A conceptual framework for advanced practice: an action research project operationalizing an advanced practitioner/consultant nurse role

Abstract

A preliminary conceptual framework for an advanced practice/consultant nurse role is presented which links the role to its context and outcomes. The conceptual framework was developed in the process of analysing data from a 3-year action research study involving the operationalization of an advanced practice/consultant nurse role in a Nursing Development Unit. The skills and knowledge base of consultancy, underpinned by a strong nursing foundation, augmented by strong leadership and combined with the educator and researcher functions, are presented as the attributes of the advanced practitioner/consultant nurse. The facilitation of a transformational culture is highlighted as central to the skills and processes used within the role. Implications for the preparation and accreditation of the advanced practitioner/consultant nurse are highlighted.

A Review of the Clinical Interdisciplinary Collaboration among Nurses and Physicians

“…These concepts were in accordance with the concepts related to the study of Douglas et al (2004) and Manley (1997) as well as Gaboury et al (2010) that assessed the collaboration in the form of system input.…”

“…In another study, one of the concepts of showed model was care continuity [27]. In the study by Manley (1997) the final outcome of collaboration framework was the quality of services provided to patients [26]. In this study, the process emerged in the form of 9 themes.…”

“…In this review, 7 published studies (46.6%) had selected health care centers as study environment [20]- [26]. Also, some studies were done in the hospitals [27]- [29].…”

“…In this study, the researcher used the tools of questionnaire for assessment of the process and the tools of interview and observation of field notes were not used, while the questions were less about the process [30]. Since the studies of Douglas et al (2008) and Manley (1997) were action research, the tool of observation in these researches were of particular importance, while these researchers had only used the interview as data gathering and the processes were tested. In the study of Douglas, the central concept of this process was the project momentum.…”

“…In a study, three basic parts that field of work such as beliefs, values, organizational authority and hierarchical management had been presented of these factors [26]. In this study, contexts such as shared ideas and beliefs open non hierarchical management and organizational authority were of the basic elements of it.…”