Un programme innovant pour préparer les infirmières de pratique avancée en France

Abstract

Background In 2016, French legislation was modified introducing advanced practice for nurses and allied health professions. In 2018, the implementation phase of this legislation began with a focus on the nursing profession. In this context, the University Sorbonne Paris-Nord (USPN) has been accredited by the ministry of higher education to provide a graduate programme leading to the State Diploma of Advanced Practice Nurse (APN).AimsThe presentation will detail:•the characteristics of the advanced practice nurse in France•the innovative approach chosen by the USPN to develop this graduate programme.ApproachThe programme is based on the nursing metaparadigm defined by Fawcett: nursing, person, health and environment, and a socio-constructivist educational approach has been selected.Key Learnings This 2-year program prepares APNs in two certification domains (out of the 5 existing in France): "prevention and common polypathologies in primary care" and "psychiatry and mental health » based on the 6 competencies defined in the APN’s national framework: 1.assess the health status of patients living with identified pathologies as a relay to medical consultations; 2.define and implement the patient's care plan based on the overall assessment of his or her health status; 3.design and implement preventive and therapeutic education activities; 4.organize the care/health pathways of patients in collaboration with all the actors involved;5.set up and conduct actions for the evaluation and improvement of professional practices through clinical leadership; 6.research, analyze and produce professional and scientific data. Educational principles guide the curriculum: a competency-based approach; a spiral curriculum integrating problem-based learning; a blended learning approach; and a theory-practice integration. The content of the programme is co-constructed by a multi-professional/ multidisciplinary team including the "patient perspective". Conclusion 20 students were enrolled in the first year (core curriculum) and 6 in the second year (psychiatry-mental health) during the academic year 2021/22. The results of the program evaluation will be presented: student satisfaction as well as passing rates .Significance Beyond the objective of improving access to care for the population by introducing competent APNs, this programme also contributes to the development of the nursing discipline at national level, nursing science having recently been integrated into the list of academic disciplines established by the French National Council of Universities. It contributes to offer a Bachelor-Master-PhD continuum in nursing in France