Malaysia needs these advanced practice nurses

AS International Nurses Day approaches on Sunday, it’s time to shine a light on an essential advancement in healthcare that Malaysia urgently needs to implement: the role of advanced practice nurses (APNs). This significant move would not only validate the crucial role nurses play in our healthcare system but also bring Malaysia in line with regional peers like Singapore and Thailand.

Known in Malay as a “jururawat pakar”, an APN is a registered nurse who has attained a higher level of expertise and a broader scope of practice. An APN can be a clinical nurse specialist, nurse practitioner, nurse anaesthetist and nurse midwife. They can diagnose medical conditions, prescribe medication, and implement treatment plans independently.

The introduction of APNs could transform healthcare delivery by enhancing access to quality care, particularly in underserved areas. APNs can provide primary and specialty healthcare services, filling critical gaps, especially where there is a shortage of physicians. This model has been shown to improve efficiency in patient management, shorten wait times, and reduce doctor workload.

Establishing the role of APNs would also recognise the advanced competencies nurses can achieve, fostering professional growth in the field. This is vital for retaining top nursing talent and ensuring that experienced nurses see meaningful career progression opportunities.

Singapore introduced APNs in 2006 with considerable success, improving patient outcomes and expanding healthcare access. Thailand too has embraced APNs, boosting healthcare delivery in rural areas, demonstrating the versatility and effectiveness of APNs.

The implementation of APNs in Malaysia calls for immediate and coordinated action by the Public Service Department, Health Ministry and the Malaysia Nursing Board. Strategic planning, policy adjustment and educational programme development are essential to prepare nurses for these advanced roles and to integrate them effectively into our healthcare system.

The introduction of APNs in Malaysia is not just a step forward; it’s a necessity. As we celebrate International Nurses Day, let’s advocate for a policy change that fully utilises the skills of our nursing workforce. It’s time for Malaysia to adopt this global trend and revolutionise its healthcare system for better access, quality and efficiency.

PROF DR MOHD SAID NURUMAL RN

Deputy Dean (Academic & Internationalisation)

Kulliyyah of Nursing

International Islamic University Malaysia