A review of the merits of the nurse practitioner role

Wilson, John S.; Bunnell, Toni

doi:10.7748/ns2007.01.21.18.35.c6398

Cited by 14 publications

(11 citation statements)

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“…Research has demonstrated that ENPs are able to care for low acuity patients within the emergency department (Sakr et al, 1999;Barr et al, 2000;Wilson and Bunnell, 2007;Wilson and Shifaza, 2008). However, there has never been a standardised, validated approach in the assignment of presumed low acuity patients to ENPs.…”

Section: Discussionmentioning

confidence: 98%

“…However, each nurse and department has designed the ENP's interference slightly different. There is a lack of consensus about role boundaries, titles, clinical accountability and educational requirements (Griffin and Melby, 2006;Fisher et al, 2006;Wilson and Bunnell, 2007). In an attempt to clarify ENP role boundaries and, at the same time, manage patient streaming, the MCH developed a stream system to the MTS, to identify patients suitable for treatment by ENPs (van der Linden et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

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Managing patient flow with triage streaming to identify patients for Dutch emergency nurse practitioners

Linden

Lindeboom

Linden

et al. 2012

International Emergency Nursing

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Managing patient flow with triage streaming to identify patients for Dutch emergency nurse practitioners

Linden

Lindeboom

Linden

et al. 2012

International Emergency Nursing

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“…Nurse prescribing has also been described as ‘a contentious issue that produces a good deal of conflict and anxiety (Schober and Affara 2006, 37).’ Nurses have assumed prescribing responsibilities for an extended period without legal recognition (Keeling 2004; Wilson and Bunnell 2007). Nurses expressed concern for adequate preparation and training to prescribe and were uneasy with the increasing responsibility (Latter and Courtenay 2004; Lewis‐Evans and Jester 2004).…”

Section: Praxismentioning

confidence: 99%

“…Nurses expressed concern for adequate preparation and training to prescribe and were uneasy with the increasing responsibility (Latter and Courtenay 2004; Lewis‐Evans and Jester 2004). Difficulties have been identified with the limited number of products available in the formulary for nurse prescribing (Wilson and Bunnell 2007).…”

Section: Praxismentioning

confidence: 99%

Praxis and the role development of the acute care nurse practitioner

Kilpatrick

2008

Nursing Inquiry

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Acute care nurse practitioner roles have been introduced in many countries. The acute care nurse practitioner provides nursing and medical care to meet the complex needs of patients and their families using a holistic, health-centred approach. There are many pressures to adopt a performance framework and execute activities and tasks. Little time may be left to explore domains of advanced practice nursing and develop other forms of knowledge. The primary objective of praxis is to integrate theory, practice and art, and facilitate the recognition and valuing of different types of knowledge through reflection. With this framework, the acute care nurse practitioner assumes the role of clinician and researcher. Praxis can be used to develop the acute care nurse practitioner role as an advanced practice nursing role. A praxis framework permeates all aspects of the acute care nurse practitioner's practice. Praxis influences how relationships are structured with patients, families and colleagues in the work setting. Decision-makers at different levels need to recognize the contribution of praxis in the full development of the acute care nurse practitioner role. Different strategies can be used by educators to assist students and practitioners to develop a praxis framework.

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“…This has resulted in a variety of differing job titles which impacts upon workforce planning to meet the needs of OOH services. Therefore, clarifying nursing roles is important to recognise the value and professional capability of nurses, and ensure there is consistent understanding of what each role entails linked to education, regulation and maintaining professional competence (Wilson & Bunnell ). In addition, without role clarity, it is difficult to measure the effectiveness and efficiency of service provision (Lowe et al .…”

Section: Introductionmentioning

confidence: 99%

A comparison of job descriptions for nurse practitioners working in out‐of‐hours primary care services: implications for workforce planning, patients and nursing

Teare

Horne

Clements

et al. 2016

Journal of Clinical Nursing

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Aims and objectives To compare and contrast job descriptions for nursing roles in out‐of‐hours services to obtain a general understanding of what is required for a nurse working in this job. Background Out‐of‐hours services provide nursing services to patients either through telephone or face‐to‐face contact in care centres. Many of these services are newly created giving job opportunities to nurses working in this area. It is vital that nurses know what their role entails but also that patients and other professionals know how out‐of‐hours nurses function in terms of competence and clinical role. Design Content analysis of out‐of‐hours job descriptions. Method Content analysis of a convenience sample of 16 job descriptions of out‐of‐hours nurses from five out‐of‐hours care providers across England was undertaken. The findings were narratively synthesised, supported by tabulation. Results Key role descriptors were examined in terms of job titles, managerial skills, clinical skills, professional qualifications and previous experience. Content analysis of each out‐of‐hours job description revealed a lack of consensus in clinical competence and skills required related to job title although there were many similarities in skills across all the roles. Conclusion This study highlights key differences and some similarities between roles and job titles in out‐of‐hours nursing but requires a larger study to inform workforce planning. Relevance to clinical practice Out‐of‐hours nursing is a developing area of practice which requires clarity to ensure patient safety and quality care.

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A review of the merits of the nurse practitioner role

Cited by 14 publications

References 0 publications

Managing patient flow with triage streaming to identify patients for Dutch emergency nurse practitioners

Managing patient flow with triage streaming to identify patients for Dutch emergency nurse practitioners

Praxis and the role development of the acute care nurse practitioner

A comparison of job descriptions for nurse practitioners working in out‐of‐hours primary care services: implications for workforce planning, patients and nursing

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