Developing the scope of practice and education for advanced practice nurses in Finland


  • L. Fagerström rn, mnsc, phd

    1. Project Leader, Svenska yrkeshögskolan University of Applied Sciences, Vaasa, Finland; Professor in Nursing Science, Department of Health Sciences, Buskerud University College, Drammen, Norway; Associate Professor, School of Life Sciences, University of Skövde, Skövde, Sweden
    Search for more papers by this author

Lisbeth Fagerström, Moippevägen 35, Kvevlax 66530, Finland; Tel: 358-41-4331097; Fax: 358-6-328-5310; E-mail:


Background:  The reorganization of Finnish healthcare services has required a restructuring of the areas of responsibility between healthcare professionals.

Aim:  To describe the need for Advanced Practice Nurses in Finland and the development process of a Master's programme in Health Promotion, Advanced Clinical Care.

Methods:  The study consisted of a survey of nurse managers (24) and focus group interviews with clinical nurse specialists (46).

Findings:  The expanded role includes advanced clinical skills and responsibility for health prevention and promotion, education, supervision, leadership, research and development.

Conclusions:  The legislation, scope and models have to be supported and further developed to promote the full scope of advanced practice.