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Related Experiment Videos

Recognising advancing nursing practice: evidence from two observational studies.

J Wilson-Barnett1, K L Barriball, H Reynolds

  • 1The Florence Nightingale School of Nursing and Midwifery, King's College London, James Clark Maxwell Building, Waterloo Road, London, UK.

International Journal of Nursing Studies
|April 29, 2000
PubMed
Summary
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This study observed nurses in advanced roles, finding key functions like needs assessment and interdisciplinary collaboration. Essential personal attributes and supportive environments are crucial for successful advanced nursing practice development.

Area of Science:

  • Nursing Practice
  • Healthcare Management

Background:

  • Limited research exists on the specific activities of nurses in advanced practice roles.
  • Existing literature often focuses on titles and relationships rather than practical functions.
  • This study addresses the gap by examining the roles of practitioners undertaking advanced nursing roles.

Purpose of the Study:

  • To empirically investigate the range and type of functions performed by nurses in developing advanced practice roles.
  • To identify characteristic features and essential attributes for successful advanced nursing practice.
  • To explore the influence of the working environment and management support on role development.

Main Methods:

  • 'Reflective' observation was employed as the primary data collection method.

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  • The study involved 19 nurses, including midwives and health visitors, in advanced roles.
  • Empirical data was gathered to illustrate practitioner functions.

    • Main Results:

    • Nurses in advanced roles demonstrated key functions including assessment of individual and group needs.
    • Practitioners exhibited strong motivation for practice improvement and engaged in inter-disciplinary and cross-agency collaboration.
    • The ability to identify and prioritize service requirements was a recognized feature of these roles.

    Conclusions:

    • Successful advanced nursing practice development is characterized by specific functions and personal attributes.
    • Essential attributes include confidence, commitment, and problem-solving skills.
    • A positive working environment and supportive management are critical for enabling advanced role development.