitioner (P.5) Core Concepts:Autonomy in Clinical PracticeExpert PracticeProfessional and Clinical LeadershipResearch (P.7)

Advanced Practice (Nursing) Standards and Requirements (draft)

2. Expert Nursing Practice

Advanced Knowledge &

SkillsMasters level

4. Communication

and Inter Personal

Competences

1. Professional values

Established therapeutic

Relationships

5. Management and Team

Competencies Risk

Assessment / Management Communication

3. Advanced level of clinical

decision-making and Autonomy

6. Professional & Clinical Leadership

VisionResearch

Audit

Retain Core Concepts and Associated Competencies

Advanced Practice (Nursing)

Person EmpathyRespect

CompassionConsistency

Mutually agreed goals Value placed on person/nurse relationship rather than encounter

Philosophy of Nursing

Current Process POST

• POST Accreditation NMBI will continue to review systems

(resources, culture, leadership & management, policies, procedures,

service level agreements, memorandum of understanding, established referral pathways, clinical governance, quality and risk management, continuous

quality improvement)

Following POST Accreditation

• ANPc must register as Advanced Nurse Practitioner • Currently based on submission of a Portfolio / Form 2

from Employer, and Form 1 (transcripts from HEIs)

– Available at http://www.nursingboard.ie/en/join_register.aspx

– Must satisfy the Board that s/he has met criteria set by the National Council and that s/he has offer of employment in respect of the specified and accredited Advanced Nurse Practitioner Post concerned

Registration as an ANP on the NMBI Division of the Register

Be a Registered Nurse (Active Register) Be registered in the appropriate division of the NMBI

Register Masters level or above with

Substantive Clinical Component Clinical supervision (at least 500 hours); 7 years post registration experience;

5 years experience in the chosen area of specialist practice; Meets core concepts and associated competencies;

Commitment to Continuing Professional Development (Portfolio);

On-going clinical supervision arrangements

Registration as RANP

PERSON Registered in relevant Division of the

Register as

RANP Registered Advanced

Nurse Practitioner

Current Processes and Procedures

Advanced Practice POST ↓

Report to Registration Committee ↓

Decision Letter to Director of Nursing and Director of NMPD↓

ANPc linked to the POST goes forward for Registration as ANP↓

Must meet the criteria evidenced in Portfolio submitted / Form 1/ Form 2/

↓Registration Committee

Decision

Future Processes

Advanced Practice (Nursing) Standards and Requirements (draft)– Public consultation (www.nursingboard.ie )– Working Group Advanced Practice (WGAP)

Criteria to Register as an Advanced Nurse Practitioner (RANP) will not change following publication of Advanced Practice (Nursing) Standards and Requirements