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Updated: May 13, 2026

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Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
Proving the value of advanced roles
Summary
Advanced practice nurses have expanded their roles since the 1990s, often filling gaps left by doctor shortages. However, inconsistent regulation places greater responsibility on employers to ensure standards for these crucial nursing roles.
Area of Science:
- Nursing
- Healthcare Policy
Background:
- Nurses have increasingly adopted advanced practice roles since the 1990s.
- This expansion is partly driven by shortages of junior doctors in various healthcare settings.
- Concerns exist regarding the variability in these advanced roles and a lack of formal regulation.
Purpose of the Study:
- To highlight achievements of nurses in advanced practice roles.
- To discuss the concerns and future outlook for advanced nursing practice.
- To underscore the importance of employer responsibility in maintaining standards due to regulatory gaps.
Main Methods:
- Qualitative insights from frontline nurses in advanced roles.
- Exploration of achievements and challenges in advanced nursing practice.
- Analysis of the impact of regulatory variability on nursing standards.
Main Results:
- Nurses have successfully expanded their scope and responsibilities in advanced roles.
- Significant achievements have been made, contributing to healthcare provision.
- Variability in roles and lack of formal regulation present challenges.
Conclusions:
- Advanced practice nursing offers significant benefits but requires careful management.
- Employers play a critical role in ensuring consistent standards and quality of care.
- Addressing regulatory gaps is essential for the future development and sustainability of advanced nursing roles.
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