Match!

National regulation in Australia: A time for standardisation in roles and titles

Published on Jun 1, 2011in Collegian1.231
· DOI :10.1016/j.colegn.2011.01.002
Christine Duffield40
Estimated H-index: 40
,
Glenn E. Gardner30
Estimated H-index: 30
(QUT: Queensland University of Technology)
+ 2 AuthorsHelen Stasa14
Estimated H-index: 14
Abstract
Summary Background The past few years has seen a growth in the number of new nursing roles and position titles in many countries, including Australia. The Australian situation is unique due to the lack of professional engagement and debate in determining the purpose of some of these new positions. Often these new roles have been poorly defined, and there is no national consistency in nomenclature. The recent move to a national nursing registration system provides an opportunity for change. Method Discursive paper. Results New roles arise for a number of reasons, including a change in function or title for a pre-existing role or in response to the establishment a completely new position. However, the lack of a co-ordinated approach to introduction of new roles may lead to role proliferation (the rapid increase or spread of new positions and position titles), role blurring (where the boundaries of different positions become less distinct) and role confusion (where both nurses and health system clients experience a lack of clarity regarding the precise scope of roles). Conclusion Professional nursing practice is defined by the impact on patient outcomes, not by position titles. As such, the potential positive impact of a new role on patient outcomes should be the primary consideration when considering its introduction. National regulation of the profession provides an opportunity for the profession to debate and determine some consistency in position titles, responsibilities and areas of specialty practice.
  • References (22)
  • Citations (22)
📖 Papers frequently viewed together
131 Citations
30 Citations
10 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
References22
Newest
Nurse practitioner (NP) roles have been identified as a key strategy in the development of a sustainable and responsive health workforce. To date, the focus of research related to NP roles has been on implementation and short-term evaluation of aspects of NP care; however, little is known about the sustainability of NP roles. A major challenge for the healthcare sector is to demonstrate long-term outcomes of NP care and shift the research focus from individual NPs to the effectiveness of healthc...
18 CitationsSource
#1Hugh McKenna (Ulster University)H-Index: 38
#2Sinead Keeney (Ulster University)H-Index: 24
Last. Felicity Hasson (Ulster University)H-Index: 24
view all 3 authors...
Aims The aim of this study was to explore new nursing and midwifery roles and associated levels of practice from the health care providers’ perspective. This paper will present findings relating to the perceived cost effectiveness of these roles and their impact on patient care. Background Profound changes in the way the health care systems are organized, managed and financed have resulted in the proliferation of new nursing and midwifery roles. However, the evidence base for these workforce dev...
18 CitationsSource
#1Simon Jr Cooper (Monash University, Gippsland campus)H-Index: 1
#2Julie Ann Grant (Monash University, Gippsland campus)H-Index: 1
Abstract Aims The aim of the literature review was to identify new and emerging out of hospital emergency care roles and to describe their activity and impact. Background Demographic changes, increased demands for health services, altered working practices, and health system economic pressures have led to the development of a disparate set of new health care roles. Data sources MEDLINE, EMBASE and CINAHL databases, and the two search engines Google and Google Scholar were searched for contempora...
34 CitationsSource
#1Christine Duffield (UTS: University of Technology, Sydney)H-Index: 40
#2Glenn E. Gardner (Royal Brisbane and Women's Hospital)H-Index: 30
Last. Christine Catling-Paull (UTS: University of Technology, Sydney)H-Index: 14
view all 4 authors...
Summary Aim To review the titles, roles and scope of practice of Advanced Practice Nurses internationally. Background There is a worldwide shortage of nurses but there is also an increased demand for nurses with enhanced skills who can manage a more diverse, complex and acutely ill patient population than ever before. As a result, a variety of nurses in advanced practice positions has evolved around the world. The differences in nomenclature have led to confusion over the roles, scope of practic...
96 CitationsSource
#1Hugh McKenna (Ulster University)H-Index: 38
#2Roberta Richey (Ulster University)H-Index: 8
Last. Marlene Sinclair (Ulster University)H-Index: 22
view all 6 authors...
Rationale: The number of innovative roles in nursing and midwifery has expanded considerably; however, the evidence base for the introduction of these roles is limited.Aim: This study aimed to identify the managerial and developmental issues affecting those in innovative roles.Methodological design: A self-completion postal questionnaire was distributed to all innovative role holders in Northern Ireland, 450 responses were analysed. This survey was the second phase of a larger investigation into...
