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Steering a course towards advanced nurse practitioner: a critical care perspective
Elizabeth Fleming1, Martin Carberry
1NHS Lanarkshire, Hairmyres Hospital, Glasgow, UK. robo.fleming@btinternet.com
Nursing in Critical Care
|February 9, 2011
Summary
Expert critical care nurses successfully transition to advanced nurse practitioner roles by integrating nursing expertise with medical values. A grounded theory model illustrates this complex role development journey.
Area of Science:
- Nursing Science
- Healthcare Management
- Advanced Practice Nursing
Background:
- Advanced nurse practitioner (ANP) roles were established to support intensive care unit (ICU) teams.
- ANPs undertake roles traditionally held by junior medical staff in specialized critical care settings.
- Understanding the experiences of ANP trainees is crucial for refining role development and future practice.
Purpose of the Study:
- To explore the role development experiences of expert critical care nurses transitioning to advanced nurse practitioners.
- To inform future developments and practices in advanced nursing roles within ICUs.
Main Methods:
- Grounded theory methodology was employed.
- Data were collected from 25 participants via interviews between March and August 2010.
- Simultaneous data collection and analysis utilized theoretical sampling and the constant comparative method.
Main Results:
- The core category identified was 'Staying the course to advanced nursing practice'.
- Three key processes were identified: situational, developmental, and conceptual meaning.
- A conceptual model was developed, capturing the transition experiences of nurses to advanced practice.
Conclusions:
- The study details the role transition from expert critical care nurse to ANP, emphasizing the synthesis of nursing practice with medical values.
- The developed conceptual model can serve as a framework for similar role transitions.
- This model has implications for informing ANP roles both within and beyond critical care settings.
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