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International Nurse Practitioner (NP) Resources

The NP Role Continues to Emerge and Evolve Around the World

American Association of Nurse Practitioners - International NP Resources

While education, credentialing and practice for NPs vary by country, the American Association of Nurse Practitioners® (AANP) remains committed to supporting NPs in every country around the world.

AANP was an active member of the initial steering committee that led to the development of the International Council of Nurses (ICN) Nurse Practitioner/Advanced Practice Nurse Network (NP/APNN). To this day, AANP offers assistance to those implementing the NP role.

AANP International Initiatives

  • International Advanced Practice Nurse Ambassador Program

    AANP is committed to assisting multiple NPs, or nurses who work in an advanced role, by providing funding to help them attend the annual AANP national conference.

    Learn More About the Program

    Meet the 2023 ambassadors:

    Sandra Veronica Leyan Castillo, FNP-C (Chile)

    Sandra Veronica Leyan Castillo, FNP-C
    Sandra Veronica Leyan Castillo, FNP-C

    Leyan graduated from Boston College as a family NP in 2019 and became Chile’s first practicing NP. Currently working in orthopedics at Red Salud UC CHRISTUS, she has been the coordinator of the country’s first fracture liaison service since 2020. In 2022, Leyan received the Betsy McClung Travel grant from the American Society of Bone and Mineral Research for her contributions caring for patients with osteoporosis. Her work includes preoperative visits to enhance patients’ recovery after surgery, and she is starting a program to prevent diabetic foot disease. Leyan is an assistant professor at Pontificia Universidad Católica de Chile within the advanced practice registered nurse (APRN) master’s degree program, which is the country’s first NP program. She promotes APRN role development in Chile as a board member of Chile’s first APRN professional association, where she serves as the first president. Leyan will be mentored by Jamesetta (Jamie) A. Newland, PhD, FNP-BC, FAANP, DPNAP, FAAN.

    Godfrey Cosma Martis Ajgaonkar, BN, MN, MNNP (Australia)

    Cosma Martis Ajgaonkar, BN, MN, MNNP
    Godfrey Cosma Martis Ajgaonkar, BN, MN, MNNP

    Martis Ajgaonkar is an NP in cardiology at Logan Hospital in Queensland, Australia. His love for making a difference in people's lives led him to become a nurse, while his desire for advanced knowledge led him to become an NP. Martis Ajgaonkar has been a registered nurse for the last 15 years and has practiced as an NP across Australia for the past eight years. As an NP in cardiology who has worked across tertiary, rural and remote hospital settings, his favorite workplace has been the outback — or as Australians call it, "the Bush” — working in the middle of nowhere with challenges of having minimal resources, delivering culturally safe care to First Nation people and bringing care closer to home. He is also a researcher, pursuing a higher degree in research study reviewing the role of yearly yarning about end-of-life care in First Nation people living with chronic diseases in remote communities. Martis Ajgaonkar will be mentored by Richard Riccardi, PhD, CRNP, FAANP, FAAN.

    Beatriz Rosana Gonçalves de Oliveira Toso, DSc, RN (Brazil)

    Beatriz Rosana Gonçalves de Oliveira Toso, DSc, RN
    Beatriz Rosana Gonçalves de Oliveira Toso, DSc, RN

    Toso is an associate professor at the Western Paraná State University — UNIOESTE on the campus in Cascavel, Paraná, Brazil. She is a researcher and professor of the master's and doctoral programs in biosciences and health. Toso also teaches the nursing undergraduate course on child and adolescent health. She has teaching and research experience in the fields of pediatric nursing, primary health care and advanced practice nursing. She volunteers as the president of the Brazilian Society of Pediatric Nurses from 2022 to 2025. Toso also serves as the vice president of the Red Latino-Americana de Enfermería Práctica Avanzada (RED EPA LatinA) network with 14 countries working to promote the development of advanced practice nursing within Latin America. In 2022, she became a member of the Research Group of the International Council of Nursing. Currently, two multicentered and international research studies are being coordinated for her to develop and implement the APN role in Brazil. Toso will be mentored by Maria Kidner, DNP, APRN, FAANP.

