Nursing and Midwifery Board of Ireland

1. Nursing and Midwifery Board of Ireland Advanced Practice (Nursing)

2. Statutory Instruments No 3 and No 689 (2010) Assignment to ‘The Board’ of additional functions In accordance with criteria set by the National Council Determine applications for the accreditation of posts Determine applications for the registration of nurses as Advanced Nurse Practitioners (ANPs) To accredit ANP posts To register an ANP who Has been determined to meet the criteria Has received an offer of employment To remove name of any ANP who No longer meets the criteria Ceases employment in the ANP post To remove accreditation of any ANP post who No longer meets the criteria

3. Current Process Framework for the Establishment of Advanced Nurse Practitioner and Advanced Midwife Practitioner Posts (NCNM 2008) Definition of Registered Advanced Nurse Practitioner (P.5) Core Concepts: Autonomy in Clinical Practice Expert Practice Professional and Clinical Leadership Research (P.7)

4. Advanced Practice (Nursing) Standards and Requirements (draft) 2. Expert Nursing Practice Advanced Knowledge & Skills Masters level 4. Communication and Inter Personal Competences Retain Core Concepts and Associated Competencies 3. Advanced level of clinical decision-making and Autonomy 6. Professional & Clinical Leadership Vision Research Audit 1. Professional values Established therapeutic Relationships 5. Management and Team Competencies Risk Assessment / Management Communication

5. Advanced Practice (Nursing) Person Empathy Respect Compassion Consistency Mutually agreed goals Philosophy of Nursing Value placed on person/nurse relationship rather than encounter

6. Current Process POST • POST Accreditation NMBI will continue to review systems (resources, culture, leadership& management,policies, procedures, service level agreements, memorandum of understanding, established referral pathways, clinical governance, quality and risk management, continuous quality improvement)

7. Following POST Accreditation • ANPc must register as Advanced Nurse Practitioner • Currently based on submission of a Portfolio / Form 2 from Employer, and Form 1 (transcripts from HEIs) • Available at http://www.nursingboard.ie/en/join_register.aspx • Must satisfy the Board that s/he has met criteria set by the National Council and that s/he has offer of employment in respect of the specified and accredited Advanced Nurse Practitioner Post concerned

8. Registration as an ANP on the NMBI Division of the Register • Be a Registered Nurse (Active Register) • Be registered in the appropriate division of the NMBI Register • Masters level or above with • Substantive Clinical Component • Clinical supervision (at least 500 hours); • 7 years post registration experience; • 5 years experience in the chosen area of specialist practice; • Meets core concepts and associated competencies; • Commitment to Continuing Professional Development (Portfolio); • On-going clinical supervision arrangements

9. Registration as RANP PERSON Registered in relevant Division of the Register as RANP Registered Advanced Nurse Practitioner

10. Current Processes and Procedures Advanced Practice POST ↓ Report to Registration Committee ↓ Decision Letter to Director of Nursing and Director of NMPD ↓ ANPc linked to the POST goes forward for Registration as ANP ↓ Must meet the criteria evidenced in Portfolio submitted / Form 1/ Form 2/ ↓ Registration Committee Decision

11. Future Processes Advanced Practice (Nursing) Standards and Requirements (draft) • Public consultation (www.nursingboard.ie ) • Working Group Advanced Practice (WGAP) Criteria to Register as an Advanced Nurse Practitioner (RANP) will not change following publication of Advanced Practice (Nursing) Standards and Requirements