22 CitationsSource
#1Kay Aranda (University of Brighton)H-Index: 12
#2Andrea Jones (East Sussex County Council)H-Index: 2
Attempts to ‘modernize’ the English National Health Service (NHS) have included significant workforce re-design, including the development of new, advanced roles in nursing. There is a wealth of evidence documenting and evaluating such roles in hospital and, to a lesser extent, in community settings. This paper builds on this work, drawing on recent post structural and sociological analyzes to theorize these roles, locating them within broader social and cultural changes taking place in healthca...
31 CitationsSource
#1Christine DuffieldH-Index: 40
4 Citations
#1Jackie Bridges (CVCP: Universities UK)H-Index: 18
#2Julienne Meyer (CVCP: Universities UK)H-Index: 24
Abstract Addressing workforce issues has increasingly become a central feature of the organisation and management of public sector services internationally. The introduction of new work roles to public services is one approach advocated in response to recruitment and retention difficulties with professional staff and to increasingly complex services. This paper aims to critically examine UK's new roles policy in a health care context and explore its wider relevance by drawing on findings from an...
17 CitationsSource
#1Maureen Coombs (University of Southampton)H-Index: 13
#2Wendy Chaboyer Rn Mn (Griffith University)H-Index: 45
Last. Mary Lou Sole (UCF: University of Central Florida)H-Index: 18
view all 3 authors...
Meeting the expectation of delivering safe, effective, and timely health care services within current financial and workforce envelopes requires all health care clinicians to refine and adapt to their clinical roles. The arena of critical care is currently receiving increasing scrutiny regarding developing dedicated advanced practice roles. This is challenging to critical care nurses who historically neither have been exposed to nor have chosen to engage in such specific role developments. The c...
21 CitationsSource
#1Glenn E. Gardner (Royal Brisbane and Women's Hospital)H-Index: 30
#2Anne M. Chang (QUT: Queensland University of Technology)H-Index: 32
Last. Christine Duffield (UTS: University of Technology, Sydney)H-Index: 40
view all 3 authors...
Title. Making nursing work: breaking through the role confusion of advanced practice nursing Aim. This paper reports a study to develop a research-informed model of the service parameters and an analysis framework for advanced practice nursing roles. Background. Changing patterns of health care are forcing service planners to examine new service delivery models. Apparent is the call for nursing service that incorporates expanded levels of autonomy, skill and decision-making. A number of nursing ...
131 CitationsSource
Cited By22
Newest
#1Olivia Cook (Monash University, Peninsula campus)H-Index: 2
#2Meredith McIntyre (Monash University, Peninsula campus)H-Index: 11
Last. Susan Lee (Monash University, Peninsula campus)H-Index: 10
view all 4 authors...
Abstract Background Over recent years there has been a proliferation in specialist nurse roles that require expertise and advanced practice in a particular field of nursing. In Australia and New Zealand, specialist nursing care of women with gynaecological cancers is recommended, however the role remains largely undefined and unregulated. Aims To determine Australian and New Zealand gynaecological oncology specialist nurses’ perspectives on the future of their role, and make recommendations for ...
Source
#1Patricia Aristizabal (UNAM: National Autonomous University of Mexico)H-Index: 1
#2Gustavo Nigenda (UNAM: National Autonomous University of Mexico)H-Index: 3
Last. Yetzi Rosales (Colef)H-Index: 1
view all 4 authors...
Resumen El objetivo de este articulo es analizar la estructura regulatoria de la enfermeria en Mexico, a traves de la normatividad y los actores involucrados. Se desarrollo un estudio de caso con uso de fuentes de informacion cualitativa, cuantitativa y revision de documentacion oficial. El analisis integro los datos obtenidos de las fuentes de acuerdo con cuatro dimensiones propuestas por Moran & Wood (1993). La dimension con mayores avances es el ingreso al mercado ya que el Estado regula el i...
Source
#1Michelle Giles (UNE: University of New England (Australia))H-Index: 14
#2Vicki Parker (UNE: University of New England (Australia))H-Index: 19
Last. Rebecca Mitchell (University of Newcastle)H-Index: 38
view all 4 authors...
Background Clinical leaders drive healthcare performance in the provision of safe, high‐quality patient care by influencing others and augmenting change. Clinical leadership features strongly in nurse consultant roles and holds potential to strengthen the nurse consultant's place in healthcare teams, making their contribution as clinical leaders more recognisable. This study explores how clinical leadership is enacted through the nurse consultant role, providing understanding of the elements tha...
