The expanded role of the registered nurse: studying nurses’ perceptions

Leonard, Shelagh

doi:10.7748/ns1999.07.13.43.32.c2641

Cited by 7 publications

(3 citation statements)

References 13 publications

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“…By following the above guidance, a framework can be developed to address training and competence of the individual practitioner to perform an extended role (Leonard, 1999;Manennis et al, 1999). This framework not only allows nurses to develop their role but also requires them to recognize and address any limits of knowledge or skill.…”

Section: Relevance To the Scope Of Professional Practicementioning

confidence: 99%

“…Since the introduction of the Scope of Professional Practice, nurses have had an individual responsibility to show their competence in an extended or expanded role (UKCC, 1992a;Carr, 1997;Leonard, 1999;Twinn, 2000). Post-Registration Education for Practice (PREP) is a framework that provides a variety of flexible pathways for Registered Nurses to continue their professional education on a part-or full-time basis.…”

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confidence: 99%

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The extended role of the nurse — Opportunity or threat?

Birch¹

2001

Human Fertility

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Nursing practice is undergoing changes that are both exciting and controversial. The UKCC Scope of Professional Practice has encouraged nurses to re-evaluate their practice and, as a result, nurses from various fields have expanded their roles to meet the changing needs of patients and the profession. Published evidence shows that nurses can be as effective as doctors within these expanded roles, but that there is a danger that gender issues will cloud the debate because of the assumption that all nurses are female and all doctors are male. This problem is especially evident when female nurses perform an extended role involving male patients, although female doctors are in a similar position and work with the same patients without undue comment. The roles of doctors and nurses should complement each other, and all practitioners should work for the benefit of patients in their care, rather than defending traditional roles and hierarchy. There is confusion surrounding accountability of nurses who work in an extended role between the medical and the nursing profession, and both the Royal College of Nursing and the British Medical Association need to clarify the situation. This article looks at the arguments for and against the extended role of the nurse specialist and discusses current opinions within the nursing and medical fields. The article also describes how nurses at Midland Fertility Services have successfully extended their role to encompass ultra-sound-guided oocyte retrieval and surgical sperm recovery.

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Section: Relevance To the Scope Of Professional Practicementioning

confidence: 99%

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confidence: 99%

The extended role of the nurse — Opportunity or threat?

Birch¹

2001

Human Fertility

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“…Extended roles traditionally have been where nurses take on a skill that once was in the domain of the doctors (Hunt and Wainwright, 1994), for example intravenous drug therapy. Intravenous therapy has now become common place within the nurses' role, and an improvement in efficacy of care has been noted as a consequence (Leonard, 1999). It is not only the ANP that carries out this role; but nearly every registered nurse, with intravenous education now taking place at pre-registration level.…”

Section: Extension Versus Expansionmentioning

confidence: 99%

Physical assessment: whose role is it anyway?

West¹

2006

Nursing in Critical Care

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The increasing acuteness of care and developing technologies present new opportunities and challenges for the nursing profession. The NHS Plan emphasizes the need for change to meet these demands, especially in the area of patient assessment. Nurses are extending their repertoire of skills to include those that were once the domain of junior doctors. These new skills tend to be used mostly by experienced nurses such as the specialist or advanced nurse practitioner. One such skill is physical assessment. Traditionally viewed as part of the doctor's role, physical assessment has not routinely been taught in nurse training. With the advancement of nursing roles, it has been argued that physical assessment has become a key nursing skill. This article discusses the use of physical assessment as part of the growing role of the nurse in critical care. Nurses deliver holistic care, based on assessment. This assessment is incomplete, if a detailed physical assessment is omitted and, as a consequence, care is delivered in the absence of an appreciation of the impact of pathophysiological adaptations. This article argues that the ability to physically assess the patient in a principled and systematic fashion, in conjunction with routine health assessment, is a necessary skill for the modern nursing professional working in critical care. It is further argued that, within the current climate of advancing nursing practice, the acquisition of this skill is important for all nurses, to improve patient care, not to supplant the skills of the junior doctor.

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The extended role of the nurse: Practical realities

Barber

2002

Human Fertility

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This article provides an overview of the development of the extended role of fertility nurses. The key factors discussed are the historical development of the nurses' role in the Oxford Fertility Unit at John Radcliffe Hospital and the relevant issues that influence this process and how this is reflected in other units nationally. Each practitioner is accountable for his or her actions and must be aware of the legal implications of practice within the process of role extension. Appropriate training and standards of competence are required for both professional indemnification, provided by the Royal College of Nursing (RCN), and vicarious liability, provided by the individual's employer. There is great variation in nurses' scope of practice, job titles, salaries and standards of training, particularly in the fertility specialism. The United Kingdom Central Council for Nurses, Midwives and Health Visitors (UKCC) is currently piloting a new standard for nurses to attain a 'higher level of practice'. The aim is to provide a generic standard of practice for nurses undertaking an extended role and to overcome many of the inconsistencies experienced by nurses across the UK. Central to any role extension is the delivery of safe care to all patients. Many fertility nurses face new challenges within their practice but require the support of the multidisciplinary team to ensure good standards of patient care.

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The expanded role of the registered nurse: studying nurses’ perceptions

Cited by 7 publications

References 13 publications

The extended role of the nurse — Opportunity or threat?

The extended role of the nurse — Opportunity or threat?

Physical assessment: whose role is it anyway?

The extended role of the nurse: Practical realities

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