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Variation in job titles within the nursing workforce

Published on Dec 1, 2017in Journal of Clinical Nursing1.757
· DOI :10.1111/jocn.13985
Alison Leary9
Estimated H-index: 9
(LSBU: London South Bank University),
Katrina Maclaine2
Estimated H-index: 2
(LSBU: London South Bank University)
+ 2 AuthorsGeoffrey Punshon3
Estimated H-index: 3
(LSBU: London South Bank University)
Sources
Abstract
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 understand the variation in job titles in the UK population. Methods A pre-existing data set of accrued studies into the work of nurses working in specialisms was mined for insight (N=17,960). This study used knowledge discovery through data and descriptive statistics to perform secondary analysis. Results Mining these data revealed 595 job titles in use in 17,960 specialist posts once the specialism had been removed. The most commonly used titles were Clinical Nurse Specialist, Nurse specialist/specialist nurse, Advanced Nurse Practitioner and Nurse Practitioner. There were three other primary groupings. These were variants with a specialist or technical prefix of suffix for example nurse endoscopist, variants of seniority such as trainee, senior nurse for [specialism] or variants of function such as Nurse prescriber. The clustering was driven primarily by pay band. 323 posts were recorded as holding titles such as Advanced Nurse Practitioner or specialist nurse who were not registered with the Nursing & Midwifery Council. Relevance to Clinical practice In this dataset there is a large array of titles which appear to have little relationship with other factors like education. This is confusing to the public, employers and those commissioning services. It also demonstrates that the previous assumptions by Council for Healthcare Regulatory Excellence that advanced practice labels are associated with career progression are unsound and should be addressed by the regulator.
  • References (17)
  • Citations (12)
References17
Newest
#1Denise HibbertH-Index: 3
#2Ahmad E. Aboshaiqah (KSU: King Saud University)H-Index: 6
Last. Alison Leary (LSBU: London South Bank University)H-Index: 9
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#1A. Khakwani (University of Nottingham)H-Index: 8
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Last. Laila J. Tata (University of Nottingham)H-Index: 29
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#1Alison Leary (LSBU: London South Bank University)H-Index: 9
#2Jane Brocksom (St James's University Hospital)H-Index: 3
Last. Philippa AsletH-Index: 1
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© 2015 John Wiley & Sons Ltd. and BAUN. Prostate cancer is the most common cancer in men in the UK accounting for 25% of all new cases of cancer. It is predicted to become the most common cancer overall by 2030. A national survey of the specialist nursing workforce caring for men with prostate cancer was completed across the four countries of the UK during June and July 2014. In total 302 specialist nurses completed the survey and data from 285 was used in the analysis. This is the biggest whole...
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Objective: Specialist advanced practice nursing in hemoglobinopathies has a rich historical and descriptive literature. Subsequent work has shown that the role is valued by patients and families and also by other professionals. However, there is little empirical research on the complexity of activity of these services in terms of interventions offered. In addition, the work of clinical nurse specialists in England has been devalued through a perception of oversimplification. Purpose: The purpose...
4 CitationsSource
#1Grainne Lowe (Monash University)H-Index: 3
#2Virginia Plummer (Monash University)H-Index: 13
Last. Leanne Boyd (Monash University)H-Index: 5
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Lowe G., Plummer V., O’Brien A.P. & Boyd L. (2012) Time to clarify – the value of advanced practice nursing roles in health care. Journal of Advanced Nursing68(3), 677–685. Abstract Aim. This article presents a discussion of the importance of providing meaningful advanced practice nursing role definition and clarity to improve international standards of nursing titles and scopes of practice. Background. A plethora of international literature exists discussing advanced practice nursing roles and ...
105 CitationsSource
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Last. Mooney GH-Index: 3
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#1Christine DuffieldH-Index: 38
#2Glenn E. Gardner (QUT: Queensland University of Technology)H-Index: 30
Last. Helen StasaH-Index: 13
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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...
22 CitationsSource
#1Faith DonaldH-Index: 20
Last. Alba DiCensoH-Index: 33
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#1Paul Trevatt (Royal London Hospital)H-Index: 1
#2Alison Leary (Florence Nightingale School of Nursing and Midwifery)H-Index: 1
Abstract Introduction At present no detailed data on the specialist cancer nursing workforce across different cancer types and populations is routinely collected in England, Wales or Northern Ireland. This has implications for workforce planning and the future provision of cancer services. Method In an attempt to establish a baseline of the workforce a census was taken. Data was collected via an Excel spreadsheet by Cancer Network Nurse Directors and Lead Nurses across England and Northern Irela...
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The role of Advanced Critical Care Practitioners was included in the Department of Health’s recent consultation document on the regulation of Medical Associate Professions. This prompted the author, an Advanced Critical Care Practitioner, to examine the regulation of Advanced Critical Care Practitioners in the past, present and future. National competence frameworks have been developed. However, there continued to be criticism on the lack of regulation and title protection of Advanced Critical C...
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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 ...
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In this quantitative study, Sarah Barea analyses the current advanced practice roles in primary care in Cornwall Aim: To analyse current primary care advanced practice roles in Cornwall, measured a...
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Background: Research has not yet fully investigated links to consultation duration, patient expectations, satisfaction, and enablement in nurse practitioner consultations. This study was developed to address some of these research gaps in nurse practitioner consultations, particularly with a focus on expectations, satisfaction, and enablement. Aim: To explore the influence of pre-consultation expectations, and consultation time length durations on patient satisfaction and enablement in nurse pra...
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