Who is an Advanced Practice Nurse?���
Lucy Wankuru Meng’anyi
Lecturer, APN-CNS (Critical Care), Researcher, School of Health Sciences Kenyatta University, Kenya,
5th – 7th November 2025
42nd Annual Conference
Background
Lucy Wankuru Meng'anyi
10/27/2025
Perioperative nursing is evolving rapidly
Complex surgeries and patient safety require higher competencies
The APN role is globally recognized by ICN
APNs are Master’s-prepared with advanced clinical training
Who is an Advanced Practice Nurse (APN)?
Lucy Wankuru Meng'anyi
10/27/2025
Graduate-prepared registered nurse (Master’s level or above)
Combines advanced clinical skills, leadership & decision-making
Functions with autonomy and expanded scope
Two main pathways/Roles/Specialists/ Tracks: CNS & NP
Clinical Nurse Specialist (CNS)
Lucy Wankuru Meng'anyi
10/27/2025
Leads system-level change
Implements evidence-based practice
Improves care quality and outcomes
Consults on complex cases
Nurse Practitioner (NP)
Lucy Wankuru Meng'anyi
10/27/2025
Provides direct clinical care
Conducts health assessments and diagnostics
Prescribes treatments and medications
Manages follow-up and care continuity
(ICN, 2020)
Nurse Practitioner (NP)
Lucy Wankuru Meng'anyi
10/27/2025
Independent clinician: assesses, diagnoses, prescribes
Manages acute and chronic surgical conditions
Leads pre-op evaluation and post-op monitoring
Drives enhanced recovery and pain management
CNS vs NP – Distinct but Complementary
Lucy Wankuru Meng'anyi
10/27/2025
Role | Focus | Contribution |
CNS | Systems & Quality | Protocols, mentorship |
NP | Direct Care | Diagnosis, treatment |
Shared foundation in leadership, evidence-based care, and advocacy
Why APNs Matter in Perioperative Care
Lucy Wankuru Meng'anyi
10/27/2025
Bridge gaps in complex surgical care
01
Lead safety, infection control, and patient flow improvements
02
Boost team training and morale
03
Elevate Kenya’s surgical standards to global levels
04
Global Alignment
Lucy Wankuru Meng'anyi
10/27/2025
ICN and WHO advocate for APN roles
Countries with APNs show better surgical outcomes
Kenya’s perioperative nurses can lead transformation
ASANTE
Lucy Wankuru Meng'anyi
10/27/2025