Healthcare professionals' views of a new second‐level nursing associate role: A qualitative study exploring early implementation in an acute setting

Abstract

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A tale of two bridges: Factors influencing career choices of trainee nursing associates in England: A longitudinal qualitative study

“…Similarly, Lucas et al, ( 2021a ) found that second level nurses have been plagued by both role ambiguity, and intra‐ and inter‐professional conflict over the years. NA stakeholders in particular report a lack of a clear NA job descriptions and a requirement to jump between roles (Lucas et al, 2021b ). Furthermore, King et al, ( 2020a ) found that TNAs themselves were unsure of the scope of their role, adding to the confusion experienced by wider healthcare teams.…”

“…Finally, some participants faced barriers to progression, including uncertainty about embarking on further intensive training, a factor also reflected in previous research (Kessler et al, 2020c ). Some felt that employers were withholding development opportunities to fit with their preferred service model, and this is reflected in previous cases where employers have insisted on NAs staying in their role for a period prior to undertaking RN training (Lucas et al, 2021b ; Kessler et al, 2020b ).…”

“…It is a generic role across all fields of nursing (adult, child, mental health and learning disability), providing care for people of all ages across a range of health and social care settings (NMC, 2018a ). Previous research has explored the experiences of trainee nursing associates (TNAs) (Coghill, 2018a ; Coghill, 2018b ; King, Ryan, Wood, Tod, & Robertson, 2020a ; Vanson & Bidey, 2019 ) and how qualified NAs are deployed in the workplace (Kessler et al, 2020a ; Kessler et al, 2020b ; Kessler et al, 2020c ; Lucas et al, 2021b ); however, little is known about the factors that influence their career choices.…”

“…Barriers to the success of second‐level nursing roles include role ambiguity, intra and inter‐professional conflict and restrictions on practice (Lucas et al 2021a ). Furthermore, the importance of clarifying role identity and opportunities for career development have been raised by key stakeholders (Kessler et al, 2021 ), with some areas found to be less suitable for NAs such as intensive care, due to limitations in their scope of practice (Lucas et al, 2021b ).…”

Making the most of audit and feedback to improve diabetes care: a qualitative study of the perspectives of Australian Diabetes Centres

“…Our choice of thematic analysis as opposed to another qualitative analysis method was guided by other studies that have used theoretical frameworks to aid in data collection, in combination with thematic analysis to identify common themes pertaining to the research questions and theoretical frameworks [ 10 , 25 – 27 , 29 – 31 ]. Such an approach was appropriate as the purpose of this study was to investigate specific aspects of the participants use of ANDA feedback and desired changes to the feedback provided, to inform the development of interventions in the subsequent trial.…”