Making nursing work: breaking through the role confusion of advanced practice nursing

Abstract

The findings differentiate advanced practice nurse and nurse practitioner roles, and offer an operational framework to identify, establish and evaluate advanced and extended nursing positions. Subject to further validation, this outcome can provide operational information for implementing innovative nursing roles appropriate to consumer needs and specific health service models.

A Qualitative Study of Role Transition from RN to APN

“…Furthermore, role transition is a difficult process (Brennan & McSherry, 2007), that involves building on the values and attitudes from the baccalaureate level (Cragg & Andrusyszyn, 2005;Newton & McKenna, 2007). The behaviors of preceptors enhance critical thinking in graduate nursing students (Gourde, 2005) and as a result facilitate role transition (Gardner, Chang, & Duffield, 2007;Wieland, Altmillter, Dorr, & Wolf, 2007). Because the shaping of a role demands a balance of role loss and role expansion (Holt, 2008;Johnson, 2008), both are important for role transition to occur.…”

“…Nurses engaged in advanced practice have expanded levels of autonomy, skill, and decision-making. Focusing on role transition early in the educational process helps promote adaptation and adjustment to the APN role in the clinical setting after graduation (Gardner, Chang, & Duffield, 2007;Manning & Neville, 2009). …”

The status of Australian nurse practitioners: the first national census

“…The nurse practitioner role is unique and distinguishable by legislation and scope of practice from the general nursing role, the advanced practice nurse 3 and the clinical nurse specialist. 4 There is limited literature describing and evaluating the nurse practitioner role in Australia.…”

Identification des facteurs essentiels favorisant l’intégration des rôles infirmiers en pratique avancée : une étude ethnographique

“…Dans la littérature, plusieurs auteurs déplorent le manque de clarté des missions et activités dévolues aux IPA, les ambiguïtés parfois observables dans leur profil de fonction ainsi que le chevauchement de leur domaine de compétences avec celui d'autres professionnels de la santé [4][5][6][7]. Ces constats génèrent une confusion.…”