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Implementing advanced practice: identifying the factors that facilitate and inhibit the process
1Department of Applied Social Studies, Keele University, Keele, Staffordshire.
Journal of Clinical Nursing
|July 14, 1998
Summary
Advanced nurse practitioners face various challenges and facilitators when implementing new roles. Key factors involve relationships, professional development, and the clinical environment, impacting role integration.
Area of Science:
- Nursing
- Healthcare Management
- Clinical Practice
Background:
- Advanced nurse practitioners (ANPs) are crucial for healthcare delivery.
- Implementing new ANP roles presents unique challenges.
- Understanding facilitators and barriers is essential for successful role integration.
Purpose of the Study:
- To identify factors facilitating or hindering advanced nurse practitioners in implementing new clinical roles.
- To explore the lived experiences of ANPs during role implementation.
Main Methods:
- Qualitative case study research design.
- Investigation of preliminary results from ANP role implementation.
- Analysis of shared factors across diverse clinical settings.
Main Results:
- Identified multiple facilitating and inhibiting factors for ANP role implementation.
- Categorized factors into: re-negotiating relationships, becoming an advanced practitioner, and clinical context/deployment.
- Recognized commonalities in these factors across different clinical settings.
Conclusions:
- Role implementation for advanced nurse practitioners is influenced by interpersonal, professional, and contextual factors.
- Findings offer insights into the lived experiences of ANPs transitioning into new roles.
- Evidence supports understanding these factors for improved ANP role integration in healthcare.