The Dutch Experience to Introduce Advanced Nurse Practitioners:
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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

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The Dutch Experience to Introduce Advanced Nurse Practitioners: an Example for Germany?

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The dutch experience to introduce advanced nurse practitioners an example for germany

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

Experience

Further qualification

Master degree

(circumscribed area)

Background

* ANP movement since 1960s

* originating in the US

* spread to other countries

Perceived advantages

* Alleviate physician shortage

* Nurse career opportunity in patient care

Source: http://www.slcc.edu/skillscenter/healthcareindustry/courses.asp

Source: http://nursepractitionersalary.biz/wp-content/uploads/2010/10/Familynursepractitionersalary.jpg

The Dutch Example

Method

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

  • * Additional value for Germany to be expected by ANP introduction:

    • better targeted health care, cost efficiency, nurse career option

  • * Dutch example offers good arguments concerning government subsidies for ANP training

  • * The Federal Council initiative for surgical technical assistants might serve as an example for legislation

  • * Opportunities rather in primary health care than in hospitals (reluctant medical profession, physician shortages in the countryside)


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