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Effective Change: A Strategic Approach

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Strategic Planning for Advanced Nursing Practice

Part of the book series: Advanced Practice in Nursing ((APN))

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Abstract

Many countries, whether developed or developing, are facing change or reform in the healthcare sector. Economics and shifting political ideologies are contributing to an alteration in the dynamics of access to and provision of healthcare services. Advanced practice nurses are being increasingly acknowledged as a component of this change. As healthcare professionals, APNs have some power to affect not only policy that impacts the profession but also the populations who receive their care.

Thinking about a strategic approach when hoping to launch an advanced nursing practice (APN) initiative is the first step in acting to influence restructuring of healthcare systems to promote inclusion of advanced practice nurses. Progress is often not straightforward; however, this chapter offers tools, discussion, and country-specific examples to guide strategic thinking. The chapter begins by providing suggestions for assessing the healthcare environment followed by a discussion of the significance of regulation and governance issues to support advanced nursing practice. Country illustrations depict experiences with the processes of obtaining prescriptive authority and professional recognition. The chapter concludes by exploring the topic of influencing the process with debate, discussion, research, and dissemination of information.

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    Madrean Schober

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Appendices

Appendix 6.1: SWOT Analysis Matrix Template (Schober 2016)

figure a

Appendix 6.2: SWOT Analysis Matrix Illustration (Schober 2016)

figure b

Appendix 6.3: Global Nurse Prescribing by Role Descriptor

figure c

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Schober, M. (2017). Effective Change: A Strategic Approach. In: Strategic Planning for Advanced Nursing Practice. Advanced Practice in Nursing. Springer, Cham. https://doi.org/10.1007/978-3-319-48526-3_6

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