Implementing advanced practice nursing in France: A country‐wide survey 2 years after its introduction

• DOI: 10.1002/nop2.1394
• Publication Date: 2022-09-28T04:45:25Z
• Authors: Julie Devictor; Espérie Burnet; Tatiana Henriot; Anne Leclercq; Nathalie Ganne‐Ca...; Kelley Kilpatrick; Ljiljana Jovic
• Keywords: Adult; Employment; Advanced Practice Nursing; [SDV.MHEP] Life Sciences [q-bio]/Human health and pathology; 4. Education; RT1-120; Nursing; 3. Good health; primary care; 03 medical and health sciences; advanced practice nursing; barriers and facilitators; Cross-Sectional Studies; Surveys and Questionnaires; French healthcare system; Humans; implementation; 0305 other medical science; Delivery of Health Care; Research Articles

To examine the characteristics of first Advanced Practice Nurses in France and to compare French model international standards. Common barriers facilitators their integration healthcare provision have been identified internationally. In France, legislative framework was introduced 2016, graduates entered workforce 2019. The examined comparison with Hamric's conceptual International Council Nurses' guidelines definitions. A cross-sectional survey also conducted, using three self-administered online questionnaires. Two were distributed 2019 2020 a third accredited programme directors. advanced practice nursing described compared based on employment status field (primary vs secondary/tertiary care). Although meets primary criteria core competencies, it does not differentiate between Nurse Practitioner Clinical Specialist roles. Of 320 students enrolled one 11 training programmes 165 participated survey. Mean age 40, mean prior experience 15 years. By February 2021, 30% respondents still employed as Registered Nurses. Barriers included insufficient income generation care), lack position creation (secondary/tertiary physician-dependent patient referral process delays prescription credentials approval. implementation faces several barriers. Legislative adjustments greater financial incentives seem warranted. other countries, respond Public Health challenge improving access quality health care context increasing chronic disease prevalence limited resource allocation. Facilitating its landscape seems paramount.