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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

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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

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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

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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

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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)

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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

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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

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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

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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

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ASANTE

Lucy Wankuru Meng'anyi

10/27/2025