Adjunct Professor Debra Thoms
Chief Executive Officer
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?
NURSE PRACTITIONERS
•Registered Nurse
•Completed study at a
Masters Degree level
•Extensive clinical
training to expand upon
the role of a Registered
Nurse
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
NURSE PRACTITIONERS
Where are NPs found?
Areas of greatest impact
• Slow growth
• MBS and PBS
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
At the heart of nursing philosophy
and practice is collaborative care
ISSUES AND CHALLENGES
Relationship with medical
profession
ISSUES AND CHALLENGES
Focus on systems not individuals
ISSUES AND CHALLENGES
Measure
Evaluate
Report
ISSUES AND CHALLENGES
• United States
and United
Kingdom
• Research
findings
support the
positive impact
of the role
INTERNATIONAL EXPERIENCE
Enabling access to
care
• Funding
• Scope of MBS items
• Sound policy and
financial investment
ISSUES AND CHALLENGES
RURAL AND
REMOTE
AGED CARE
ACUTE CARE
HOW DOES THIS STORY END?
• 2043 health system
landscape
• NPs play a significant
role in meeting service
gaps
Nurse Practitioners playing
a significant role in
providing essential heath
care to the community
How do we achieve this?
• Service models
• NP models are supported
• Clear career pathways
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