Framework for advanced nursing, midwifery and allied health professional practice in Wales: the implementation process

Abstract

Health-care delivery continues to evolve rapidly with advanced practice forming part of the future delivery model of flexible and affordable services, whilst ensuring safe, high quality patient care. It also provides a clear career development structure.

An Exploratory Study on Exemplary Practice of Nurse Consultants

“…Optimal use of innovative roles, such as the NC, is important for achieving an appropriate mix of nursing staff and maintaining motivated and experienced nurses in clinical practice (WHO, ). Further work is needed to articulate NC roles within a clear advanced practice nursing framework, along with title protection and regulated practice, so that nurses at the highest level can be empowered to contribute to their full potential for the benefit of patient and quality service outcomes (Ryley & Middleton, ).…”

Enablers and challenges to advanced nursing and midwifery practice roles

“…Evidence of nurses’ and midwives’ experiences in role expansion indicates that many embrace role expansion and that they function effectively in expanded roles; however, nurses and midwives may experience scope of practice as either enabling or restricting (Casey et al, ). As advanced practice is a level of practice rather than a specific role (Ryley & Middleton, ), one strategy to develop a more efficient and effective health service is to advance the level of the practice of nurses and midwives by expanding their knowledge and skills to enable them to work within their full scope of practice while ensuring that accountability, and governance regarding patient safety are maintained. Although these roles have demonstrable clinical and practitioner benefits (Gerrish et al, ), the development and implementation of these roles is challenging (Fealy et al, ).…”

Factors influencing the implementation of advanced midwife practitioners in healthcare settings: A qualitative study

“…subcategories and categories. After 15 individual and two focus group interviews, the inductively developed categories were compared with existing frameworks for the implementation of advanced practice roles (Bryant-Lukosius et al, 2004;Furlong and Smith;2005;De Geest et al, 2008;Ryley and Middleton, 2016). As the inductively developed categories coincided with the drivers for guiding the introduction and development of advanced practice nursing roles in the framework by De Geest et al 2008, the broad categories of this framework were used to guide the reporting structure of the results of this study: the legal, policy and economic context, practice patterns, healthcare needs of the population, workforce issues, and education (De Geest et al, 2008).…”