Highly motivated European nurses have traditionally
been required to choose between career
advancement and continued direct care of patients.
Recognized achievement in nursing has
been associated with a move away from the bedside
and into management, administrative or educational
positions. The lack of a clinical career
ladder in nursing as well as the focus of
(post)graduate educational programmes on nonclinical
content has provided a disincentive to
keeping the best nurses involved in clinical care,
despite the increasing complexity of the clinical
care provided in nearly every health care setting.
Nurses need to have more than management,
pedagogic or administrative competencies to be
effective actors in a changing health care system
that is confronted with numerous challenges such
as the development of evidence-based care models
in an era of cost containment. The development
of advanced practice nursing education, initially in
the Anglo-Saxon world and increasingly also in
other countries, [4] offers an educational path for
preparing nurses to excel in their core business:
the clinical care of patients and their families. In
addition, in Switzerland educational programmes
focusing on ANP (the first launched in 2000 at the
University of Basel) has led to the introduction of
Advanced Practice Nurses in different clinical
care settings.
Highly motivated European nurses have traditionally
been required to choose between career
advancement and continued direct care of patients.
Recognized achievement in nursing has
been associated with a move away from the bedside
and into management, administrative or educational
positions. The lack of a clinical career
ladder in nursing as well as the focus of
(post)graduate educational programmes on nonclinical
content has provided a disincentive to
keeping the best nurses involved in clinical care,
despite the increasing complexity of the clinical
care provided in nearly every health care setting.
Nurses need to have more than management,
pedagogic or administrative competencies to be
effective actors in a changing health care system
that is confronted with numerous challenges such
as the development of evidence-based care models
in an era of cost containment. The development
of advanced practice nursing education, initially in
the Anglo-Saxon world and increasingly also in
other countries, [4] offers an educational path for
preparing nurses to excel in their core business:
the clinical care of patients and their families. In
addition, in Switzerland educational programmes
focusing on ANP (the first launched in 2000 at the
University of Basel) has led to the introduction of
Advanced Practice Nurses in different clinical
care settings.
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