Comparing the evolution of the advanced practice nurse role: Insights from Switzerland and Kenya

Mackavey, Carole, Kohler, Sara, Ndirangu-Mugo, Eunice, Kimani, Rachel W., Shumba, Constance S., Mutwiri, Benard Daniel, Henderson, Colette and Jones, Anna ORCID: https://orcid.org/0000-0002-0742-8945 2026. Comparing the evolution of the advanced practice nurse role: Insights from Switzerland and Kenya. International Journal of Africa Nursing Sciences 24 , 100999. 10.1016/j.ijans.2026.100999

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Abstract

The article explores the evolution of Advanced Practice Nurse (APN) roles in Switzerland and Kenya, highlighting their development, challenges, and influence on healthcare delivery. Despite notable differences in income levels and healthcare infrastructure, both countries are committed to strengthening primary care through the deployment of APNs. Switzerland uses APNs to address provider shortages and improve chronic disease management, whereas Kenya uses them to increase access in underserved areas. A comparative analysis explores how regulatory frameworks, educational models, scope of practice, and health system priorities influence the adoption of advanced practice nursing (APN). Switzerland’s established healthcare system supports the integration of APNs, whereas Kenya faces distinct challenges, including workforce shortages and limited public awareness. Despite economic differences, both countries face similar challenges, including regulatory hurdles and cultural barriers. The study uses policy documents, regulatory guidelines, and academic literature to analyze key factors, including educational pathways, licensure, prescriptive authority, and healthcare integration. Findings emphasize the importance of strong regulatory frameworks, standardized education, and cultural competence in maximizing the effectiveness of APNs. Embedding Advanced Practice Nurses (APNs) in primary care can help reduce healthcare disparities, improve access, and improve patient outcomes. International collaboration is vital for advancing APN development globally. By exchanging insights and best practices, countries can enhance APN education and deployment strategies to address global healthcare challenges, ultimately improving primary care systems and healthcare delivery.

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Schools > Healthcare Sciences
Publisher:	Elsevier BV
ISSN:	2214-1391
Date of First Compliant Deposit:	2 February 2026
Date of Acceptance:	22 January 2026
Last Modified:	02 Feb 2026 13:00
URI:	https://orca.cardiff.ac.uk/id/eprint/184338

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