Task shifting between physicians and nurses in acute care hospitals: cross-sectional study in nine countries

Table 1 Policy reforms by country: major SoP reforms expanding nurses’ clinical practice implemented; 2010–2015

	Expanded SoP for APN/nurses	No/limited expansions to SoP
Netherlands	• 2011 Law expanded the SoP for Nurse Specialists • 2014 Law on nurse prescribing for three nurse specialisations
England (UK)	• Prescribing rights expanded for independent prescribers (2012)
Scotland (UK)	• Prescribing rights expanded for independent prescribers (2012)
Czech Republic		• Limited nurse role developments, no changes to SoP
Germany		• Limited nurse role developments • 2011: Directive to authorise pilot projects to test task shifting
Italy		• Limited developments, no changes to SoP
Norway		• Limited APN/nurse role developments, no changes to SoP
Poland		• Limited developments, except for a law on nurse prescribing which entered into force in 2016^a
Turkey		• No developments, no changes to SoP

Source: [13, 26, 27, 35, 36]
SoP Scope-of-Practice, APN Advanced Practice Nurse, UK United Kingdom
^aPoland was categorised as “limited/no reforms”, due to the fact that the law entered into force in 2016 (outside the 2010–2015 time period covered)

ISSN: 1478-4491