Methods: A legislation/documentation analisys was conducted. In addition an online survey to different national nursing association.
Results: The situation of regulation have different level of similarities and differences: general nurse can move in all 28 european countries, with similar competencies but diffent education and accreditaion (some professional school, some university, sono politecnich, some under medicine faculty, some autonomous faculty, and so on) For advanced practice and prescribing nurse the situation show different level and no recognition in other countries of advanced practice compentencies.
Conclusion: The study shows that standards for education, certification and regulation expecially at graduate level of education are crucial. At same time Interpretation of the role and competencies of advanced practice have implication on health policy and strategies of develop nursing profession. To address the current lack of provisions for automatic recognition of advanced practice nursing, is compulsory establish frameworks corresponding to the relevant level of the European Qualifications Framework should promote mobility, and improve levels of health care and patient safety. It must be clear to patients and healthcare professionals as to where responsibility lies for care delivery when elements of care are delivered in different European Unition Member States. This is important for the safe and effective continuation of care. Therefore any legislation will need to make clear when the regulatory responsibility passes from one Member State to another. Legal certainty is necessary for both patients and healthcare professionals.