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Published on: April 7, 2023
Advanced nursing practice in paediatric critical care.
Leanne E Llewellyn1, Helen L Day
1PICU King's College Hospital London.
Paediatric Nursing
|March 14, 2008
Summary
The addition of advanced nurse practitioners to critical care may enhance patient care and nursing careers. However, staff require clarity on roles, education, and training for this advanced practice model.
Area of Science:
- Nursing
- Critical Care Medicine
- Healthcare Management
Background:
- King's College Hospital implemented a High Dependency Care model in 2005.
- The study explored adding a fourth tier to this model, focusing on advanced nursing practice.
- The goal was to enhance critical care services and nursing career development.
Purpose of the Study:
- To assess the feasibility and potential benefits of introducing an advanced nurse practitioner (ANP) role.
- To gather staff perspectives on ANP roles, responsibilities, and integration into critical care.
- To inform the development of a training and competency program for advanced practice.
Main Methods:
- A review of the clinical environment was conducted.
- A survey was administered to medical and nursing staff.
- The survey aimed to identify views on essential ANP roles and responsibilities.
Main Results:
- Respondents supported the concept of advanced nursing practice in critical care.
- There was significant staff consensus on the beneficial impact of ANPs on patient care delivery.
- However, a lack of consensus existed regarding specific ANP tasks, educational requirements, and mentorship.
Conclusions:
- While staff support the role of advanced nurse practitioners in critical care, significant ambiguity remains regarding their scope of practice and training.
- Further development is needed to establish clear guidelines for advanced nursing practice, including education, mentorship, and competency assessment.
- Implementing advanced nursing roles requires a structured approach to address staff concerns and ensure effective integration into existing healthcare models.
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