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Professional Practice - Advanced Practice Nursing Model


Advanced Practice Nursing Model


The model of Advanced Practice Nursing (APN), adopted by Mackenzie Health, was originally described in the literature by Ackerman et al. in 1996 and was adapted for use at Trillium Health Centre and Winnipeg Health Sciences. The model is named after the Strong Memorial Hospital, University of Rochester.

This model aligns with the Canadian Nursing Association framework for advanced practice nursing. The focus of the Nurse Practitioner (NP)is clinical practice with the addition of 3 controlled acts, the focus for the Clinical Nurse Specialist (CNS) is direct care and consultation for specialized client populations – consistent with domains outlined by C N A.  We have further adapted the model to include bi-directional arrows between the patient/family and the program pillars and components signifying the mutual relationship between the patient/family and the APN acknowledging that the patient/family are experts in their care. As in the original model we have included Benner’s conceptualization of Novice to Expert recognizing that we are all at different places along the continuum of novice to expert in Advanced Practice Nursing. Also included in this model are Mackenzie Health’s “Wildly Important Goals” as foundational support. All activities undertaken by the APN Group contribute to the success of the WIGs. Refinement of the model as described is ongoing.


Ackerman, M. H., Norsen, L., Martin, B., Wiedrich, J., & Kitzman, H. J. (1996). Development of a model of advanced practice. American Journal of Critical Care, 5(1), 68 - 73.

Mackenzie Health / 10 Trench St. Richmond Hill, On. L4C 4Z3 / Richmond Hill Line: 905-883-1212 or Vaughan Line: 905-832-4554 / TTY Service: 905-883-2123
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