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Related Experiment Videos

Development of a model of advanced practice

M H Ackerman1, L Norsen, B Martin

  • 1Strong Memorial Hospital, University of Rochester Medical Center, NY, USA. ajcc@aol.com

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|January 1, 1996
PubMed
Summary

This study defines the acute care nurse practitioner role by identifying practice domains and conceptual strands. The developed model centralizes the patient and guides role development for practitioners and institutions.

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Area of Science:

  • Nursing
  • Healthcare Administration

Background:

  • The role of the acute care nurse practitioner (ACNP) is emerging and lacks a clear definition.
  • This study is part of an institutional role delineation initiative, focusing on initial model development.

Purpose of the Study:

  • To identify key domains of ACNP practice.
  • To determine activities within each domain.
  • To define overarching conceptual strands guiding the ACNP role.

Main Methods:

  • A nonexperimental study design was employed.
  • Methods included a comprehensive literature review.
  • Expert consultation, brainstorming, and practice review were utilized.

Main Results:

  • The patient is the central focus of the developed model.

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  • Identified practice domains: direct comprehensive care, systems support, education, research/publication, and professional leadership.
  • Conceptual strands encompassing empowerment, collaboration, and scholarship were identified.

    • Conclusions:

    • Model development is a critical first step in ACNP role delineation.
    • The proposed model requires further validation but is currently usable.
    • The model serves as a guide for healthcare institutions and individual practitioners.