title: University Health Network framework for advanced nursing practice: development of a comprehensive conceptual framework describing the multidimensional contributions of advanced practice nurses.
abstract: BACKGROUND
  The global paradigm shift resulting from radical transformations in knowledge and technology is significantly changing the context of healthcare delivery. In this changing environment, the contributions of health professions are vital in ensuring that the healthcare system adapts to meet the needs of today's patient. Advanced practice nurses (APNs) are clinical scholars and leaders in creating innovative approaches to patient care and organizational and professional leadership.
  
  
  OBJECTIVE
  To develop a comprehensive conceptual framework for advanced nursing practice at University Health Network that will enhance role clarity by describing the complexity of these nursing roles and the significant contributions they make to patients and the healthcare system.
  
  
  METHODS
  A critical review of the literature and a consultative process were undertaken to build consensus and develop a comprehensive framework for advanced nursing practice.
  
  
  RESULTS
  The development of the University Health Network Framework for Advanced Nursing Practice (UHN-FANP), which clearly articulates all dimensions of advanced nursing practice roles.
  
  
  CONCLUSIONS
  As clinical leadership roles in nursing continue to evolve, utilization of a conceptual framework facilitates role clarity, role implementation and role evaluation.
authors.affiliation: University Health Network Toronto, ON. vaska.micevski@uhn.on.ca
authors.forename: Vaska
authors.initials: V
authors.lastname: Micevski
authors.forename: Lori
authors.initials: L
authors.lastname: Korkola
authors.forename: Sonia
authors.initials: S
authors.lastname: Sarkissian
authors.forename: Virginia
authors.initials: V
authors.lastname: Mulcahy
authors.forename: Cindy
authors.initials: C
authors.lastname: Shobbrook
authors.forename: Linda
authors.initials: L
authors.lastname: Belford
authors.forename: Lexie
authors.initials: L
authors.lastname: Kells
mesh_terms: D002983:Clinical Competence; D006801:Humans; D007857:Leadership; D017146:Models, Organizational; D009720:Nurse Clinicians / Q000458:organization & administration*; D009722:Nurse Practitioners / Q000458:organization & administration*; D024802:Nurse's Role; D009864:Ontario; D013333:Student Health Services / Q000458:organization & administration*; D014495:Universities