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Related Experiment Videos

How five advanced practice nurses in nephrology spend their time.

J Ridley1, L Harwood, J A Lawrence-Murphy

  • 1University Campus of London Health Sciences Centre, Ontario.

CANNT Journal = Journal ACITN
|February 16, 2005
PubMed
Summary
This summary is machine-generated.

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This study examined the practice scope of nephrology nurse practitioners/clinical nurse specialists (NP/CNS). Most time was spent in direct patient care and system support, with less time on research and education.

Area of Science:

  • Nephrology Nursing
  • Advanced Practice Nursing
  • Healthcare Management

Background:

  • The scope of practice for Masters-prepared nephrology nurse practitioners/clinical nurse specialists (NP/CNS) was examined in a university teaching hospital.
  • Changes in staffing and healthcare models prompted a need to understand NP/CNS roles.
  • Variability in NP/CNS practice was an area of focus due to evolving healthcare delivery.

Purpose of the Study:

  • To report the results of a descriptive study on the scope of practice for five NP/CNSs.
  • To analyze the time allocation across different domains of advanced practice nursing.
  • To provide data for adapting the NP/CNS role to clinical and economic changes.

Main Methods:

  • A descriptive study design was employed.

Related Experiment Videos

  • A time documentation tool (TDT), adapted from Ackerman's Model of Advanced Practice, was used.
  • Five NP/CNSs documented their activities over 10 consecutive practice days.

    • Main Results:

    • NP/CNSs worked an average of 8.6 hours daily, with 72% dedicated to direct clinical practice.
    • An average of 16% of time was allocated to supporting healthcare systems.
    • Research, education, and professional leadership accounted for a smaller percentage of NP/CNS time (averaging 4%, 6%, and 2% respectively).

    Conclusions:

    • The majority of NP/CNS time is concentrated in direct patient care and system support.
    • Despite anticipated variability, clinical practice and system support activities showed less variation than expected across different sites.
    • Study findings aid in analyzing and adapting the NP/CNS role to meet evolving healthcare demands and financial constraints.