title: Advanced practice nursing: parameters for successful integration.
abstract: This article analyzes advanced practice nursing roles through a literature review and a pilot stakeholder survey in relation to five strategic areas: (1) definitions and scope of practice; (2) education, credentialing and regulation; (3) new roles in healthcare; (4) costs and benefits in health reform; and (5) implementation and relationships. The Canadian health services environment is best served by a multifaceted APN role, defined by a nursing paradigm that invokes collaborative relationships with physicians, and education and credentialing that is based on national standardization.
authors.affiliation: Colchester Regional Hospital, Truro, Nova Scotia.
authors.forename: M K
authors.initials: MK
authors.lastname: Howlett
authors.forename: D
authors.initials: D
authors.lastname: Tamlyn
mesh_terms: D002170:Canada; D003152:Community Health Nursing; D003406:Credentialing; D018166:Health Care Reform; D006302:Health Services Research; D008008:Licensure, Nursing; D009720:Nurse Clinicians / Q000193:education / Q000331:legislation & jurisprudence / Q000592:standards*; D009723:Nurse-Patient Relations; D010348:Patient Care Team / Q000592:standards / Q000639:trends*; D019555:Physician-Nurse Relations; D011785:Quality Assurance, Health Care; D011795:Surveys and Questionnaires