NHS Education for Scotland

Advanced Nursing Practice definition (Scotland)

Advanced Nursing Practice definition (Scotland)

“Advanced nurse practitioners (ANPs) are experienced and highly educated registered nurses who manage the complete clinical care of their patients, not focusing on any sole condition. ANPs have advanced-level capability across the four pillars of practice: • clinical practice• facilitation of learning• leadership• evidence, research and development. They also have additional clinical-practice skills appropriate to their role.

Advanced Nursing Practice represents a level of practice, rather than being related to a specific area of clinical practice. Advanced and specialist practitioners may be functioning at a high level of practice, but with a different clinical focus.

ANPs are educated at Master’s level and are competent to work at advanced level as part of multidisciplinary teams across all clinical settings, depending on their area of expertise. They are clinical leaders with the freedom and authority to act, and accept responsibility and accountability for those actions. Indeed, advanced practice is characterised by high-level autonomous decision-making, including assessing, diagnosing and treating (including prescribing for) patients with complex multidimensional problems. ANPs have the authority to refer, admit and discharge within defined clinical areas.” (CNOD, 2016)