An ethnographic study exploring the role of ward‐based Advanced Nurse Practitioners in an acute medical setting

Journal of Advanced Nursing - Tập 68 Số 7 - Trang 1579-1588 - 2012
Susan Williamson1, Timothy Twelvetree2, Jacqueline Thompson3, Kinta Beaver4
1Susan Williamson BSc PhD RN, Senior Research Fellow, School of Health, University of Central Lancashire, Preston, UK
2Timothy Twelvetree BSc MPhil, Research Fellow, School of Nursing Midwifery and Health Visiting, University of Manchester, UK
3Jacqueline Thompson BA (Nursing) MSc PGCE, Advanced Nurse Practitioner, Central Manchester University Hospitals Foundation Trust, Manchester Royal Infirmary, Manchester, UK
4Kinta Beaver BA MRes PhD, Professor of Cancer Nursing, School of Health, University of Central Lancashire, Preston, UK

Tóm tắt

williamson s., twelvetree t., thompson j. & beaver k. (2012) An ethnographic study exploring the role of ward‐based Advanced Nurse Practitioners in an acute medical setting. Journal of Advanced Nursing68(7), 1579–1588.AbstractAim.  This article is a report of a study that aimed to examine the role of ward‐based Advanced Nurse Practitioners and their impact on patient care and nursing practice.Background.  Revised doctor/nurse skill mix combined with a focus on improving quality of care while reducing costs has had an impact on healthcare delivery in the western world. Diverse advanced nursing practice roles have developed and their function has varied globally over the last decade. However, roles and expectations for ward‐based Advanced Nurse Practitioners lack clarity, which may hinder effective contribution to practice.Design.  An ethnographic approach was used to explore the advanced nurse practitioner role.Methods.  Participant observation and interviews of five ward‐based Advanced Nurse Practitioners working in a large teaching hospital in the North West of England during 2009 were complemented by formal and informal interviews with staff and patients. Data were descriptive and broken down into themes, patterns and processes to enable interpretation and explanation.Results.  The overarching concept that ran through data analysis was that of Advanced Nurse Practitioners as a lynchpin, using their considerable expertise, networks and insider knowledge of health care not only to facilitate patient care but to develop a pivotal role facilitating nursing and medical practice. Sub‐themes included enhancing communication and practice, acting as a role model, facilitating the patients’ journey and pioneering the role.Conclusion.  Ward‐based Advanced Nurse Practitioners are pivotal and necessary for providing quality holistic patient care and their role can be defined as more than junior doctor substitutes.

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Journal of Advanced Nursing

Tập 68 Số 7

1579-1588

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