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Implementing Advanced Nurse Practitioner Roles in Acute Care: An Evaluation of Organizational Change

Cummings, Greta G. MEd, BNSc, RN; Fraser, Kim MA, BN, RN; Tarlier, Denise S. MSN, RN, FNP-C (AANP)

Journal of Nursing Administration: March 2003 - Volume 33 - Issue 3 - p 139-145

Medical shortages are seen as the driving force behind the recent implementation of the advanced nurse practitioner (ANP) role in some Canadian hospitals. The authors analyzed the implementation of the ANP role in one tertiary care teaching hospital from the organizational change perspective. Despite successful implementation, issues of role definition, scope of practice boundaries, and staff reactions remain unresolved. Recommendations are discussed for implementing ANP roles in other acute care facilities.

Authors’ affiliation: Faculty of Nursing, University of Alberta, Edmonton, Alberta.

Corresponding author: Greta Cummings, MEd, BNSc, RN, Faculty of Nursing, University of Alberta, 3–120 Clinical Sciences Building, Edmonton, Alberta, Canada, T6G 2G3 (

© 2003 Lippincott Williams & Wilkins, Inc.