Abstract
Despite extensive literature supporting the value of the concept of advanced nursing practice, the most favorable processes for development and implementation of advanced practice nursing roles remain unclear. Mounting evidence suggests that effective integration of advanced practice nurses into the healthcare workforce must be tailored to meet a country’s healthcare and population needs based in the respective healthcare environment. Frequently this is part of wider healthcare systems reform. Variability between countries and even within the same country appears to be dependent on national and local contexts that include government, healthcare, nursing, and consumer cultures.
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