Mailing Address
Health Professions Regulatory Advisory Council
55 St. Clair Avenue West
Suite 806 Box 18
Toronto, Ontario, Canada
M4V 2Y7

Telephone and Facsimile
Toll-Free: 1-888-377-7746
Telephone: 416-326-1550.
Fax: 416-326-1549

Text Size RSS Print

Literature and Jurisdictional Reviews

To facilitate discussion regarding the extended class nurse (nurse practitioner) scope of practice review, HPRAC has developed the following documents.

Scope of Practice for Registered Nurses in the Extended Class (Nurse Practitioners): A Briefing Note and High Level Review of the Literature

 This document offers an overview of extensive literature reviews conducted by the Canadian Nurse Practitioner Initiative (CNPI), available evidence-based documents on nurse practitioners, and other documents released subsequent to the 2006 CNPI report.  To view, click on the link below:

Literature Review   (PDF 579 KB)

Scope of Practice for Registered Nurses in the Extended Class (Nurse Practitioners): A Jurisdictional Review

This document provides background information on current regulation in Ontario, and on jurisdictions outside of Ontario (Canadian, American and international) and their respective approaches in regulating the practice of nurse practitioners.  Appendices to the main document provide original source legislative and regulatory source materials for reference. To view, click on the links below:

Jurisdictional Review  (PDF 393 KB)

Appendix A  (PDF 20.1MB) This document includes excerpts from legislation, regulations and policy documentation from all jurisdictions in Canada

Appendix B  (PDF 9.63 MB) This document includes excerpts from legislation, regulations and policy documentation from New Zealand and the United Kingdom.

Appendix C (PDF 2.08 MB)  This document includes excerpts from legislation, regulations and policy documentation from the American states of Colorado, Michigan and Oregon.

Appendix D (PDF 1.20 MB)  This document provides a summary of elements of nurse practitioner licensure and regulation in 26 American jurisdictions. It also includes the National Council of State Boards of Nursing's Model Nursing Practice Act, and Model Nursing Administrative rules.

Appendix E (PDF 284 KB) This document includes the U.S. National Organization of Nurse Practitioner Faculties' 2006 "Domains and Core Competencies for Nurse Practitioners".