Implementing advanced practice nursing in France: A country-wide survey 2 years after its introduction.
Julie Devictor, Espérie Burnet, Tatiana Henriot and 4 others
PMID 36168185WHAT IT FOUND
Two years after France introduced advanced practice nursing, 70% of surveyed graduates worked in these roles, but many faced barriers like lack of positions, administrative blocks on prescribing, and insufficient income in primary care.
Key findings
01Among surveyed graduates, 70% were employed as advanced practice nurses two years after graduation, while 30% were not working in these roles.
02The main barriers for graduates not working in advanced practice roles were the absence of positions in their institution and administrative issues blocking prescription credentials.
03Advanced practice nurses in primary care were less satisfied with practice conditions and more likely to identify the patient referral system as a barrier compared to those in secondary or tertiary care.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The response rate for the graduate survey was 51%, so the sample may not represent all graduates. The questionnaires were not validated through peer review before use. The study was conducted during the COVID-19 pandemic, which may have affected job availability and role implementation. The sample size was too small to adjust for other factors that might explain the differences between groups.
Declared interests
The study was funded by a doctoral grant from the Programme d’offre de Formation Doctorat–Assistance Publique–Hôpitaux de Paris. The author reported no conflicts of interest.
The easy way to misread this
Do not interpret the 70% employment rate as evidence that the advanced practice nursing model is successfully deployed in France. The study highlights significant barriers, including a lack of created positions and administrative blocks, particularly in primary care.