Part one: Restoring patients to health—Outcomes and indicators of advanced nursing practice in adult critical care

International Journal of Nursing Practice - Tập 9 Số 6 - Trang 356-367 - 2003
Carol Ball1, Carol Cox2
1Consultant Nurse in Adult Critical Care Nursing, Royal Free Hampstead NHS Trust, London, United Kingdom
2Professor of Nursing, Advanced Clinical Practice, St Bartholomew School of Nursing and Midwifery, City University, West Smithfield, London, United Kingdom

Tóm tắt

The key characteristics of advanced nursing practice have been a subject of international debate over the past decade. To address this debate, a grounded theory study was undertaken by one of the authors which sought to identify the key characteristics of advanced nursing practice in adult critical care. The outcome of the main study was a theory of legitimate influence in which enhancing patient stay and improving patient outcome represented the dual purpose of advanced nursing practice in critical care. Fundamental to these factors is strategic activity. This encompasses improving patient care, facilitating continuity of care and engaging in patient education. The outcome of these strategic activities can be evaluated through evidence of eased transition across complex hospital networks, patient satisfaction and enabling of independence. The findings reflect a change in the focus and delivery of care to the critically ill and their relatives by nurses practising at an advanced level. In the second paper of this series, the intervening conditions that affect the expression of legitimate influence will be discussed.

Từ khóa


Tài liệu tham khảo

Department of Health., 1990, The National Health Service and Community Care Act

National Health Service Executive., 1991, Junior Doctors: The New Deal. Making the Best Use of Skills of Nurses and Midwives

10.12968/hosp.2001.62.3.1538

Anon., 1996, The I's don’t have it, Nursing Times, 92, 22

10.1111/j.1547-5069.1993.tb00260.x

Keane A, 1994, Critical care nurse practitioners. Evolution of the advanced practice nursing role, American Journal of Critical Care, 3, 232, 10.4037/ajcc1994.3.3.232

10.1097/00002800-199305000-00006

10.1111/j.1547-5069.1994.tb00341.x

10.1097/00002727-199902000-00007

Tarsitano B, 1986, Demystification of the clinical nurse specialist role: specialists and nurse administrators, Journal of Nursing Education, 25, 4, 10.3928/0148-4834-19860101-04

Ball C, 2001, Legitimate Influence: the Key to Advanced Nursing Practice in Adult Critical Care

10.1046/j.1365-2648.1997.t01-9-00999.x

10.1097/00005110-198512000-00008

10.1097/00002800-199711000-00009

10.1111/j.1440-172X.1996.tb00015.x

Borbasi SA, 1999, Advanced practice/expert nurses: hospitals can’t live without them, Australian Journal of Advanced Nursing, 16, 21

10.1097/00002800-199701000-00017

Brykczyski K, 1985, Exploring the Clinical Practice of Nurse Practitioners

Brykczyski K, 1989, An interpretive study describing the clinical judgement of nurse practitioners, Scholarly Inquiry for Nursing Practice, 3, 75

National Organization of Nurse Practitioner Faculties Education Committee., 2001, Revised Advanced Nursing Practice: Curriculum Guidelines and Programme Standards for Nurse Practitioner Education.

10.4037/ajcc1996.5.1.68

10.1111/j.1745-7599.1993.tb00835.x

10.1111/j.1745-7599.1993.tb00847.x

10.1097/00005110-198401000-00009

10.1177/104973239600600306

10.1111/j.1440-1800.1997.tb00096.x

Strauss A, 1990, Basics of Qualitative Research. Grounded Theory Procedures and Techniques

Robson C, 1993, Real World Research

10.1007/978-1-349-14559-1

10.1177/107780049600200201

Strauss A, 1998, Strategies of Qualitative Inquiry, 158

Jacobs S, 1998, Advanced nursing practice in New Zealand: 1998, Nursing Praxis in New Zealand, 13, 4, 10.36951/NgPxNZ.1998.007

10.1111/j.1365-2702.1997.tb00303.x

Hamric A, 1996, Advanced Nursing Practice: an Integrative Approach

Hickey J, 1996, Advanced Practice Nursing: Changing Roles and Clinical Applications

Gawlinski A, 1994, The Clinical Nurse Specialist Role in Critical Care, 10.1097/00002727-199411000-00015

Mezey M, 1993, Nurses, Nurse Practitioners. Evolution to Advanced Practice

Snyder M, 1995, Advanced Practice Nursing. A Guide to Professional Development

10.1016/S0964-3397(99)80002-0

10.1046/j.1365-2648.2000.01300.x

10.1016/0147-1767(85)90062-8

Halpern E, 1985, Naturalistic Inquiry, Appendices

10.1016/S0964-3397(99)80027-5

Manley K, 1996, Advanced nursing practice is not about medicalising nursing roles. [Editorial], Nursing in Critical Care, 1, 56

10.1177/089431849300600301

10.2307/3423577

10.2307/3423577

10.1046/j.1365-2648.1995.21061037.x

10.1111/j.1467-9566.1997.tb00415.x

10.1016/S1036-7314(02)80027-3

Daffurn K, 1998, Roles of acute care nurse practitioners, physician assistants and residents in acute care settings. [Editorial], American Journal of Critical Care, 7, 253, 10.4037/ajcc1998.7.4.253

10.12968/bjon.1995.4.11.637

10.1111/j.1745-7599.1997.tb00718.x

Habermas J, 1984, The  Theory  of  Communicative  Action

10.1007/978-1-349-14441-9

American Association of Critical Care Nurses., 1995, Advanced Practice Nursing. Key Messages and Action Strategies

Egloff Parr M, 1996, The changing role of advanced practice nursing in a managed care environment, American Association of Critical Care Nurses: Clinical Issues, 7, 300

Mahn V, 1996, Advanced Nursing Practice: an Integrative Approach., 445

Tidwell S, 1994, The CNS Role in Critical Care, 62

Hravnak M, 1998, Is there a health promotion and protection foundation to the practice of acute care nurse practitioners?, American Association of Critical Care Nurses: Clinical Issues, 9, 283

10.1111/j.1547-5069.1995.tb00829.x

10.1111/j.1365-2648.1988.tb01392.x

Moyer A, 1987, The specialist nurse and the child with diabetes, Senior Nurse, 7, 31

10.12968/bjon.1995.4.11.633

10.1046/j.1365-2648.1995.22010024.x

Savage K, 1996, ‘Exactly what we needed’: NP makes a difference in Yale Cardiac Unit, Nurse Practitioner News, 4, 1

Engler M, 1994, Cardiovascular nurse interventionist, Nursing and Health Care, 15, 198

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International Journal of Nursing Practice

Tập 9 Số 6

356-367

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