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Nurse practitioners - or advanced clinical nurses?

Published on Apr 1, 2006in British journal of nursing
· DOI :10.12968/bjon.2006.15.7.20899
Thomas David Barton1
Estimated H-index: 1
(Swansea University)
Abstract
This article reviews a specific finding from a research project that examined the experiences of students, teachers and clinicians involved in a nurse practitioner degree programme. The development of advanced clinical nursing roles has presented challenges to the professional structure of nursing, particularly in the area of the unregulated and confusing array of titles adopted by nurses that infer advanced clinical practice. Over a 2-year period, practitioner ethnography was used to examine a sample of 10 student nurse practitioners who were undertaking a clinical degree programme (BSc (Hons) Nurse Practitioner). Data were also collected from 11 other individuals involved in the degree programme: teachers, medical mentors and senior academics. The data were systematically analysed and structured, leading to the inductive identification of themes and frameworks. The sample's experience of the development of advanced clinical nursing roles led to consideration of the evolution of new career structures and...
  • References (51)
  • Citations (14)
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References51
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#1Ian Shaw (Ebor: University of York)H-Index: 26
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#1Ros CarnwellH-Index: 6
#2William M. Daly (University of Wolverhampton)H-Index: 7
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This article examines the role of nurse managers in delivering the NHS modernization agenda by supporting the development of new and innovative nursing roles as proposed in recent health care policy. A study by Ewens (1998) indicates that nurses will respond positively to new short-term developments because of the ability to re-conceptualize work roles before actually undertaking them, but that long-term success will depend upon whether the workplace provides the scope and flexibility for integr...
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Summary • The recent profusion of new nursing roles in the UK has led to much confusion in the minds of health care consumers, employers, nursing practitioners and educationalists regarding the meaning, scope of practice, preparation for, and expectations of such roles. • Titles such as Clinical Nurse Specialist (CNS), Nurse Practitioner (NP), Advanced Nurse Practitioner (ANP), Higher Level Practitioner (HLP) and more recently Nurse Consultant (NC) are being adopted in a variety of care settings...
150 CitationsSource
#1William M. Daly (University of Wolverhampton)H-Index: 7
#2Ros CarnwellH-Index: 6
. The recent profusion of new nursing roles in the UK has led to much confusion in the minds of health care consumers, employers, nursing practitioners and educationalists regarding the meaning, scope of practice, preparation for, and expectations of such roles. . Titles such as Clinical Nurse Specialist (CNS), Nurse Practitioner (NP), Advanced Nurse Practitioner (ANP), Higher Level Practitioner (HLP) and more recently Nurse Consultant (NC) are being adopted in a variety of care settings with li...
207 CitationsSource
#1Dawn ChapmanH-Index: 4
#2Arnie PurushothamH-Index: 35
Last. Gordon C. WishartH-Index: 24
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#1Rebecca Rosen (King's Fund)H-Index: 9
#2Lesley Mountford (King's Fund)H-Index: 1
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Background Mark Carroll examines the concept of advanced nursing practice and highlights a number of the difficulties in assessing and defining different levels of practice. Some of the differences and similarities between advanced practice in the US and UK are compared and contrasted. Conclusion Issues of elitism and the lack of correlation between the needs of the healthcare system and professional self-interest prevent the advancement of specialist roles in the UK. The continuing focus of loc...
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A specialist nurse: an identified professional role or a personal agenda? Specialist nurses have existed for many years. Initially denoting a nurse with extensive clinical experience, implicit within nursing’s professional agenda for attaining ‘specialist’ status since the 1960s has been the requirement to achieve a high degree of ‘specialist’ knowledge through post-basic education. Despite the professional agenda, much confusion surrounding definitions of specialist nurses prevails. In recent y...
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: Preparing nurses for working across traditional healthcare boundaries and to a higher level of practice requires a radical approach to post-registration education. Here, the authors propose a curriculum for primary health care that will equip nurses to meet the challenges of future healthcare provision.
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Abstract There are multiple interpretations of the nurse practitioner role which appear to be shaped by discourses within and outside the profession and its regulatory body. This study aimed to explore and clarify the role and scope of practice of emergency nurse practitioners in a region in the United Kingdom and determine if they fulfil the proposed criteria for Advanced Nurse Practitioners. A survey approach using questionnaires ( n =42) was adopted. The sample included all emergency nurse pr...
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#1David Barton (Swansea University)H-Index: 1
#2Wendy Mashlan (Abertawe Bro Morgannwg University Health Board)H-Index: 1
barton d. & mashlan w. (2011) Journal of Nursing Management19, 943–949 An advanced nurse practitioner-led service – consequences of service redesign for managers and organizational infrastructure Aim A service review of a secondary care advanced nurse practitioner-led service. Background An acute hospital-based elderly care rehabilitation service evolved over a 9-year period from a traditional consultant/junior doctor configuration to a consultant/advanced nurse practitioner configuration. The r...
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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. Metho...
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#1Julia Pansini-Murrell (University of Huddersfield)
This study involves a unique cohort of training and qualified nurse hysteroscopists educated with the same provider. The aim of the research study was to explore the experiences of nurse hysteroscopists undertaking 'see and treat' outpatient hysteroscopy services. There is plenty of literature of advanced practice and activities of an advanced practitioner but with limited contextualisation of socio-cultural implications of taking on a specialised clinical role and what it means for the nurse. T...