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Page 1: Debra Thoms, Australian College of Nursing: Nurse Practitioners: Roles Into The Future

Adjunct Professor Debra Thoms

Chief Executive Officer

Page 2: Debra Thoms, Australian College of Nursing: Nurse Practitioners: Roles Into The Future

SUMMARY

• Who do we think a Nurse

Practitioner is?

• What is the current state of the

NP role: issues and

challenges?

• What do we think a Nurse

Practitioner will be in the

future?

Page 3: Debra Thoms, Australian College of Nursing: Nurse Practitioners: Roles Into The Future
Page 4: Debra Thoms, Australian College of Nursing: Nurse Practitioners: Roles Into The Future

NURSE PRACTITIONERS

•Registered Nurse

•Completed study at a

Masters Degree level

•Extensive clinical

training to expand upon

the role of a Registered

Nurse

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NURSE PRACTITIONERS

An NP is distinguished from an

RN by:

• The level of post-graduate

education achieved

• Extended practice

experience and

• Specific legislative power

to practice at an extended

scope

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NURSE PRACTITIONERS

Where are NPs found?

Areas of greatest impact

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Page 8: Debra Thoms, Australian College of Nursing: Nurse Practitioners: Roles Into The Future

• Slow growth

• MBS and PBS

Page 9: Debra Thoms, Australian College of Nursing: Nurse Practitioners: Roles Into The Future

NURSE PRACTITIONER

WORKFORCE

Nurse Practitioners: endorsement by state/territory figures (2007 and 2012)

NSW QLD WA VIC SA TAS NT ACT Not stated TOTAL

Nov-12 211 201 140 103 70 20 10 30 3 788

Sep-12 204 195 135 99 70 20 10 30 2 765

Aug-12 189 188 129 98 69 20 11 30 2 736

As at June 07 95 15 46 26 24 0 0 13 219

Page 10: Debra Thoms, Australian College of Nursing: Nurse Practitioners: Roles Into The Future

At the heart of nursing philosophy

and practice is collaborative care

ISSUES AND CHALLENGES

Page 11: Debra Thoms, Australian College of Nursing: Nurse Practitioners: Roles Into The Future

Relationship with medical

profession

ISSUES AND CHALLENGES

Page 12: Debra Thoms, Australian College of Nursing: Nurse Practitioners: Roles Into The Future

Focus on systems not individuals

ISSUES AND CHALLENGES

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Measure

Evaluate

Report

ISSUES AND CHALLENGES

Page 14: Debra Thoms, Australian College of Nursing: Nurse Practitioners: Roles Into The Future

• United States

and United

Kingdom

• Research

findings

support the

positive impact

of the role

INTERNATIONAL EXPERIENCE

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Enabling access to

care

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• Funding

• Scope of MBS items

• Sound policy and

financial investment

ISSUES AND CHALLENGES

Page 17: Debra Thoms, Australian College of Nursing: Nurse Practitioners: Roles Into The Future

RURAL AND

REMOTE

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AGED CARE

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ACUTE CARE

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HOW DOES THIS STORY END?

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• 2043 health system

landscape

• NPs play a significant

role in meeting service

gaps

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Nurse Practitioners playing

a significant role in

providing essential heath

care to the community

Page 24: Debra Thoms, Australian College of Nursing: Nurse Practitioners: Roles Into The Future

How do we achieve this?

• Service models

• NP models are supported

• Clear career pathways

Page 25: Debra Thoms, Australian College of Nursing: Nurse Practitioners: Roles Into The Future