Developing Advanced Nurse Practitioner Role In Oman

In Oman, nursing functions in the primary health care centres are restricted to ‘traditional’ nursing tasks that are normally performed in secondary and tertiary health settings. The directorate of nursing and midwifery affairs (DNMA) at the ministry of health In Oman (MOH) stressed that currently nurses working in primary health care, particularly those in small health centres are functioning in an advanced practice role without any formal educational preparation and often in the absence of medical supervision during the evening shifts and the weekends(DNMA, 2012). There is no regulatory mechanism to protect these nurses and the public when they function in this advanced role. In 2011 World Health Organization (WHO) consultants have done a partial situational analysis in Oman of the issue and have suggested that these nurses need to be provided with appropriate educational preparation and advanced skills in order to function in this advanced practice role………….

Throughout 1990s, the nursing literature demonstrated an almost undisputed desire to develop a nurse practitioner intended to function at an advanced level (Mantzoukas and Watkinson, 2007). The development of advanced nurse practice (ANP), an important milestone in the professional development of the nursing discipline in the 20th century (Lewandowski & Adamle, 2009), has become a global trend in the 21st century (Sheer & Wong, 2008; Lewis, et al., 2009 and Pulcini, et al., 2010). However, ANP encompasses multiple types of nurses in advanced roles; these roles include nurse practitioners (NPs), certified nurse midwives, nurse anaesthetists and clinical nurse specialists (CNS) (Ketefian, et al., 2001).

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The International Council of Nursing (ICN) define an advance nurse practitioner as: “a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or country in which she/he is credentialed to practice” (Pulcini, et al., 2010, P.31 and ICN, 2008, p.29).

The need to develop the ANP roles were as a result of the need to contain costs, improve access to care, reduce waiting time, serve the underprivileged, and maintain health among specific groups (Sheer and Wong, 2008). In addition to that, advanced nursing practice was implemented due to an internation…………………..