As a result of changing health care needs the advance practice Nursing has emerged and yet thriving. The positive effects on advanced practice nursing are demonstrated with health improvement, increased patient satisfaction, reduced hospital admissions including shorter lengths of stay. Also, cost effective strategy to the health care is a natural consequence, however, I believe this APN roles somewhat occurred in unplanned manner resulting in barriers to full utilization of this role. For a instance in rural and remote areas will benefit more with APN than in metro hospitals where full of human and material resources are available, yet introduction of APN levels in rural and remote hospitals or one nurse post are lacking. So, my personal opinion
