TY - JOUR
T1 - Progress and challenges for advanced practice nursing in Mexico and the United Kingdom
AU - Nigenda, Gustavo
AU - Lee, Geraldine
AU - Aristizabal, Patricia
AU - Walters, Geraldine
AU - Zárate-Grajales, Rosa A.
N1 - Funding Information:
The Better Health Programme (BHP) is a Prosperity Fund initiative, funded by Official Development Assistance (government aid targeting economic development in developing countries). It focuses on the improvement of health in the targeted countries with the aim of driving economic growth and reducing poverty. This programme is anticipated to attract new opportunities for international collaboration, including creating opportunities for the UK's health care sector through the beneficial sharing of UK expertise with key health care stakeholders in the targeted country, in this case, Mexico. The other countries in this programme include Brazil, South Africa, Malaysia, Myanmar, Philippines, Thailand and Vietnam.
Funding Information:
We acknowledge the invaluable assistance of a group of academics and students from the National School of Nursing and Obstetrics of UNAM that transcribed audio recordings to texts and supported the coding of data. DAI PLC provided financial support to carry out research in Mexico under contract number BHP154‐SCA.
Publisher Copyright:
© 2021 John Wiley & Sons Ltd.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/11
Y1 - 2021/11
N2 - Aim: The aim of this study is to compare the advanced practice nursing development in Mexico with the United Kingdom. Background: In spite of the involvement of global and local bodies to establish and develop advanced practice nursing worldwide, progress remains variable due to the lack of homogeneity in health care systems and policies. Evaluation: Using thematic analysis from interviews of 29 health care professionals in Mexico, we identified four major issues that impact on the development of advanced practice nursing: (a) workforce, (b) organizational and institutional, (c) regulatory and legal and (d) academic and educational. Key Issues: Learning from the UK experience in relation to overcoming some of these issues has been insightful in terms of how advanced practice nursing skills in Mexican nurses can be developed. Conclusions: Mexico is still in early stages of the development of APN. Based on the UK experience, the government may have to move forward to support higher level training, create labour market positions, establish new nursing functions, promote task-shifting and particularly implement solid regulation. Implications for Nursing Management: The development of advanced practice nursing represents important challenges for training and practice of nursing in Mexico and the United Kingdom; therefore, interested actors will have to reach key agreements that could work as the foundations of an assertive planning process.
AB - Aim: The aim of this study is to compare the advanced practice nursing development in Mexico with the United Kingdom. Background: In spite of the involvement of global and local bodies to establish and develop advanced practice nursing worldwide, progress remains variable due to the lack of homogeneity in health care systems and policies. Evaluation: Using thematic analysis from interviews of 29 health care professionals in Mexico, we identified four major issues that impact on the development of advanced practice nursing: (a) workforce, (b) organizational and institutional, (c) regulatory and legal and (d) academic and educational. Key Issues: Learning from the UK experience in relation to overcoming some of these issues has been insightful in terms of how advanced practice nursing skills in Mexican nurses can be developed. Conclusions: Mexico is still in early stages of the development of APN. Based on the UK experience, the government may have to move forward to support higher level training, create labour market positions, establish new nursing functions, promote task-shifting and particularly implement solid regulation. Implications for Nursing Management: The development of advanced practice nursing represents important challenges for training and practice of nursing in Mexico and the United Kingdom; therefore, interested actors will have to reach key agreements that could work as the foundations of an assertive planning process.
KW - advanced practice nursing
KW - Mexico
KW - training
KW - UK
KW - workforce
UR - http://www.scopus.com/inward/record.url?scp=85111871222&partnerID=8YFLogxK
U2 - 10.1111/jonm.13413
DO - 10.1111/jonm.13413
M3 - Article
AN - SCOPUS:85111871222
SN - 0966-0429
VL - 29
SP - 2461
EP - 2469
JO - Journal of Nursing Management
JF - Journal of Nursing Management
IS - 8
ER -
