Advanced Practice Nursing in Canada: Overview of a Decision Support Synthesis

DiCenso, Alba; Martin‐Misener, Ruth; Bryant‐Lukosius, Denise; Bourgeault, Ivy Lynn; Kilpatrick, Kelley; Donald, Faith; Kaasalainen, Sharon; Harbman, Patricia; Carter, Nancy; Kioke, Sandra; Abelson, Julia; McKinlay, R. James; Pasic, Dianna; Wasyluk, Brandi; Vohra, Julie; Charbonneau-Smith, Renée

doi:10.12927/cjnl.2010.22267

Cited by 74 publications

(56 citation statements)

References 14 publications

(14 reference statements)

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“…Supportive administrators (nursing and medical) are integral to implementing and sustaining APN roles. Therefore, the more consistent and evidence‐based the information that decision‐makers receive about APN roles, the more likely they are to understand and support these roles (Carter et al., , ; DiCenso et al., ).…”

Section: Discussionmentioning

confidence: 99%

Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study

et al. 2018

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AimThe aim of this study is to explore advanced practice nurses’ perceptions of their leadership capabilities.DesignA qualitative descriptive methodology informed by a well‐established leadership framework was used to explore advanced practice nurses’ perceptions of their leadership.MethodsPurposive sampling of advanced practice nurses working in tertiary acute care facilities in Eastern Canada was employed. Data sources included face‐to‐face interviews and document analysis. Fourteen advanced practice nurses participated in two audio‐taped semi‐structured interviews from March 2013–January 2014. Data were transcribed and analysed using NVIVO 10 software and content analysis.ResultsTwo main themes were identified: “Patient‐focused leadership” and “organization and system‐focused leadership”. These two themes are further described through leadership domains and capabilities that clearly articulate advanced practice nursing leadership and its contribution to improving the care environment for patients and families, nurses and other healthcare providers, organizations and the healthcare system.

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Section: Discussionmentioning

confidence: 99%

Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study

et al. 2018

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“…Key to the proposed utility of APNs is the ability to not only provide excellent direct clinical care, but also empower and augment existing nursing roles 2 3 6. This study outlines many factors that enable or limit APNs’ influence on EBP; therefore these results offer an important contribution towards understanding the additional value which APNs provide within healthcare systems.…”

Section: Commentarymentioning

confidence: 92%

“…APNs have been noted to utilise EBP within their own practices2 and promote such practices among teams 3. This suggests that APN may influence FLNs’ adoption of EBP.…”

Section: Contextmentioning

confidence: 99%

Study of 23 advanced-practice nurses suggest that their ability to facilitate evidence-based practice among frontline nurses is influenced by their personal attributes, relationships with stakeholders, responsibility and workload and organisational context

Soeren

2012

Evid Based Nurs

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Implications for practice and research: Role development of advance practice nurses (APNs) and organisational culture are important contributing factors for the adoption of evidence-based practice (EBP) by nurses. Nursing and APN workload were factors limiting adoption of EBPs. Education on EBP, leadership and facilitation should be part of all APN education. Further research across a range of settings is needed to determine additional factors that may influence adoption of EBP.

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“…Conversely, very little exists concerning CNS work with people with intellectual disability and Ireland is in an exclusive situation as it has intellectual disability nursing (education, training and practice). This generates a chance to showcase the work of intellectual disability CNSs and contribute to the evidence base, as CNS roles are often poorly understood by stakeholders, including healthcare team members, regulators and decision‐makers (DiCenso et al, ). This article describes nursing and multidisciplinary team (MDT) members' perspectives of intellectual disability CNSs in Ireland.…”

Section: Introductionmentioning

confidence: 99%

A survey of nursing and multidisciplinary team members' perspectives on the perceived contribution of intellectual disability clinical nurse specialists

Doody

Slevin

Taggart

2019

Journal of Clinical Nursing

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Aim and objectives To explore multidisciplinary team members' perspectives of clinical nurse specialists in intellectual disability nursing contribution in Ireland. Background While clinical nurse specialist roles have advanced over time, they are viewed as multifaceted and complex roles creating confusion. This confusion is reinforced by the absence of studies on multidisciplinary team members' perspectives on the activities of clinical nurse specialists. Design A cross‐sectional study of multidisciplinary team members (n = 262). The survey instrument was developed based on the literature and the result of a previous qualitative study and survey of intellectual disability clinical nurse specialists. Methods SPSS was used for data analyses and descriptive and inferential statistics. The STROBE checklist for cross‐sectional studies was used for reporting, and both a university and service providers granted ethical approval. Findings This study highlights that multidisciplinary team members identify the contribution and support that intellectual disability clinical nurse specialists provide across a range of practice areas. Clinical nurse specialists support the care process through supporting clients, staffs, families, organisations, communities and other agencies. Conclusions Overall, the study reports and acknowledges the significance and contribution of intellectual disability clinical nurse specialists, across a range of practice areas and the support they provide for all stakeholders within the care process. Relevance to clinical practice Clinical nurse specialists are central to the nursing profession as a lead clinical role in practice and play a key role within the multidisciplinary team. Highlighting the work of the clinical nurse specialist creates greater clarity and less role ambiguity/confusion.

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Advanced Practice Nursing in Canada: Overview of a Decision Support Synthesis

Cited by 74 publications

References 14 publications

Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study

Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study

Study of 23 advanced-practice nurses suggest that their ability to facilitate evidence-based practice among frontline nurses is influenced by their personal attributes, relationships with stakeholders, responsibility and workload and organisational context

A survey of nursing and multidisciplinary team members' perspectives on the perceived contribution of intellectual disability clinical nurse specialists

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