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Higher level practice in community nursing: part two.

J M MacDonald1

  • 1peter.macdonald@virgin.net

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|December 2, 2005
PubMed
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Community nurse practitioners can achieve a higher level of practice by negotiating autonomy with doctors. This enables them to act as first point of access for patients with undifferentiated diagnoses.

Area of Science:

  • Nursing Practice
  • Healthcare Management

Background:

  • The United Kingdom Central Council (UKCC) defined a 'higher level of practice' for nurses.
  • Understanding the factors enabling advanced practice roles is crucial for healthcare system development.

Purpose of the Study:

  • To determine if community nurse practitioners (CNPs) could attain the UKCC's defined 'higher level of practice'.
  • To identify the key elements required for CNPs to achieve advanced practice roles.

Main Methods:

  • Grounded theory methodology was employed.
  • Data collection involved direct observation (with some participation) and interviews with CNPs and clinical managers.

Main Results:

  • The core category identified was 'negotiation for autonomy'.

Related Experiment Videos

  • CNPs achieving a higher level of practice demonstrated the ability to negotiate autonomy with General Practitioners (GPs) and other physicians.
  • This autonomy allowed CNPs to conduct initial patient consultations for undifferentiated diagnoses, managing care through to discharge or referral.

    • Conclusions:

    • Successful negotiation of roles with GPs and hospital doctors is essential for community nurse practitioners to reach a higher level of practice.
    • The findings underscore the importance of interprofessional collaboration and role clarity in advancing nursing practice.