    Roland van Rens, RN, MaANP (Spain)

    Roland van Rens, RN, MaANP
    Roland van Rens, RN, MaANP

    Van Rens has more than 20 years of clinical experience in neonatal nursing and holds a master’s degree in advanced nursing practice from Erasmus University in the Netherlands. He has worked as an advanced neonatal NP, performing complex vascular access procedures. Van Rens has developed and delivered multi-professional educational activities and conducted clinical research in Europe and the Middle East. He served as the clinical director of nursing for the newborn intensive care unit (NICU) at Women’s Wellness and Research Center, Qatar. His research explores ways to improve neonatal care, most notably including studies on vascular access. Alongside his international research collaborators and co-authors, he has presented at international conferences and published several referred journal articles concerning neonatal vascular access, infusion therapy and related technology. Currently, he is preparing for his PhD study in the Netherlands. Van Rens will be mentored by Wakako Eklund, DNP, APRN NNNP-BC, FAANP, FAAN.

    Congratulations to all of the AANP International Ambassadors!

    • 2018: Scholastica Chibehe from Tanzania.
    • 2018: Heather Henry-McGrath from Jamaica.
    • 2018: Mabedi Kgositau from Botswana.
    • 2018: Sibonginkosi (Bongi) Sibanda from the United Kingdom and Zimbabwe.
    • 2019: Fathi Al Abri from Oman.
    • 2019: Bonisile Nsibandze from Eswatini.
    • 2020: Maria Auxiliadora Rodrigues from Brazil.
    • 2020: Gaonyadiwe Lubinda-Dube from Botswana.
    • 2020: Nanako Tsukui from Japan.
    • 2020: Samwel Wainaina Mwangi from Kenya.
    • 2021: Joseph Kilasara from Tanzania.
    • 2021: Rachel Kimani from Kenya.
    • 2021: Sriyani Padmalatha Konara Mudiyanselage from Sri Lanka
    • 2022: Evelyn Amoako from Ghana
    • 2022: Patricija Lunežnik from Slovenia
    • 2022: Wentao Zhou from Singapore
    • 2023: Sandra Veronica Leyan Castillo from Chile
    • 2023: Godfrey Cosma Martis Ajgaonkar from Australia
    • 2023: Beatriz Rosana Gonçalves de Oliveira Toso from Brazil
    • 2023: Roland van Rens from Spain

    Learn More About the Program

  • International Networking

    International Specialty Interest Group (SIG)

    The International SIG is a dynamic platform designed to provide an international exchange of ideas and insight as NPs provide care to diverse populations around the world. Many NPs are choosing to participate in volunteer opportunities and provide health care in underserved nations across the globe. This SIG will also provide a forum to discuss lessons learned in international health experiences abroad and share best practices for advanced practice nursing role development.

    Discover the International SIG

  • FAANP PRAC Talk: Shwu-Feng Tsay, PhD, RN, FAAN, FAANP(H)

    From the 2022 Fellows of the American Association of Nurse Practitioners (FAANP) Winter Meeting, Taiwanese chief nursing officer Shwu-Feng Tsay presents this three-part PRAC talk addessing:

    • Part One: The Model for Combating COVID-19
    • Part Two: The Development of Home Care Nursing
    • Part Three: The Future of Smart Care

    View the Video

  • International Tools and Resources

    Your Partner in Health, the Nurse Practitioner

    The Your Partner in Health, the Nurse Practitioner brochure was developed by AANP to provide an overview of the NP role. It describes NPs' unique blend of nursing and medical care, their advanced education, the various services and specialties they provide and the important role NPs play in providing smarter health and lifestyle choices through cost-effective, high-quality health care.

