Delineating the practice profile of advanced practice nursing: a cross‐sectional survey using the modified strong model of advanced practice

Journal of Advanced Nursing - Tập 69 Số 9 - Trang 1931-1942 - 2013
Glenn Gardner1,2, Anne M. Chang2,3, Christine Duffield4, Anna Doubrovsky5
1Centre for Clinical Nursing Royal Brisbane and Women's Hospital Queensland Australia
2Institute for Health & Biomedical Innovation Queensland University of Technology Brisbane Queensland Australia
3Mater Health Services, Brisbane, Queensland, Australia
4Centre for Health Services Management University of Technology Sydney New South Wales Australia
5Queensland University of Technology, Brisbane, Queensland, Australia

Tóm tắt

AbstractAimsTo test a model that delineates advanced practice nursing from the practice profile of other nursing roles and titles.BackgroundThere is extensive literature on advanced practice reporting the importance of this level of nursing to contemporary health service and patient outcomes. Literature also reports confusion and ambiguity associated with advanced practice nursing. Several countries have regulation and delineation for the nurse practitioner, but there is less clarity in definition and service focus of other advanced practice nursing roles.DesignA statewide survey.MethodsUsing the modified Strong Model of Advanced Practice Role Delineation tool, a survey was conducted in 2009 with a random sample of registered nurses/midwives from government facilities in Queensland, Australia. Analysis of variance compared total and subscale scores across groups according to grade. Linear, stepwise multiple regression analysis examined factors influencing advanced practice nursing activities across all domains.ResultsThere were important differences according to grade in mean scores for total activities in all domains of advanced practice nursing. Nurses working in advanced practice roles (excluding nurse practitioners) performed more activities across most advanced practice domains. Regression analysis indicated that working in clinical advanced practice nursing roles with higher levels of education were strong predictors of advanced practice activities overall.ConclusionEssential and appropriate use of advanced practice nurses requires clarity in defining roles and practice levels. This research delineated nursing work according to grade and level of practice, further validating the tool for the Queensland context and providing operational information for assigning innovative nursing service.

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Tài liệu tham khảo

10.4037/ajcc1996.5.1.68

Australian Nursing and Midwifery Council, 2006, National Competency Standards for the Nurse Practitioner

10.12968/bjon.2011.20.16.996

Canadian Nurses Association, 2005, The Regulation and Supply of Nurse Practitioners in Canada

10.1111/j.1365-2702.2007.01823.x

10.1111/j.1365-2648.2010.05367.x

10.1111/j.1365-2648.2011.05850.x

10.1037/0033-2909.112.1.155

10.1016/j.aaen.2007.07.007

Dicenso A., 2008, Roles, research and resilience: the evolution of advanced practice nursing, Canadian Nurse, 37

10.1146/annurev.so.17.080191.001301

Donnelly G., 2006, The essence of advanced nursing practice, Internet Journal of Advanced practice, 8, 1

10.1111/j.1467-8462.2006.00421.x

10.1016/j.colegn.2009.02.001

Elsom S., 2006, The clinical nurse specialist and nurse practitioner roles: room for both or take your pick?, Australian Journal of Advanced Nursing, 24, 56

10.1177/0894318404263268

10.1016/j.ijnurstu.2005.09.002

Gardner G., 2006, Competency and capability: imperative for nurse practitioner education, Australian Journal of Advanced Nursing, 24, 8

10.1111/j.1365-2648.2007.04114.x

International Council of Nurses Nurse Practitioner/Advanced Practice Nursing Network(2005)Definition and characteristics of the role. Vol.2012(ed).

10.1001/archsurg.2011.2169

10.1111/j.1365-2648.2004.03279.x

10.1111/j.1365-2648.2011.05790.x

10.1111/j.1471-6712.2007.00519.x

10.1067/mhl.2000.106936

10.1067/mhl.2002.129444

Morgan S., 2010, What are the differences in nursing practitioner training and scope of practice in the US and UK?, Nursing Times, 106, 1

Newhouse R.P., 2011, Advanced practice nurse outcomes 1990‐2008: a systematic review, Nursing Economics, 29, 230

10.12968/bjon.2011.20.3.184

10.1111/j.1547-5069.2009.01322.x

Skills for Health(2011)Home Page. Vol. 2012 Skills for Health.http://www.skillsforhealth.org.uk/. accessed on 10 November 2012.

10.1016/j.nurpra.2008.11.005

10.1177/0894318411409436

10.12968/bjon.2003.12.1.10996

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Journal of Advanced Nursing

Tập 69 Số 9

1931-1942

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