Advancing nursing practice : the emergence of the role of Advanced Practice Nurse in Saudi Arabia

Background: The roots of advanced practice nursing can be traced back to the 1890s, but the Nurse Practitioner (NP) emerged in Western countries during the 1960s in response to the unmet health care needs of populations in rural areas. These early NPs utilized the medical model of care to assess, diagnose and treat. Nursing has since grown as a profession, with its own unique and distinguishable, holistic, science-based knowledge, which is complementary within the multidisciplinary team. Today Advanced Practice Nurses (APNs) demonstrate nursing expertise in clinical practice, education, research and leadership, and are no longer perceived as “physician replacements” or assistants. Saudi Arabia has yet to define, legislate or regulate Advanced Practice Nursing. Aims: This article aims to disseminate information from a Saudi Advanced Practice Nurse thought leadership meeting, to chronicle the history of Advanced Practice Nursing within the Kingdom of Saudi Arabia, while identifying strategies for moving forward. Conclusion: It is important to build an APN model based on Saudi health care culture and patient population needs, while recognizing global historical underpinnings. Ensuring that nursing continues to distinguish itself from other health care professions, while securing a seat at the multidisciplinary health care table will be instrumental in advancing the practice of nursing

Componentes funcionais da teoria de Peplau e sua confluência com o referencial de grupo Componentes funcionales de la teoría de Peplau y su confluencia con el referencial de grupo Analysis of the Functional components of the Peplau's theory and its confluence with the group reference

As teorias de enfermagem precisam ser analisadas para que possamos acessar o real significado das idéias explicitadas pelas teóricas e, com isso, possibilitar que os enfermeiros as considerem e as incorporem na prática profissional. Este estudo objetivou analisar os componentes funcionais da teoria de Hildegard Elizabeth Peplau, com base no modelo proposto por Meleis e sua confluência com o referencial de grupo utilizado no trabalho com dependentes químicos. A construção deste estudo proporcionou, não apenas conhecer os componentes funcionais desta teoria, onde os mesmos foram identificados, mas, principalmente, sua adequação e utilização a grupos no âmbito da cotidianidade da prática de cuidar do dependente químico.<br>Las teorías de enfermería necesitan ser analizadas para que podamos acceder al real significado de las ideas explicitadas por las teóricas y, con eso, posibilitar que los enfermeros las consideren e incorporen en su práctica profesional. Este estudio tuvo como objetivo analizar los componentes funcionales de la teoría de Hildegard Elizabeth Peplau, con base en el modelo propuesto por Meleis y su confluencia con el referencial de grupo utilizado en el trabajo con dependientes químicos. La construcción de este estudio permitió, no sólo conocer los componentes funcionales de esta teoría, donde los mismos fueron identificados, sino, principalmente, su adecuación y utilización a grupos en el ámbito cotidiano de la práctica de cuidar del dependiente químico.<br>To facilitate nurses' application of nursing theories, theories must be analyzed and disseminated. This study aimed to analyze the functional components of Paplau's Theory of Nursing among chemical dependent participants. The analysis of the theory was based on Meleis's model. The results of this analysis provided more than an understanding of the functional components of this theory; the results included the appropriateness and utilization of Paplau's theory to provide care to dependent chemical clients