Download Employer Support Form

MASTER OF NURSING (NURSE PRACTITIONER)
Employer Support Form
This statement must be completed by a senior nurse manager. Please attach a copy of the
applicant’s position description to this form.
I **Click once and type in your name** certify that
**Click once and type in the name of the applicant**
has been employed as a registered nurse in **Click once and type of the health
insitution/service** from **Click once and type in date dd/mm/yyyy** to **Click once and
type in date dd/mm/yyyy** in the following positions:**Click once and type in position(s)**
The applicant’s position(s) have required them to practise at an advanced practice level for
a minimum of one (1) year from **Click once and type in date dd/mm/yyyy** to **Click once
and type in date dd/mm/yyyy** as per the following definition of advanced practice
contained in the Australian Nursing and Midwifery Council Competency Standards for the
Nurse Practitioner
Advanced practice nursing defines a level of nursing practice that uses extended and
expanded skills,experience and knowledge in assessment, planning, implementation,
diagnosis and evaluation of thenursing care required. Nurses practising at this level are
educationally prepared at postgraduate level and may work in a specialist or generalist
capacity. However, the basis of advanced practice is the high degree of knowledge, skill
and experience applied in the nurse-patient/client relationship to achieve optimal outcomes
through critical analysis, problem solving and accurate decision-making (Australian Nursing
and Midwifery Council (ANMC) 2006).
The position(s) has/have required the applicant to work **Click once and type in the number
of hours** hours per week.
Master of Nursing (Nurse Practitioner)
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I confirm that in regard to the applicant’s current practice responsibilities, more than 50% of
their nursing role involves direct client care **Click once and type in Yes or No**
I certify that the applicant has the approval of the employing organisation to work in their
advanced practice role throughout the program and they will be supported to undertake the
Master of Nursing (Nurse Practitioner) Program. The organisation will assist the applicant
with clinical skills acquisition using the ANMC Competency Standards for Nurse
Practitioners and with the selection of clinical mentors as necessary. I understand that I am
not obliged to make a Nurse Practitioner position available for the applicant and am only
confirming support for the applicant’s studies.
Manager’s Signature
Position and Organisation
**Click once and type in your position and organisation**
(To be completed by the Applicant)
Declaration
I am aware of and understand the requirements for endorsement as a Nurse Practitioner
with the Nursing and Midwifery Board of Australia.
Signature
Master of Nursing (Nurse Practitioner)
Date
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