Tag Archives: Europe

Advanced Practice Nursing in the Czech Republic

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Snapshot

APN Role Exists in Country Today:
Yes

Title:
Advanced Practice Nurse

Nationally Certified:
Yes for nurse specialists;
Uncertain for Nurse with Clinical Discipline

Recognize Foreign Licensure:
Equivalences are recognized for individuals trained in the EU

Treatment Authority:
Yes

Prescribing Authority:
No

Autonomy of Practice:
No

Contact:
Health Ministry of the Czech Republic

Role

While there are no current roles for APNs in the Czech Republic, there are two roles of specializations for registered nurses.  The are (Delamaire & Lafortune, 2010):

  • Registered nurse with specialization (Nurse specialist) – 1.) advanced nurse consultation and diagnosis, 2.) ordering and interpreting of diagnostic tests (including laboratory test prescription), 3.) management of a range of chronic diseases (follow-up, monitoring, health education, and lifestyle advice for non-acute cases).
  • Nurse with clinical discipline – 1.) advanced nurse consultation and diagnosis, 2.) ordering and interpretation of diagnostic tests (including laboratory test prescription)

Both specialty categories give the nurse the ability to diagnose, consult, and order tests.  However, there is no position of autonomy or prescribing authority given to these roles.

Education and Certification

The position of Registered Nurse with Specialization requires an individual an additional 2 to 3 years of experience/education followed by an examination to assess knowledge.  Certification is offered upon passing the exam (Delamaire & Lafortune, 2010).

The position of Nurse with Clinicial Discipline required a masters level education.

Specialties

Uncertain

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References: 
Delamaire, M. & Lafortune, G. (2010).  Nurses in Advanced Roles: A description and Evaluation of Experiences in 12 Developed Countries, OECD Health Working Papers, 54. doi:10.1787/5kmbrcfms5g7-en

Advanced Practice Nursing in Germany

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Snapshot

APN Role Exists in Country Today:
No

Role

Advanced Nursing Practice in Germany does not exist today, nor does it seem to be a nation that will have an established role in the near future.  Much of this is based on the lack of need for advanced practice nurses because of an oversupply of physicians in their nation (Sheer & Wong, 2008).  Additionally, much of current nursing practice in that of Germany is based on hospital-trained diploma programs.  Due to the lack of a nationally standardized nursing role and education system, this becomes a strong limitation on not only the advanced practice nurse, but that of the registered nurse (Robinson & Griffiths, 2007).  However, since 2004 several national universities began providing standardized nursing education at the bachelors level (Robinson & Griffiths, 2007).  There post-registration educational courses available as well allowing nurses to specialize in a specific subject, being offered as 2-year hospital based programs (Robinson & Griffiths, 2007).  Another article by De Geest et al., (2008) verbalized that there is some movement that states physicians and nurses recognize there may be benefit in having more skilled nurses in practice.  Scope of practice is difficult to determine based on the variance of the individual hospital educational systems.

However, a good source of Advanced Practice Nurse networking in Germany can be found here: Deutsches Netzwerk.

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References:
De Geest, S., Moons, P., Callens, B., Gut., C., Lindpainter, L., & Sprig, R. (2008).  Introducting advanced practice nurses/nurse practitioners in health care systems: A framework for reflection and analysis.  Swiss Med Weekly, 138(43-44),621-628.

Robinson, S. & Griffiths, P. (2007).  Nursing education and regulation: International profiles and perspectives [online publication].  Retrieved from: http://eprints.soton.ac.uk/348772/1/NurseEduProfiles.pdf

Sheer, B. & Wong, F.K. (2008).  The development of advanced nursing practice globally.  Journal of Nursing Scholarship, 40(3),204-211.