4 CitationsSource
#1Alison Leary (LSBU: London South Bank University)H-Index: 8
#2Katrina Maclaine (LSBU: London South Bank University)H-Index: 2
Last. Geoffrey Punshon (LSBU: London South Bank University)H-Index: 5
view all 5 authors...
Aims and Objectives/Background The work of specialist nursing has been under scrutiny for many years in the UK due to a perception that it is not cost effective. A common issue is the lack of consistency of job titles which causes confusion to the public, employing organisations, colleagues and commissioners of services. Lack of consistency has implications for the wider perception of advanced specialist practice in the worldwide community and the workforce more generally. This study aims to und...
12 CitationsSource
#1Angel Romero-Collado (University of Girona)H-Index: 4
#2M. Raurell-Torredà (University of Girona)H-Index: 5
Last. Erica Homs-RomeroH-Index: 3
view all 5 authors...
In this cross-sectional study, we explored course content related to pharmacology and/or healthcare products and supplies in all nursing degree programs in Spain. Changes in nurse-prescribing legislation in Spain require that nurses take a certification course before prescribing over-the-counter products and medications. Using a cross-sectional descriptive study, between July and September 2014, the degree programs of all centers that offer a degree in nursing in Spain were examined, selecting t...
3 CitationsSource
#1Glenn E. Gardner (QUT: Queensland University of Technology)H-Index: 30
#2Christine Duffield (UTS: University of Technology, Sydney)H-Index: 40
Last. Margaret Adams (QUT: Queensland University of Technology)H-Index: 3
view all 5 authors...
Aim To identify the practice patterns of the Australian registered nurse workforce according to position title and to map these disparate titles across all jurisdictions of the country. Introduction Effective nursing workforce planning can contribute to improved patient care and increased effectiveness and efficiency of healthcare systems. Background The prevailing approach to nursing workforce planning focuses on number of nursing staff needed in relation to the number of patients. The level of...
5 CitationsSource
#1Michael Roche (ACU: Australian Catholic University)H-Index: 19
#2Sarah Friedman (UTS: University of Technology, Sydney)H-Index: 3
Last. Rebecca Cook (UTS: University of Technology, Sydney)H-Index: 7
view all 5 authors...
Aims To determine which tasks unregulated nursing support staff spend their work time undertaking and to determine differences between the work undertaken by licensed/regulated nurses on units which have nursing support workers and those on units which do not. Background Acute hospital nursing teams often include nursing support staff; little is known about what kinds of tasks these unregulated support workers do and how it affects the work tasks of their licensed/regulated team members. Design ...
3 CitationsSource
#1Christine DuffieldH-Index: 40
#2Susan A. ChapmanH-Index: 13
Last. Nicole BlayH-Index: 11
view all 4 authors...
Increasing demands for health care globally often lead to discussions about expanding the involvement of nurses in a range of nontraditional roles. Several countries have introduced nurse endoscopists as a means of easing the burden of demand for a range of endoscopic procedures. A shortage of medical staff in Australia combined with increasing demand for endoscopy led to the implementation of nurse endoscopists as a pilot program in the state of Queensland, where a nurse practitioner model was ...
1 CitationsSource
#1Melanie Birks (JCU: James Cook University)H-Index: 18
#2Jenny Davis (Monash University, Clayton campus)H-Index: 9
Last. Robyn Cant (Monash University)H-Index: 26
view all 4 authors...
The nursing profession comprises Australia’s largest regulated health workforce yet its practice boundaries are poorly understood. The ambiguity surrounding the practice scope of nurses limits the profession's ability to fully respond to Australia’s current and emerging health system challenges. The aim of this review is to explore the concept of scope of practice of registered nurses (RN) in Australia, as reflected in contemporary literature. An integrative review of literature relating to the ...
8 CitationsSource
#1Lisa Edmonds (SCU: Southern Cross University)H-Index: 1
#2Andrew Cashin (SCU: Southern Cross University)H-Index: 18
Last. Marie Heartfield (SCU: Southern Cross University)H-Index: 3
view all 3 authors...
Aim This study aimed to determine whether registered nurse Australian specialty competency standards identified unique capabilities of nursing practice. Background Use of the term specialist in nursing commenced early in the twentieth century with the growth and diversification of postgraduate nursing education. Courses in speciality nursing were associated with the development of specialty competency standards in Australia. Method Australian specialty standards were mapped against the current n...
3 CitationsSource