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Letters to the Editor

Population-Based Advanced Practice Nursing: Where Does Oncology Fit in?

Jennie Greco Lattimer
CJON 2013, 17(6), 576-577 DOI: 10.1188/13.CJON.576-577

A national work group met in 2004 to discuss the future of advanced practice nursing. The representatives were nursing education, certification, accreditation, and regulation experts, and the goal was to develop a consensus model for advanced practice nursing regulation (Nevidjon et al., 2010). As a result, a set of recommendations was published in an article that defined a new consensus model for advanced practice registered nurse (APRN) regulation (APRN Consensus Workgroup, 2008; Goudreau, 2009). The new model included six population-based focuses of practice (i.e., family and individual across the lifespan, adult and gerontology, neonatal, pediatrics, women's health- and gender-related, and psychiatric and mental health) (Johnson, Dawson, & Brassard, 2010). A goal of the new model was to standardize the licensure, certification, and regulation of nurse practitioners into specific focuses. State boards were facing an increasing number of requests to recognize nurse practitioner specialties (e.g., organ specific, body systems, diseases) (Johnson et al., 2010). The new model helped standardize education programs, which may help certifying agencies set up curriculum review processes to ensure appropriate credentials for APRNs (Johnson et al., 2010). It also supported the mission of nursing to meet future healthcare needs of the public and to protect the public (Johnson et al., 2010). Some advantages exist to delineating into population-based focuses, but the new model leaves out many specialties (e.g., oncology) that encompass the whole person as well as concentrate on certain diseases.

References 

American Cancer Society. (2013). <i>Cancer facts and figures 2013.</i> Atlanta, GA: Author.

American Society of Clinical Oncology. (2007). Significant oncologist shortage predicted by 2020. Retrieved from <a target="_blank" href='http://bit.ly/1cuFkVX'>http://bit.ly/1cuFkVX</a>

APRN Consensus Workgroup. (2008). <i>Consensus model for APRN regulation: Licensure, accreditation, certification, and education.</i> Retrieved from <a target="_blank" href='http://www.aacn.nche.edu/education-resources/APRNreport.pdf'>http://www....

Goudreau, K. A. (2009). What clinical nurse specialists need to know about the Consensus Model for Advanced Practice Registered Nurse Regulation. <i>Clinical Nurse Specialist, 23</i>, 50-51. doi:10.1097/NUR.0b013e31819d0380

Johnson, J., Dawson, E., & Brassard, A. (2010). Consensus model for advanced-practice nurse regulation: A new approach. In E. M. Sullivan-Marx, D. O. McGivern, J. A. Fairman, & S. A. Greenberg (Eds.), <i>Nurse practitioners: The evolution and future of advanced practice</i> (5th ed., pp. 125-142). New York, NY: Springer.

Levy, W., Gagnet, S., & Stewart, F. M. (2013). Appreciating the role of advanced practice providers in oncology. <i>Journal of the National Comprehensive Cancer Network, 11</i>, 508-511.

Nevidjon, B., Rieger, P., Miller Murphy, C., Rosenzweig, M. Q., McCorkle, M. R., & Baileys, K. (2010). Filling the gap: Development of the oncology nurse practitioner workforce. <i>Journal of Oncology Practice, 6</i>, 2-6. doi:10.1200/JOP.091072

Young, T. (2005). Utilizing oncology nurse practitioners: A model strategy. <i>Community Oncology, 2</i>, 218-224. doi:10.1016/S1548-5315(11)70883-X