    Download brochures in English, French, Portuguese and Spanish.

Year of the Nurse and the Midwife Stories

As nurse practitioners (NPs), our unique voice and perspective was a large part of the Year of the Nurse and the Midwife celebration!

This digital, visual collection shares the activities and experiences of real NPs and APNs, who are working both here in the U.S. and internationally. Reflect on 2020 by reading their stories, from serving on the front lines of the COVID-19 pandemic to supporting the development of APN roles and performing community service abroad. You'll soon see that all around the world, NPs are stepping up to deliver health care and health education.

AANP Members Abroad

From humanitarian efforts to outreach leadership, AANP members are taking their expertise abroad.

Do you have your own international experience to share? Contact AANP at

External Resources

  • International Health Care Information

    Whether you're currently practicing overseas, planning your move or exploring global practice options, being aware of international health issues is imperative.

    • ICN Guidelines on Advanced Practice Nursing 2020: Review the first-ever published guidelines for advanced practice nursing, which establishes advanced practice nursing roles worldwide.
    • Centers for Disease Control and Prevention (CDC) Travel Health Information: Find information on a variety of travel-related topics, including diseases, health and safety precautions, vaccinations and the latest edition of Yellow Book, a travel health reference.
      • CDC Travel Health Notices: Review travel notices describing both levels of risk for the traveler and recommended preventive measures to take at each level of risk. This also includes outbreak information.
    • United Nations (UN): The UN is an international organization founded in 1945, currently made up of 193 Member States. Its global issues and projects include ageing, AIDS and other health matters.
    • World Health Organization (WHO): WHO is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends.
      • WHO in Emergencies: The WHO Health Emergencies programme provides information on the latest crises, including WHO's work in affected countries.
      • WHO Disease Outbreak News: WHO details current health emergencies, preparedness resources and response information.
  • International Organizations

    The following resources were compiled to help NPs interested in learning about international NP organizations and international organizations dedicated to specific health care issues.

    Professional Organizations

    Health Organizations

    • Australian Indigenous HealthInfoNet: This is an innovative internet resource that aims to inform practice and policy in Indigenous health by making research and other knowledge readily accessible. It aims to help close the gap in health between Indigenous and other Australians.
    • European AIDS Treatment Group (EATG): EATG is a European network of nationally based activists representing and defending the treatment-related interests of people living with HIV and AIDS.
    • Fulbright Visiting Scholar Program: This program distributes grants for advanced research and university lecturing, available to scholars from more than 155 countries.
    • Global Initiative for Chronic Obstruction Lung Disease (GOLD): GOLD works with health care professionals and public health officials to raise awareness of chronic obstructive pulmonary disease (COPD) and to improve the prevention and treatment of this lung disease for patients around the world.
    • God's House International: This holistic health care group acts as a vanguard for health consciousness and focuses strongly on the issues of homelessness, health promotion and disease prevention, including HIV/AIDS.
    • Grounds for HealthTM: This is an international women's health care nonprofit group specializing in the early detection and treatment of cervical cancer.
    • Jhpiego: In partnership with national governments, health experts and local communities, this organization builds health providers’ skills and develops systems that save lives now and guarantee healthier futures for women and their families.
    • Nursing Now: In collaboration with WHO and the ICN, Nursing Now aims to raise the status and profile of nursing, to advocate for more nurses in leadership positions and to help nurses access better education and training while supporting them to share research and evidence of effective practice.
    • Partners in Health (PIH®): This is a social justice organization dedicated to bringing the benefits of modern medical science to those most in need of them and to serve as an antidote to despair and injustice.
    • Robert Wood Johnson Foundation (RWJF): This organization is working to build a comprehensive "culture of health" by focusing on four broad areas — health systems, healthy communities, healthy children and families and leadership for better health.
    • World Gastroenterology Organisation (WGO): This is a federation of 110 national societies and four regional associations of gastroenterology providers, representing more than 50,000 individual members worldwide.