As the demand for clinical care continues to increase, healthcare organisation throughout the world are struggling with financial and other forms of limitation. Thus, different models of care have been adopted to ensure that, despite the underlying limitation, quality, effective and safe care is provided to those in need. Such models include the person-centred care model. The need for further changes has even become more apparent. Leadership styles that can drive change amidst existing complexities are required.

The role of Advanced Nurse Practitioners has emerged over the years for numerous reasons. One of the major issues is that traditional managerial roles do not meet the needs of nurses as caregivers and patients as care providers. Adoption of visionary and heroic leadership models have not proved effective in the healthcare sector. Advanced Nurse Practitioner includes both clinical care leadership and organisational management leadership. The adoption of Advanced Nurse Practitioners leadership is yet to be fully realised.

ANPs face various barriers and challenges in their provision for both care and leadership.  This include the lack of authority with the current structuring of the healthcare sector. ANPs also explicitly lack the skills and resource to provide organisational leadership. Such barriers result from policy implications. With the acknowledgement of the role of ANPs, many policies have been adopted to enhance their leadership roles. They include the provision of a doctoral program, adoption of the scope of practice and function and the urge to meet their skill needs through active engagement in policy formulation.