Developing a consistent approach to advanced practice nursing worldwide

Integration of advanced practice nurses into the healthcare workforce is an increasing trend worldwide. An important step forward for supporting this trend was the development of a definition of advanced practice nursing by the International Council of Nurses in 2002, for the presence of such nurses internationally has increased significantly. Although initially beneficial, the generic nature of the definition has contributed to disagreement and confusion regarding the role. In response to this critique and to facilitate improved role clarity for advanced practice nurses, the International Council of Nurses is reviewing and revising its original position. The intent is to provide a clearer understanding of the components of the specialty to key stakeholders, the public and other healthcare professionals. This article describes the process for updating and clarifying the International Council of Nurses' description of advanced practice nursing, specifically the clinical nurse specialist and nurse practitioner. Key elements for best practice, policy and a professional standard are identified to facilitate role development and implementation.