The Dutch Experience to Introduce Advanced Nurse Practitioners: an Example for Germany? Christoph Schweikardt, [email protected] RWTH Aachen University, Germany / Université Libre de Bruxelles, Belgium
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The Dutch Experience to Introduce Advanced Nurse Practitioners:
an Example for Germany?
Christoph Schweikardt, [email protected]
RWTH Aachen University, Germany / Université Libre de Bruxelles, Belgium
Nurse Advanced Nurse Practitioner (ANP) Physician’s tasks
* ANP movement since 1960s
* originating in the US
* spread to other countries
* Alleviate physician shortage
* Nurse career opportunity in patient care
The Dutch Example
Assessment of the legal framework of the Dutch health system
Steps which led to enlarged competences for nurses were assessed
Comparison with the structural and political conditions in Germany
Research literature on ANPs, position papers, expert body opinions, and parliamentary legislation records were analyzed
How did nurse leaders proceed?
What did they achieve?
* Start: model project 1997
* Obtained tolerating positioning of the medical profession
* Obtained health ministry support
* ANP training established with government subsidies
* Positive evaluation
* Legislation following practice
* 5 types of nurse specialists recognized
* Courses offered by 9 institutes of higher education
* By October 2011 1000 ANPs certified
* Practice: mainly hospital-based
* Legislation on prescription of medicines pending (accepted by 2nd chamber of Parliament)
Conclusions for Germany