Specialty and Advanced Practice Nursing

Thoun, Deborah S

doi:10.1177/0894318411409436

Cited by 16 publications

(12 citation statements)

References 18 publications

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“…After having a Bachelor’s degree, a specialist nurse must have completed 60–75 education credits on advanced level and have a 1-year Master’s degree [ 22 ]. Compared to a specialist nurse, an ANP generally has a 2-year Master’s degree with higher skills in advanced nursing and medical care [ 5 , 23 , 24 ] and usually with the extended authority to prescribe medication [ 25 ]. The extended authority to prescribe medication is a key factor in the ANP role; this makes it possible to assess and treat patients independently of doctors, which contributes to more effective healthcare [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

Advanced nurse practitioners in municipal healthcare as a way to meet the growing healthcare needs of the frail elderly: a qualitative interview study with managers, doctors and specialist nurses

Ljungbeck

Forss

2017

BMC Nurs

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BackgroundThe number of frail elderly people with complex nursing and medical care needs is increasing, and consequently, the healthcare burden. The implementation of Advanced Nurse Practitioners globally has been shown to make healthcare more effective and increase patient safety, continuity of care and access to care. In Sweden, research about Advanced Nurse Practitioners is limited. Thus, this study aimed to investigate the opinions of managers, doctors and nurses in primary care and municipal healthcare about the role of ANPs in municipal healthcare as a way to meet the increasing healthcare needs of the frail elderly.MethodsManagers, doctors and specialist nurses in primary care and municipal healthcare adopted a qualitative, descriptive design through 12 semi-structured interviews. The data were analysed using content analysis.ResultsThe participants expressed both opportunities as well as challenges with Advanced Nurse Practitioners in municipal healthcare. This role considered to satisfy frail elderly people’s healthcare needs and making the healthcare more effective as the doctors would have more time for other patients. The challenges mainly consist of doubts from the managers whether the nurses would be motivated to pursue further education to become an Advanced Nurse Practitioner if the role becomes a reality. The doctors were unsure if the nurses would consider taking the responsibility the role would imply.ConclusionsAdvanced Nurse Practitioner is considered to be a valuable resource not only for the frail elderly but also for the nurses in the municipal healthcare and for the doctors in primary care as they probably would make healthcare more effective. They might be a way to meet the increasing healthcare needs of frail elderly, however there are also challenges to overcome before they can become a reality in a Swedish healthcare context. Consequently, this role deserves further investigation.Electronic supplementary materialThe online version of this article (10.1186/s12912-017-0258-7) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Advanced nurse practitioners in municipal healthcare as a way to meet the growing healthcare needs of the frail elderly: a qualitative interview study with managers, doctors and specialist nurses

Ljungbeck

Forss

2017

BMC Nurs

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“…The Bologna or Copenhagen processes add a further educational dimension to nursing studies included within higher and vocational education. For post‐basic education, the situation is more complex with terms such as ‘specialty practice (SN)’ and ‘advanced practice nursing (APN)’ frequently used interchangeably in nursing discourse (Thoun ). More information regarding the APN is provided in international literature, especially that from the USA and Canada where advanced practice roles (including the ‘nurse practitioner’ and ‘clinical nurse specialist’) have been developed over more than 40 years.…”

Section: Introductionmentioning

confidence: 99%

Specialist nurse in Europe: education, regulation and role

Dury

Hall

Danan

et al. 2014

International Nursing Review

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“…The volume of peer-reviewed literature relating to AP is vast but focuses mostly on nursing. 8 The scale of this body of work confirms the significance of AP role to contemporary healthcare and its potential influence on improving patient outcomes across a wide range of professional groups. 9 A theme resonating throughout the international literature is that the concept of the AP role promises much, but remains ambiguous and lacks universal understanding, with variability in role definition and scope.…”

Section: Introductionmentioning

confidence: 53%

Realising their potential? Exploring interprofessional perceptions and potential of the advanced practitioner role: a qualitative analysis

et al. 2015

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ObjectivesTo explore perceptions of the current practice and future potential of advanced practitioners (APs) from the perspectives of different professional groups in Wales UK.DesignA qualitative study consisting of nine focus group interviews.MethodsInitially verbatim transcriptions of each focus group interviews were analysed thematically before themes were merged to represent perceptions for the whole data set.ParticipantsData were gathered from a total of 67 stakeholders—including APs from a variety of professional groups (eg, nursing, physiotherapy, paramedics) as well as managers, workforce developers, educators and medical staff who have a role developing and supporting APs in practice.ResultsThe results are presented in four themes: (1) demand, policy context and future priorities, (2) role clarity and standardisation, (3) agreement and understanding of the role and (4) interprofessional working. The context within which current and future AP roles were considered was influenced by inexorable demands for healthcare and the requirements to meet health policy priorities. Developing AP roles were hampered currently by a lack of shared understanding and ‘joined-up’ working between different groups such as medical practitioners, managers, commissioners and educators.ConclusionsFor the AP role to flourish more ‘joined-up’ thinking, support and development opportunities are required between APs, managers, senior clinicians, commissioners and educators. Working together to plan and deliver education, innovation and service delivery is of prime importance to meeting ever increasing complex health needs. This will ensure that future APs are adequately prepared and supported to reach their full potential and help deliver necessary innovations in current models of care delivery.

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Specialty and Advanced Practice Nursing

Cited by 16 publications

References 18 publications

Advanced nurse practitioners in municipal healthcare as a way to meet the growing healthcare needs of the frail elderly: a qualitative interview study with managers, doctors and specialist nurses

Advanced nurse practitioners in municipal healthcare as a way to meet the growing healthcare needs of the frail elderly: a qualitative interview study with managers, doctors and specialist nurses

Specialist nurse in Europe: education, regulation and role

Realising their potential? Exploring interprofessional perceptions and potential of the advanced practitioner role: a qualitative analysis

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