International Nurse Practitioner/Advanced Practice Nursing Network by 05l5c19


									         International Nurse Practitioner/Advanced Practice Nursing Network

                        NEWS UPDATE JULY 2006 – Conference Report

Greetings Colleagues:

The conference in South Africa was another successful milestone for the International NP/APN Network and a
special thank you to the conference coordinator – Nelouise Geyer, DENOSA and conference planners for all the
efforts that went into making this possible. Another thank you goes to the members of the Network who were
facilitators during the concurrent sessions as well as booth monitors during June 28-30, 2006 in the conference
setting of Sandton Convention Center. The registrants attending the conference numbered over 200.

Conference Highlights focus on the keynote address by Fadwa Affara who spoke on the regulatory process as it
is impacting the APN in the global community. The facts that health care systems around the world are
undergoing change, health managerial systems are being altered to operate more efficiently, borders and trade
agreements are opening new service avenues for movement of nurse; all of which are being addressed by APNs
working to improve the quality of care. The discussion of professional regulation, governmental role in
regulation, the system and how this influences the APN was presented. Areas that are inherent in these processes
are titling, scope of practice, educational requirements, the methods for credentialing the APN and methods for
initial and continued validation of competency. For further information the participants were referred to the joint
statement issued by ICN and the WHO entitled: Nursing Regulation: A Future Perspective published in 2005.

The concurrent sessions encompassed APN education, diagnosis and management of disorders, HIV & AIDS,
empowerment, ethical aspects of caring, research, APN roles, collaboration and changing workforce issues. The
presenters were from our global community representing clinicians, researchers, educators and innovators and
stimulated the conversation and ideas for how the role was emerging in their nation/state. The Network meeting
covered a global update of what is evolving with NP/APN role and also a panel of representatives sharing their
experience from Botswana, Singapore and South Africa. These presentations soon will be available on the
website. The press release discusses this part of the meeting.

Global issues that the APN conference registrants encounter during the implementation of their role was
demonstrated by their input into the SWOT analysis (Strengths, Weaknesses, Opportunities and Threats); a
workshop presented by Fadwa Affara during the conference. A brief view of the results are as follows:
Strengths – We have determination to reach goals, participate in policy making, are highly skilled and able to
work independently: Weaknesses – Poor role clarification, uncertain identity, proliferation of titles and mistrust
by follow nurse colleagues: Opportunities – Diversity of practice, opportunities through migration for self
improvement, health care system in crisis globally, able to influence health care through grass roots approach:
Threats – Medicalization of health care systems, territorial protection, insufficient influence in health care
decision making, i.e. resource allocation, and inadequate political skills of APNs. These present challenges,
means for improving and areas of continual work that the APNs in the global nursing community must address
to increase their visibility and influence in improving the quality of health care in their nation/state and around
the world. These topics will be discussed by the leadership of the Network and addressed in the aims and goals
of our work during the coming year(s).

An additional challenge for APNs was addressed during the close of the conference and had been posed at the
59th World Health Assembly when a resolution to strengthen nursing and midwifery was adopted. Resolution
WHA59.27 urges Member States to commit to strengthen nursing and midwifery through improved resource
allocation, allowing active involvement in health systems decisions, reviewing legislation and regulatory
processes guiding nursing and midwifery and support the collection and use of core data on nursing and
midwifery as part of the national health information systems. For further information please go to

RG News Update July 2006                                                                                          1
The need for charting APN education, practice, regulation, policies and demographics is a topic currently under
discussion by the Network Core Steering Group and Subgroups. There are constant requests for information
related to the number, type, preparation, practice roles, regulations, standards and competencies of the NP/APNs
in our network. Core data collection will be a focus of the work of the Network during the coming year(s).
However, the only way this data can be captured is through your participation when a survey is circulated. We
will need to hear from each of you on the topics queried and your comments and concerns. We are investigating
a questionnaire system that is computer friendly so that completing the survey can be accomplished easily and
quickly. Watch for questions and information on this in the coming months.

In addition to the presentations during the conference we showcased our INP/APN Network pin and promoted
the 2 for 1 program in which the participant pays a price for one pin for themselves or pays 1½ times the price to
purchase two pins. One pin would be for themselves and the second pin to be awarded to a colleague. This was
the first time the program was offered and we were successful and able to present 20 pins to new members
joining the network during the conference. Prior to the meeting the membership was 854. Following a surge in
registration to become a member of the INP/APN Network over 100 new applications were accepted with 73 of
those from Africa alone. I challenged the members to recruit one new member and bring our membership to
over 1,000. I will keep you posted on the numbers throughout the year. You can participate by asking an
interested colleague to become a member. Just go to the website!

Perhaps the most valuable reward that each registrant received during the conference was that of friendship and
colleagueship. Yes, knowledge, new innovative ideas and methods were exchanged but the linking and
networking that occurred during the conference was very encouraging and showed in the conversations that
APNs communicated and connected. These benefits emerge take place after the registrant prepares for a
presentation, the host plans and works to implement the conference and participants travel great distances to
attend the conference; for some to a new part of our world. This is networking and was the outcome of the 4th
International NP/APN Network conference in Sandton, South Africa, 2006.

Pictures of the conference can be found on the website and show us at work and play. Make your plans now to
attend the ICN conference in Japan May 27-June 1, 2007 and Toronto, Canada September 17-20, 2008 and
make networking a reality in your professional life.


Following the conference in South Africa, the 6th Asian Pacific Nurses Association met in Singapore. The
keynote address was given by Dr. Hiroko Minami, current president of the International Council of Nurses. The
conference theme was globalization and its impact on nursing. An international panel of presenters discussed
their experiences in moving nursing and health care forward. The papers included models for introducing
students to working in cultures and nations different from their own; the Mental Health APN in Singapore
working in positions and making change in the health care system; and the influence of the trade agreements on
nursing movement and what that means to be part of this process. The excitement of a new role being developed
and successfully introduced was present at this meeting and it was great to see the success of the APN role
moving around the globe.

If you have any questions about the conference or our intended projects please feel free to contact me or any of
the group leaders by going to the website and clicking on our name or picture. Keep in touch and I will do the


RG News Update July 2006                                                                                           2

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