Advanced and Specialist Nursing Practice: Attitudes of Nurses and Physicians in Israel

Abstract

Inter- and intra-professional collaboration, agreement, and understanding regarding advanced nursing practice roles and their introduction into the healthcare system might improve the relationship between healthcare professions and ultimately increase quality of care and patient satisfaction.

Ethical Dilemmas: The Experiences of Israeli Nurses

“…However, the findings of this study are in line with the findings of other studies (Brodsky & Van Dijk, 2008, Matt, 2008, Riba et al, 2004 indicating that rules and regulations are very important. These findings indicate that rules and standards protect patients from maltreatment that might result from health care staff being influenced by personal preferences.…”

“…In a recent study, Brodsky and Van Dijk (2008) found that the growing role of nurses in Israel is perceived by both nurses and physicians to be a positive development which could greatly contribute to the health care system and patient care in Israel. Nevertheless, the nursing role remains unacknowledged and devalued.…”

Factors Associated With Full Implementation of Scope of Practice

“…The exact range of authorized practices is based on the nurse's education, training, competencies, and experience, as well as the laws and regulations of the state, and the policies of the local institution where the practices are performed (Bryce & Foley, ; Queensland Nursing Council, ). Nursing scope of practice has been changing and expanding due to changes in the healthcare environment (Bohmer & Imison, ; Brodsky & Van Dijk, ).…”

Views of the Israeli public on expanding the authority of nurses

“…The nursing profession is undergoing significant changes, and one major shift is the transfer of traditional physician roles to nurses (Brodsky & Dijk 2008). These changes are a result of the need to shorten waiting times and reduce the workload of junior physicians (Griffin & Melby 2006), the natural population increase and the demand for advanced healthcare services.…”

“…Research conducted in various countries on physicians’ opinions of clinical nurse specialists and advanced practise nurses revealed no opposition on the part of physicians. However, a certain level of scepticism emerged towards including specific medical procedures as part of nursing responsibilities and towards nurses’ professional abilities (Brodsky & Dijk 2008). In addition, physicians’ opinions were found to fit into one of three categories: some felt threatened both professionally and financially; some were concerned that nurses would not prove capable of withstanding the necessary training and responsibilities; and some were concerned with structural and organizational barriers (Wilson et al.…”