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Exploring new advanced practice roles in community nursing: a critique
1University of Brighton, East Sussex, UK. k.f.aranda@brighton.ac.uk
Nursing Inquiry
|February 15, 2008
Summary
This study examines new advanced nursing roles within the English National Health Service (NHS), exploring how these evolving positions shape nursing identities and reflect broader healthcare changes.
Area of Science:
- Health Services Research
- Sociology of Health
- Nursing Studies
Background:
- Modernization efforts in the English National Health Service (NHS) have involved significant workforce redesign, including the creation of advanced nursing roles.
- Existing research primarily documents these roles in hospital settings, with less focus on community-based advanced nursing positions.
- Sociological and post-structural theories offer frameworks for understanding the complexities of these evolving roles.
Purpose of the Study:
- To theorize new advanced nursing roles in community settings.
- To analyze how these roles are being constructed within broader healthcare and social changes.
- To explore the implications of these roles for nursing identity and the nursing mandate.
Main Methods:
- Literature review of existing evidence on advanced nursing roles.
- Application of post-structural and sociological analytical frameworks.
- Examination of competing conceptualizations of the nursing mandate and practitioner subjectivities.
Main Results:
- Analysis reveals competing ideas about the nursing mandate in advanced community roles.
- Practitioners experience ambivalence and ambiguity in forming new professional identities.
- Implicit ideological underpinnings of these workforce developments are highlighted.
Conclusions:
- New advanced nursing roles in the community are sites of ongoing identity construction.
- Understanding these roles requires attention to sociological and ideological factors.
- The development of advanced nursing roles reflects significant shifts in healthcare and nursing practice.
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