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Author Spotlight: Learning Systematic Bronchoscopy in a Simulation-Base Setting
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From expert to advanced clinical practitioner and beyond.

Gerri Mortimore1, Julie Reynolds1, Dawn Forman2

  • 1Senior Lecturer in Advanced Clinical Practice, University of Derby.

British Journal of Nursing (Mark Allen Publishing)
|June 10, 2021
PubMed
Summary

This study proposes the Derby Model, a 7-level framework for advancing clinical practice beyond expert status. It integrates Health Education England

Keywords:
Advanced clinical practiceAdvanced clinical practitionersConsultant practitionerNurse consultantThe Derby model

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Area of Science:

  • Healthcare professional development
  • Advanced practice nursing
  • Clinical expertise progression

Background:

  • Pat Benner's 1984 'From Novice to Expert' model established stages of clinical skill acquisition.
  • Existing frameworks may not fully encompass the evolving roles of advanced clinical practitioners (ACPs) and consultant practitioners.
  • The 21st-century healthcare system demands enhanced senior clinical roles.

Purpose of the Study:

  • To propose a new model for the development of advanced clinical practitioners and consultant practitioners.
  • To extend beyond the traditional 'expert' level of clinical practice.
  • To integrate Health Education England's four pillars of advanced practice into a developmental framework.

Main Methods:

  • Adaptation of Pat Benner's 'From Novice to Expert' model.
  • Development of the proposed 'Derby Model: 7 Levels of Practice Advancement'.
  • Consideration of Health Education England's four pillars of advanced practice.

Main Results:

  • The Derby Model offers a structured, 7-level progression for clinical practice advancement.
  • It explicitly incorporates and enhances Health Education England's four pillars of advanced practice.
  • The model provides a pathway for ACPs and consultant practitioners to evolve beyond 'expert' status.

Conclusions:

  • The Derby Model offers a novel framework for defining and developing advanced clinical practice.
  • It provides a clear pathway for senior clinicians to enhance their roles within modern healthcare.
  • This model supports the integration of advanced practice principles into senior healthcare roles.