Practice Nursing
N u r s i n g P r ac tic e
Deutsches
Netzwerk
e . V.
Practice N u r s i n g
N u r s i n g Practice
D e u t s ch e s N e t z w e r k e . V.
1st diploma programme in nursing 1963 at Charité der Humboldt-Universität zu Berlin 3rd level programmes in Pflegewissenschaft, Pflegepädagogik and Pflegemanagement available since mid 1990s ‚Dual‘ pre-registration nursing programmes (Bachelor Degrees) since 2004, with the publication of amended version of German Nursing Bill (Ullmann et al 2011, Stöver 2010)
Taken from Ullmann et al (2012)
Practice N u r s i n g
N u r s i n g Practice
D e u t s ch e s N e t z w e r k e . V.
Nurse education at 3rd level to bring about improvement in patient care and treatment Changes in general population; average age 44 years (36 yrs in Ireland),1/5 of population aged 65yrs and over 2/3 of population aged over 65 years have at least two medical conditions Care of these patients is complicated by decreased levels of mobility, nutritional imbalances, decreased levels of cognitive functioning and various levels of pain / discomfort Advanced Practice assists in addressing complex patient needs (Ullmann et al 2011, Federal Statistics Office 2011)
Practice N u r s i n g
N u r s i n g Practice
D e u t s ch e s N e t z w e r k e . V.
Advancements in Technology & Treatments › › › ›
Ventilation Endoscopy Blood glucose management Pain management
Primary care focus › Prevention › Patient education
Shortages NCHD / integrated team work (MDT) › › › ›
Diabetes mellitus COPD Pain management Urinary incontinence
(DBfK 2007)
Practice N u r s i n g
N u r s i n g Practice
D e u t s ch e s N e t z w e r k e . V.
MSc programmes Advanced Nursing Practice Advanced practice rural areas Advanced practice hospitals Educational bridges? – bachelor programmes and advanced nursing practice
Practice N u r s i n g
N u r s i n g Practice
D e u t s ch e s N e t z w e r k e . V.
Advanced Practice Nursing (APN) ANP & APNs general conditions Advanced Nursing Practice (ANP) Tasks
Advanced Practice Nurse (APNs) Role
Practice N u r s i n g
N u r s i n g Practice
D e u t s ch e s N e t z w e r k e . V.
Practitioner in direct patient care; caseload, autonomy, competence, accountability Educator; uses established and innovative ways in promoting health and in teaching staff, patients and relatives. Researcher; initiate, conduct and implement nursing research relevant to their area of expertise. Leader; engagement in organisational change and in policy development, and through leadership in care and innovation related to their field of practice. Expert in their field through the specialisation and completion of (Masters) degrees. Expert consultations relevant to their field of practice.
Practice N u r s i n g
N u r s i n g Practice
D e u t s ch e s N e t z w e r k e . V.
1. MSc programmes 2. Working groups such as the Deutsches Netzwerk APN & ANP e.V. established in 2008 3. Projects 4. Position paper
Practice N u r s i n g
N u r s i n g Practice
D e u t s ch e s N e t z w e r k e . V.
1. Legislation for APN 2. Nurse register
Practice N u r s i n g
N u r s i n g Practice
D e u t s ch e s N e t z w e r k e . V.
3 working groups › Mental Health Care (MHC)
› Family Care (FC) › Critical Care (CC)
Framework for practitioners, managers and educators – recommendations › Responsibilities in practice
› Educational requirements › Resources and support (Ullmann et al 2012)
Practice N u r s i n g
N u r s i n g Practice
D e u t s ch e s N e t z w e r k e . V.
Aims to share ideas and information, and to work collaboratively on ANP topics and research projects. Enable and facilitate international work experiences for ANPs and ANP candidates / students Shared Congress
Practice N u r s i n g
N u r s i n g Practice
D e u t s ch e s N e t z w e r k e . V. DBfK 2007. Advanced Nursing Practice: die Chance für eine bessere Gesundheitsversorgung in Deutschland. Berlin: Deutscher Berufsverband für Pflegeberufe (DBfK) e.V. Federal Statistics Office 2011. Statistical Yearbook 2011. Wiesbaden: Federal Statistics Office. Stöver, M. 2010. Die Neukonstuierung der Pflegeausbildung in Deutschland. Düsseldorf: Jacobs Verlag. Ullmann, P.; Thissen, K.; Ullmann, B.; Schwerdt, R.; Haynert, H.; Grissom, B.; Keogh, J.; Lehwaldt, D.; Schmitte, H.; Merki, D.; Haider, A.,Z.; Platt, P.; Williams, D.; Maier, R. and Holzknecht, A. 2011. Positionspapier Deutschland „Die kopernikanische Wende“ Advanced Practice Nursing, Advanced Nursing Practice, Advanced Practice Nurse, Version 1.30. Witten: www.dnapn.de Ullmann, P., Keogh, J., Thiessen, K., Ullmann, B., Lehwaldt, D., Grissom, B. and Kalle, L. 2012. Stellungnahme des Vorstandes des Deutschen Netzwerkes APN & ANP e.V. Zur „Modernisierung der Richtlinie über Berufsqualifikationen erleichtert qualifizierten Berufstätigen die Stellensuche in ganz Europa“ welche durch die EU Kommission vom 19.12.2011 verfasst wurde. Pflegewissenschaften, 04-12, pp252-255.