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A conceptual framework for advanced practice: an action research project operationalizing an advanced
1RCN Institute, Royal College of Nursing, London, UK.
Journal of Clinical Nursing
|May 1, 1997
Summary
This study presents a conceptual framework for advanced practice/consultant nurses, detailing essential skills and their impact on nursing culture. It highlights the need for specific preparation and accreditation for this vital role.
Area of Science:
- Nursing
- Healthcare Management
- Organizational Psychology
Background:
- The role of advanced practice/consultant nurses is evolving, requiring a clear framework.
- Operationalizing this role within a Nursing Development Unit necessitates understanding its context and outcomes.
Purpose of the Study:
- To present a preliminary conceptual framework for an advanced practice/consultant nurse role.
- To link the role to its context and defined outcomes.
- To identify key attributes and functions of the advanced practitioner/consultant nurse.
Main Methods:
- The conceptual framework was developed through data analysis from a 3-year action research study.
- The study involved the operationalization of the advanced practice/consultant nurse role.
- Action research methodology was employed within a Nursing Development Unit.
Main Results:
- A conceptual framework was established, integrating consultancy skills, nursing foundation, leadership, and educator/researcher functions.
- Facilitation of a transformational culture was identified as central to the role.
- Key attributes of the advanced practitioner/consultant nurse were defined.
Conclusions:
- The developed framework provides a foundation for understanding the advanced practice/consultant nurse role.
- Implications for the preparation and accreditation of these nurses are significant.
- The role's impact on fostering a transformational culture is crucial for nursing development.