Advancement of the Nursing and Midwifery Professions

In line with NUMS vision, mission and philosophy, Nursing and Midwifery aims to create a new horizon for advancement of profession in the nation. NUMS is strongly advocating the development of new roles in practice and leadership–Advanced Nursing and Midwifery Practice (ANMP) . e.g. family health nursing, oncology, cardiac, trauma and emergency as well as primary health and maternal, child, neonate advance nursing and midwifery practice. These developments have been advocated by the International Council of Nursing (ICN), World Health Organization (WHO) and strategic and conceptual frameworks have been developed. Many regions and countries have implemented ANMP model such as USA, Latin America, Canada, Australia, Europe, South Africa, UAE, Oman and Bahrain.

With this in mind, an introductory meeting of these experienced nurses with NUMS leadership took place to facilitate and share expertise for the following:

  1. To share international experiences of development and implementation of ANMP models.
  2. To develop policy, regulatory mechanisms and credentialing approaches, and suggest a conceptual framework and structure for Advanced Nursing & Midwifery Practice Nursing (ANMP)
  3. To propose definitions, scopes of practice, standards competencies for ANMP, a framework and essential component for advanced practice education programme.  
  4. To develop an implementation plan to establish ANMP practice in Pakistan.
  5. To disseminate, gain consensus, and seek approval of relevant stake holders to educate and establish the APNM roles within the health system.


The foreign delegation of three seasoned Nursing and Midwifery consultants Madrean Schobber from Indiana Police, US; Fadwa Affara, Scottland, UK and Bahrain visited NUMS and its affiliated nursing institutes to facilitate and share expertise in developing Advance Practitioner Nurse Course Module from March 5 - 25 2017.

Miss. Madrean Schobber said, “Nurses in Pakistan are passionate in what they are doing. They are working absolutely beyond their means despite their small numbers and per patient ratio. Now with NUMS making efforts and showing serious concerns over the academic development of nurses we are very hopeful”.

Comparing Pakistani Nursing with the nursing worldwide Madrean said Pakistan stands somewhere in the middle and definitely not at the bottom of the world graph but somewhere midway.

Fadwa Affara, from Scotland, a nurse, midwife, educator and expert in making nursing regulatory policy commented,” Nursing in the international world is evolving and becoming more evidence based. The data collected so far reflects that there is a positive impact of having well educated nurses but community based care seems to be the future of nursing especially in low income group areas”.