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Advanced practice nurses' experiences and well-being: Baseline demographics from a cohort study.

Emily Wood1, Rachel King1, Steve Robertson1,2,3

  • 1Health Sciences School, Division of Nursing and Midwifery, University of Sheffield, Sheffield, UK.

Journal of Nursing Management
|June 6, 2020
PubMed
Summary

Advanced Practice Nurses in the UK experience significant pay disparities unrelated to their job titles. While well-being is comparable to the general population, high work-related stress warrants further investigation.

Keywords:
Nurse's roleadvanced practice nursingnurse practitionerwell-being

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Area of Science:

  • Nursing
  • Healthcare Management
  • Professional Development

Background:

  • Advanced nursing practice in the UK lacks formal regulation.
  • This has resulted in varied roles, autonomy, and support for advanced nurses.
  • Concerns exist regarding the consistency and standards of advanced nursing practice.

Purpose of the Study:

  • To establish a UK-wide cohort of Advanced Practice Nurses (APNs).
  • To gather data on APN demographics, work experiences, and well-being.
  • To identify disparities in the advanced nursing profession.

Main Methods:

  • Recruitment of APNs through universities, professional organizations, and social media.
  • Administration of an initial questionnaire covering background, workplace, experiences, credentialing, and well-being.
  • Cohort established with 143 nurses, 86 completing the survey.

Main Results:

  • Over 40 distinct job titles were reported across five pay bands.
  • No correlation was found between job title and pay band (p=0.988).
  • APNs reported high work-related stress (44.2%) compared to the NHS average (37.9%), though overall well-being was similar to the general population.

Conclusions:

  • Significant pay disparities exist among APNs, not reflected in their titles or work settings.
  • Elevated levels of work-related stress among APNs require further in-depth study.
  • Organizational leaders should review APN roles, compensation, and support against national standards.