Nursing and Midwifery Board of Ireland
Advanced Practice (Nursing)
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
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)
Advanced Practice (Nursing) Standards and Requirements
(draft)
Retain Core
Concepts and
Associated
Competencies
2. Expert
Nursing Practice
Advanced
Knowledge &
Skills
Masters level
3.
Advanced
level of
clinical
decisionmaking
and
Autonomy
4.
Communication
and Inter
Personal
Competences
1. Professional
values
Established
therapeutic
Relationships
5.
Management
and Team
Competencies
Risk
Assessment /
Management
Communication
6. Professional
& Clinical
Leadership
Vision
Research
Audit
Advanced Practice (Nursing)
Philosophy of Nursing
Value placed on
person/nurse
relationship rather
than encounter
Person
Empathy
Respect
Compassion
Consistency
Mutually agreed goals
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)
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
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

Registration as RANP
PERSON Registered in
relevant Division of the
Register as
RANP
Registered Advanced
Nurse Practitioner
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
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