Paper
Monday, July 7, 2008
This presentation is part of : Initiatives in Acute Care
The Acute Care Nurse Practitioner Role: Advancing Practice Opportunities
Ruth M. Kleinpell, RN, PhD, CCRN, ACNP, Anesthesia and Critical Care, Rush University Medical Center, Chicago, IL, USA and Premarani Kannusamy, PhD, Singapore, Ministry of Health, Singapore, Singapore.
Learning Objective #1: 1. Outline the role of the acute care nurse practitioner
Learning Objective #2: 2. Identify practice opportunities for acute care nurse practitioners

Background: The Acute Care Nurse Practitioner (ACNP) role has evolved as specialty area of practice for nurse practitioners (NP).

The ACNP provides advanced nursing care to acutely and critically ill patients in various acute care settings. These settings span the continuum of acute and critical care services in the intensive care unit (ICU), hospital ward, urgent care, clinic, ambulatory care settings, and others. Yet, as the newest specialty area of NP practice, uncertainly continues to exist about aspects of ACNP practice.

Purpose: The purpose of this session is to present the results from research studies conducted in the United States (U.S.) as well as in Singapore following the role development of ACNPs and exploring issues in practice.

Method: Descriptive surveys were conducted with over 500 ACNPs in both the U.S. and Singapore assessing roles and practice components.

Results: Majority of participants report working in diverse roles with expansion from traditional ICU settings to a variety of acute care settings. Role challenges identified by participants included acceptance of the role, utilization of all skills in clinical practice arenas and role recognition.

Implications: The results from research on ACNPs in the U.S. and Singapore report similar practice based issues and role challenges. This presentation will review specific study findings as well as discuss implications for promoting ACNP role development.