Two advanced practice nursing roles are recognized in canada cns a cns is registered nurse with advanced nursing knowledge and skills in making complex decisions who holds a masters or doctoral degree in nursing with expertise in a clinical nursing specialty the cns is an agent of change who brings value to clients practice settings and organizations to improve safety promote positive health outcomes and reduce costs. Nurses with advanced practice apns or advanced practice registered nurse aprn titles have completed a masters or doctorate that allows them to pursue higher level roles in their field advanced nursing practice designations allow nurses to become more autonomous and versatile in their work and patient care. Advanced practice in nursing is demonstrated by a level of practice and is not by a job title or level of remuneration advanced practice for the purpose of the nurse practitioner endorsement requires 5000 hours clinically based advanced practice in the past six years nurse practitioner a nurse practitioner is a registered nurse endorsed as a nurse practitioner by the nmba. Advanced nursing practice anp advanced nursing practice is a field of nursing that extends and expands the boundaries of nursings scope of practice contributes to nursing knowledge and promotes advancement of the profession rnabc policy statement 2001 anp is characterised by the integration and application of a broad range of theoret