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Nurse practitioner practice and deployment: electronic mail Delphi study.

Janet Marsden1, Brian Dolan, Lynda Holt

  • 1Department of Health Care Studies, Manchester Metropolitan University, Manchester, UK. j.marsden@mmu.ac.uk

Journal of Advanced Nursing
|September 3, 2003
PubMed
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Nurse practitioner (NP) roles in the UK require government support and organizational change to overcome barriers like limited prescribing. Greater autonomy and recognition are key for NP practice development.

Area of Science:

  • Health Services Research
  • Nursing Practice
  • Policy Analysis

Background:

  • Modern governance necessitates timely, accurate information for policy-makers.
  • This study addresses nurse practitioner (NP) education and practice within the UK's Department of Health.
  • Understanding factors influencing NP roles is crucial for healthcare system development.

Purpose of the Study:

  • To identify key facilitators and barriers impacting the development of nurse practitioner (NP) roles within the National Health Service (NHS).

Main Methods:

  • A rapid Delphi study was conducted over 4 weeks using electronic mail for swift data collection.
  • Key stakeholders in NP practice, education, research, and policy-making were invited to participate.
  • Themes were generated, refined, collated, and rated by respondents to achieve expert consensus.

Related Experiment Videos

Main Results:

  • Expert consensus highlighted the integral role of nurse practitioners (NPs) in healthcare.
  • Regulatory body recognition is needed to promote understanding of NP potential.
  • NP autonomy is facilitated by freedom to innovate, adequate support, and appropriate education.
  • Limited prescribing rights and local investigation restrictions hinder NP practice.

Conclusions:

  • Despite a small scale, the study achieved substantial consensus from a wide-ranging expert panel.
  • Organisational and cultural changes are needed to foster NP role development.
  • Stakeholders indicated a need for a more interventionist government role in supporting nursing developments.