1. Increasing Accessibility to Advanced Practice Nursing Education: An Approach of Faculty of Nursing, Burapha University, Thailand Wannee Deoisres, R.N., Ph.D. Associate Professor Faculty of Nursing, Burapha University, Chon Buri Province, Thailand

2. PURPOSE To describe the educational programs of Faculty of Nursing, Burapha University, in responding to the needs of registered nurses holding a master degree in nursing (non-APN graduate degrees) and in related fields (non-nursing graduate degrees) so that they are qualified for advanced practice nurses. To describe the educational programs of Faculty of Nursing, Burapha University, in responding to the needs of registered nurses holding a master degree in nursing (non-APN graduate degrees) and in related fields (non-nursing graduate degrees) so that they are qualified for advanced practice nurses.

3. OUTLINE OF PRESENTATION The development of APN in Thailand. The development of APN in Thailand. Nursing education at the master degree level in Thailand. Nursing education at the master degree level in Thailand. The advanced practice nursing education programs of Faculty of Nursing, Burapha University. The advanced practice nursing education programs of Faculty of Nursing, Burapha University.

4. THE DEVELOPMENT OF APN IN THAILAND Thailand Nursing Council promulgated the regulation concerning advanced practice nursing in 1998. Thailand Nursing Council promulgated the regulation concerning advanced practice nursing in 1998. The certificate to advanced practice nurses was issued for the first time in 2003. The certificate to advanced practice nurses was issued for the first time in 2003. National Standard for APN Education has been set by Thailand Nursing Council since 2003. National Standard for APN Education has been set by Thailand Nursing Council since 2003.

5. Why APN?: Thailand Complex Health Problem Explosion of knowledge and technology Increase cost of Care Increase specialization in medicine National Health Care Reform Universal Health Care Coverage with acceptable quality and reasonable cost Expanded scope of nursing practice (Hanuchareaonkul, 2002)

6. APNs in Thailand CNS CNS Pediatric NursingPediatric Nursing Adult NursingAdult Nursing Maternal and Child NursingMaternal and Child Nursing Gerontological NursingGerontological Nursing Mental Health and Psychiatric NursingMental Health and Psychiatric Nursing NP NP Community NP Family NP Occupational NP Advanced Advanced Nurse-Midwifery Nurse-Midwifery

7. Currently, there are 306 advanced practice nurses in Thailand. Currently, there are 306 advanced practice nurses in Thailand. The present numbers of advanced practice nurses are still far behind the target set by the National Commission of Nursing Education of Thailand. The present numbers of advanced practice nurses are still far behind the target set by the National Commission of Nursing Education of Thailand. Nurse practitioners and clinical nurse specialists are expected to produce in the numbers of 800/year and 500/year respectively during the years of 2005-2009 Nurse practitioners and clinical nurse specialists are expected to produce in the numbers of 800/year and 500/year respectively during the years of 2005-2009

8. Master Degree Program in Nursing in Thailand M.S.N.: Non-APN Programs M.S.N.: Non-APN Programs Aimed at providing advanced knowledge for practicing nurses, nurse administrators, and nurse educatorsAimed at providing advanced knowledge for practicing nurses, nurse administrators, and nurse educators M.S.N.: APN Programs M.S.N.: APN Programs Prepare advanced practice nursesPrepare advanced practice nurses Standard Curriculum set by Thailand Nursing Council in 2003Standard Curriculum set by Thailand Nursing Council in 2003

9. Qualifications for APN Certificate Examination BSN APN Certificate Examination MSN (APN Program) & Clinical Experience of 3 Years or more MSN (Non-APN Program) or Master degree (related fields) Additional education

10. Qualifications for APN Certificate Examination Advanced practice roles development Advanced practice roles development 1 credit1 credit Health system & policy Health system & policy 2 credits2 credits Nursing theory Nursing theory 2 credits2 credits Advanced Nursing Specialty Advanced Nursing Specialty 12 Credits12 Credits

11. MSN. Programs MSN. Programs To prepare APNs.To prepare APNs. Special Training Programs Special Training Programs To prepare nurses holding master degree (non-APN program) to be qualified for APN certification examination.To prepare nurses holding master degree (non-APN program) to be qualified for APN certification examination. Educational Programs at BUU for APN

12. Training Programs at BUU APN Role Development Course: APN Role Development Course: A Three Days Conference ModelA Three Days Conference Model 18 Credit of CNEU = 1 Credit of formal education18 Credit of CNEU = 1 Credit of formal education Nursing Theory Course: Nursing Theory Course: 8 days workshop = 32 Credit Hours8 days workshop = 32 Credit Hours Advanced Nursing Specialty Course: Advanced Nursing Specialty Course: 4 modules for a period of 4 months4 modules for a period of 4 months 2 modules for theory courses (6 credit hours)2 modules for theory courses (6 credit hours) 2 modules for practicum (6 credit hours)2 modules for practicum (6 credit hours)

13. APN Role Development A Three Days ConferenceA Three Days Conference Concept of APN Concept of APN APN Role APN Role Best Practice Model of APN in a variety areas of specialty and setting of practice by APNs Best Practice Model of APN in a variety areas of specialty and setting of practice by APNs July 13-15, 2005 July 13-15, 2005 201 participants June 21-23, 2005 Outcome June 21-23, 2005 Outcome 100 participants Outcome Outcome Overall satisfaction mean scores = 4.16 (1-5 rating scale)

14. Conference on APN Role Development

15. Nursing Theory Workshop Offered on 8 weekend days Offered on 8 weekend days Lecture on selected theories for 4 days (Saturdays-Sundays) Lecture on selected theories for 4 days (Saturdays-Sundays) Participants applied a select theory for their practice Participants applied a select theory for their practice Presentation of using theory in practice on the last 4 days (Saturdays-Sundays) Presentation of using theory in practice on the last 4 days (Saturdays-Sundays) 1 st Workshop: 1 st Workshop: Sept, 2005 2 nd Workshop: 2 nd Workshop: August, 2006 Outcome: Outcome: Overall satisfaction mean scores = 4.33 (1- 5 rating scale)

16. Nursing Theory Workshop

18. Advanced Nursing Specialty Training 4 modules for a period of 4 months4 modules for a period of 4 months 2 modules for theory courses (6 credits)2 modules for theory courses (6 credits) 2 modules for practicum (6 credits)2 modules for practicum (6 credits) Currently there are 2 specialty trainings: Currently there are 2 specialty trainings: One for adult nursing specialty One for mental health and psychiatric nursing

19. Lesson Learned from Our Approach Additional training program for nurses with master degree in non-APN program is essential to increase the numbers of APNs in health care system. Additional training program for nurses with master degree in non-APN program is essential to increase the numbers of APNs in health care system. The training should be held on Saturdays and Sundays so that nurses could participate in the training. The training should be held on Saturdays and Sundays so that nurses could participate in the training.

20. Lesson Learned Continuing education for APNs in a variety of topics is needed e.g., Evidence-based practice. Continuing education for APNs in a variety of topics is needed e.g., Evidence-based practice. To date there is a few continuing educational program for advanced practice nurses. To date there is a few continuing educational program for advanced practice nurses.

21. Thank You for Your Attention Flower of Faculty of Nursing BUU Flower of Nursing Thailand