The similarities and differences between advanced nurse practitioners and clinical nurse specialists.

Published on Nov 12, 2019in British journal of nursing
· DOI :10.12968/BJON.2019.28.20.1308
Mark Cooper1
Estimated H-index: 1
(NHS Greater Glasgow and Clyde),
Joan McDowell10
Estimated H-index: 10
(Glas.: University of Glasgow)
+ 0 AuthorsLavinia Raeside1
Estimated H-index: 1
(NHS Greater Glasgow and Clyde)
A lack of awareness exists within healthcare services on the differences between the roles of advanced nurse practitioner (ANP) and clinical nurse specialist (CNS). This may lead to ambiguity in re...
  • References (21)
  • Citations (4)
#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
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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
Background There is no common understanding about the role of the advanced practice nurse across the globe and there is wide variation in the regulation of advanced practice nursing roles as well as their educational, licensing and credentialing requirements. Aim The goal of this research was to examine the status of advanced practice nursing regulation globally. Methods An online survey link was emailed to National Nursing Associations and nursing health policy makers worldwide from June to Dec...
37 CitationsSource
#1Apostolos Tsiachristas (University of Oxford)H-Index: 15
#2Iris Wallenburg (EUR: Erasmus University Rotterdam)H-Index: 9
Last. A A de Bont (EUR: Erasmus University Rotterdam)H-Index: 2
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One way in which governments are seeking to improve the efficiency of the health care sector is by redesigning health services to contain labour costs. The aim of this study was to investigate the impact of new professional roles on a wide range of health service outcomes and costs.
25 CitationsSource
#1Xian-Tao Zeng (WHU: Wuhan University)H-Index: 7
#2Yonggang Zhang (Sichuan University)H-Index: 4
Last. Liang Du (Sichuan University)H-Index: 10
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Objective To systematically review the methodological assessment tools for pre-clinical and clinical studies, systematic review and meta-analysis, and clinical practice guideline. Methods We searched PubMed, the Cochrane Handbook for Systematic Reviews of Interventions, Joanna Briggs Institute (JBI) Reviewers Manual, Centre for Reviews and Dissemination, Critical Appraisal Skills Programme (CASP), Scottish Intercollegiate Guidelines Network (SIGN), and the National Institute for Clinical Excelle...
375 CitationsSource
#1Catherine Comiskey (Trinity College, Dublin)H-Index: 16
#2Imelda Coyne (Trinity College, Dublin)H-Index: 33
Last. Cecily Begley (Trinity College, Dublin)H-Index: 36
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Aim The aim was to identify key patient outcomes and to compare these outcomes across services that employed clinical specialists (either nurse or midwife) or advanced nurse practitioners with matched, non post-holding services. Background In nursing and evaluation research, it is recognized that, further patient outcome studies, which measure and evaluate the impact of the new advanced roles, are urgently needed. Design A cross-sectional study design with a comparison group was implemented acro...
11 CitationsSource
#1Cecily Begley (Trinity College, Dublin)H-Index: 36
#2Kathy Murphy (National University of Ireland, Galway)H-Index: 25
Last. Adeline Cooney (National University of Ireland, Galway)H-Index: 20
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Aim To ascertain and explore the views held by key healthcare policy-makers on the impact of clinical specialist and advanced practice nursing and midwifery roles. Background Specialist and advanced practice roles are common world-wide and were introduced in Ireland in 2000. After experiencing these roles for a decade, the views of healthcare policy-makers were sought as part of a national evaluation. Methods A qualitative, descriptive design was used. Following ethical approval, 12 policy-maker...
20 CitationsSource
#1Nancy CarterH-Index: 21
#2Maureen DobbinsH-Index: 33
Last. Alba DiCensoH-Index: 33
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The implementation of advanced practice nursing (APN) roles can yield improvements in patient and health system outcomes, and supportive leadership is integral in facilitating the implementation of such roles. The purpose of this study was to explore the awareness and understanding of APN roles among hospital decisionmakers, and to learn about the information they require and the ways in which they prefer to receive that information. Fifteen administrators and leaders from two multisite acute ca...
9 CitationsSource
#1Faith Donald (RyeU: Ryerson University)H-Index: 21
#2Ruth Martin-Misener (Dal: Dalhousie University)H-Index: 23
Last. Alba DiCenso (McMaster University)H-Index: 33
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Aim To report quantitative evidence of the effectiveness of advanced practice nursing roles, clinical nurse specialists and nurse practitioners, in meeting the healthcare needs of older adults living in long-term care residential settings. Background Although studies have examined the effectiveness of advanced practice nurses in this setting, a systematic review of this evidence has not been conducted. Design Quantitative systematic review. Data sources Twelve electronic databases were searched ...
65 CitationsSource
#1Cecily Begley (Trinity College, Dublin)H-Index: 36
#2Naomi Elliott (Trinity College, Dublin)H-Index: 14
Last. Catherine Comiskey (Trinity College, Dublin)H-Index: 16
view all 6 authors...
Aim To report a study designed comparing the roles, responsibilities, and perceived outcomes of Clinical Nurse Specialists, Clinical Midwife Specialists, and Advanced Nurse Practitioners in Ireland. Background A clinical career pathway that encompasses progression from staff nurse or midwife through clinical specialist to advanced practitioner level was introduced in Ireland in 2000. Such roles are common internationally, but little evaluation has been conducted and few comparisons have been mad...
43 CitationsSource
#1Maura Dowling Rgn, Bns, MSc, Rnt, (National University of Ireland, Galway)H-Index: 1
#2Michelle Beauchesne DNSc, Rn, Cpnp (NU: Northeastern University)H-Index: 1
Last. Kathy Murphy Rgn, Rnt, Dip N, Ba, MSc, (National University of Ireland, Galway)H-Index: 1
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A variety of terms are used to describe advanced practice nursing roles internationally. This has resulted in confusion in terminology around these roles. The aim of this concept analysis was to clarify what is meant by advanced practice nursing internationally, what attributes signify advanced practice nursing and what are its antecedents, consequences, references and related terms. Rodgers's evolutionary method of concept analysis was used. Data sources included Medline, CINAHL, Applied Social...
30 CitationsSource
Cited By4
#1Ann-Marie Cannaby (La Trobe University)
#2Vanda Carter (University of Wolverhampton)
Last. James Owen (University of Wolverhampton)
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Specialist nurses have been part of the nursing workforce for decades but articulating the scope of such roles, educational requirements, professional expertise and levels of pay is still widely debated within the workplace. This article reports on a study that examined a sample of clinical nurse specialist (CNS) job descriptions from across the UK. One hundred job descriptions were sourced, originating from various healthcare settings, and audited to explore their scope and content. In conclusi...
#1Kay Murphy (Royal Derby Hospital)
#2Gerri Mortimore (University of Derby)H-Index: 2