This study surfaced the Filipino nurse expert’s perceptual analysis of the needs and issues affecting the acceptance and utilization of Advanced Nursing Practice in the country. Using Delphi technique, consensus-building was sought by using a series of questionnaires to collect opinions from a panel of experts. From the analyses of qualitative of ten (10) nursing experts from the different fields such as in the nursing education, nursing practice and nursing administrators, three main themes emerged as the following: (1) Transformation and Synchronization of Academic Preparation (2) Adaptation of Nursing Practice to Global Competency Standards (3) Promotion and Increased Utilization of ANP. The phenomenon “paradigm evolution” symbolically represents the needs and issues in the acceptance and utilization of Advanced Nursing Practice in the Philippines.These identified key main themes served as bases for the development of the Advanced Nursing Practice framework in the Philippines.

Keywords: Needs and issues, Standardization, Health policy, Advanced clinical nursing practice, Philippines.