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Nurse practitioners - or advanced clinical nurses?

Thomas David Barton1

  • 1School of Health Science, Faculty of Health and Human Sciences, University of Wales Swansea, Morrison Hospital Campus.

British Journal of Nursing (Mark Allen Publishing)
|May 26, 2006
PubMed
Summary

This study explored advanced clinical nursing roles and the challenges in professional structure. Developing these roles requires collaboration and a clear career framework for success.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Professional Development

Background:

  • Advanced clinical nursing roles present challenges to the nursing profession's structure.
  • An unregulated array of titles for advanced practice creates confusion.
  • The evolution of advanced nursing practice necessitates a re-evaluation of career structures and identities.

Purpose of the Study:

  • To examine the experiences of students, teachers, and clinicians in a nurse practitioner degree program.
  • To understand the development of advanced clinical nursing roles and their impact on professional identity.
  • To identify factors influencing the successful implementation of advanced nursing practice.

Main Methods:

  • Practitioner ethnography was employed over a 2-year period.
  • A sample of 10 student nurse practitioners and 11 associated individuals (teachers, mentors, academics) were studied.
  • Systematic data analysis led to the inductive identification of themes and frameworks.

Main Results:

  • The study identified evolving career structures and identities associated with advanced nursing practice.
  • Student and clinician experiences highlighted the complexities of developing advanced roles.
  • A need for a professional clinical nursing career framework was evident.

Conclusions:

  • The development of advanced clinical nursing is a collaborative effort involving nurses, educators, managers, doctors, and policymakers.
  • Strategic policy alone is insufficient; it must be supported by a robust professional career framework.
  • Successful advancement of clinical nursing roles depends on systemic support and structured career pathways.

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