Fluid role boundaries: exploring the contribution of the advanced nurse practitioner to multi-professional palliative care (original) (raw)
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Advanced and expanded roles in palliative care nursing
2018
This chapter explores contemporary issues around advanced practice nursing roles and their contributions to palliative care. Our approach here is to consider advanced practice as a generic term which includes clinical nurse specialist and advanced nurse practitioner roles. These are extended roles and signify nurses who practise at a higher level than traditional nurses. The roles are shaped by the countries and context in which the nurse is practising. Our aim is to define the concepts and characteristics in advanced practice in order to provide insights into nursing contributions to palliative care. In this chapter we identify the growing demands for palliative care due to demographic changes alongside the resulting implications for education, professional identify and the scope and development of advanced practice nursing roles. We draw on evidence which demonstrates a 'blurring of professional boundaries' and 'fluid role boundaries' in advanced practice roles and...
Advanced practice nursing roles: development, implementation and evaluation
Journal of Advanced Nursing, 2004
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Journal of advanced nursing, 2017
To explore the perceptions of key stakeholders of the roles of specialist and advanced nursing and midwifery practitioners. There is evidence that the contribution of these roles to patient care is poorly understood. This research took place over 2 months in 2015 and is part of a larger study involving a rapid review to inform policy development on the specialist and advanced nursing and midwifery practice in Ireland. As an added value, a qualitative element involving thematic analysis was undertaken with key stakeholders. A phenomenological qualitative study was conducted incorporating semi-structured interviews with key stakeholders (n = 15). Purposive sampling with maximum diversity was used to recruit a wide range of perspectives. Participant's perspectives led to seven themes: Impact of these roles; role preparation, experience and organizational support; specialist and advanced practice roles in an interdisciplinary context; different folks but not such different roles; im...
The changing context of advanced practice nursing within the UK community care setting
British Journal of Community Nursing, 2021
Advanced practice nursing (APN) roles have developed partly to address demand and workforce issues. In community care settings and general practice, an advanced nursing practitioner is generally understood to mean a nurse who has undertaken additional education and training in clinical assessment, including history-taking and physical examination, clinical reasoning and independent prescribing, so they can safely manage patients presenting with undifferentiated and undiagnosed conditions. Capabilities in the Skills for Health framework cover everything from communication and consultation skills, practising holistically and personalised care, to working with colleagues and in teams. The framework is intended to ensure advanced nursing practitioners work to an advanced level. It is also designed to support them to demonstrate and evidence their capabilities to service commissioners, employers, people accessing healthcare and the public.
Advanced nursing practice: policy, education and role development
Journal of Clinical Nursing, 2005
Conclusion. The paper highlights the value of a policy to guide the development of advanced nursing practice. Educational curricula need to be flexible and visionary to prepare the advanced nurse practitioner for practice. The core concepts for the advanced nursing practice role ...