Ketefian S., Redman R., Hanucharurnkul S., Masterson A. and Neves E. (2001) The development of advanced practice roles: implications in the international nursing community. International Nursing Review 48: 152-163.

Ketefian S., Redman R., Hanucharurnkul S., Masterson A. and Neves E. (2001) The development of advanced practice roles: implications in the international nursing community. International Nursing Review 48: 152-163.

Reflect on the development of advanced nursing in your own country. Use Ketefian et al’s sub-headings to structure your reflection.
• socio-political environment

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In Saudi Arabia advanced practice nursing roles not yet specifically regulated which means nurse is become work in complicated and higher level and involved in any area of health care practice. On the other hand, there exists opportunities that will speed the attainment of the APN roles in the country. The social political environment in Sadia Arabia has played a pivotal role in the advancement of social needs in the society which necessitates the development of APN. Midwifery services, primary health care have been introduced with degree of courtesy and accessible of the social political environment which demonstrates preference of humanistic and health promoting services.
Recently, Saudi Arabia is still make effort to evolving advanced practice nursing roles which educate both gender in nursing master and PhD level in order to provide leadership and ensure the suitable services, training, and regulation of nurses. Also to continued development of nursing is unthinkable without foreign nurses for the predictable future (Tumulty 2001).
• the health needs of the population

The health needs of the population in Saudi Arabia are highly cantered in the rural setting unlike USA and UK. This calls for a paradigm shift of priorities from the urban centres to local areas to be able to meet the needs of population. This is achieved through training more health personnel and establishing more health care facilities in rural areas. According to Ministry of health 2009 there is maldistribution of health care services across geographical area .and there is a lack of health service for special group such as older or who have disability in rural area. In order to improve accessibility to health care need to redistribute of health care centre (Almalki et al. 2011)

• the health workforce supply and demand

The government of Saudi Arabia considers development of health care services at primary level, sec, and tertiary. However the main challenge they face is proving qualified workers. It is challenged by the shortage of professionals in most local health care’s either nurses or doctors. The number of Saudi nurse was insufficient to meet the nursing workforce needs. Therefore, nursing workforce in Saudi Arabia depend on expatriates who are recruited from different countries which is the majority of them are Indian and Filipino. At the time of Gulf war nurses and other expatriates was

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