Advanced practice nursing roles: development, implementation and evaluation

Abstract

Recommendations for the future introduction of APN roles can be drawn from this paper. These include the need for a collaborative, systematic and evidence-based process designed to provide data to support the need and goals for a clearly defined APN role, support a nursing orientation to advanced practice, promote full utilization of all the role domains, create environments that support role development, and provide ongoing evaluation of these roles related to predetermined goals.

Nurses’ responses to expert patients: The rhetoric and reality of self-management in long-term conditions: A grounded theory study

“…There are an expanding range of nursing roles developing partly as a response to changing patterns of morbidity (Bryant-Lukosius et al, 2004), with for example, advanced nursing roles in diabetes care having a clear focus on the development of patient self-management skills (Sigurdardottir, 1999) and effectiveness in terms of patient health outcomes (Bodenheimer et al, 2005).…”

“…The nurse specialists also displayed two other key characteristics that are linked to the organisational structure within which they worked. Firstly, not only could they describe their discrete area of expertise but could also articulate the boundaries of their role which is in direct contrast to the reported problems in lack of clear advanced nursing role specifications (Bryant-Lukosius et al, 2004, Nursing Times, 2004. Secondly, their place within the multidisciplinary team and the way this team functioned exemplified contemporary concepts of professionalism (Davies, 1996).…”

Umsorgt werden und umsorgen: Leben mit mehreren Langzeiterkrankungen (Leila) – Eine qualitative Studie zum Beitrag von APN in integrierter Versorgung

“…Die Zuweisenden bezeichneten das umfassende Einschätzen des Pflegebedarfs als Teil eines notwendigen, pflegerischen APN Casemanagements. Vorgängige Studien belegten die Notwendigkeit pflegerischer APN Casemanagementfunktionen und deren Nutzen wurde nachgewiesen (Bachus, 1995;Berkman, Glass, Brissette & Seeman, 2000;Bodenheimer, MacGregor & Stothart, 2005;Brooten et al, 2003;Bryant-Lukosius, 2010;Bryant-Lukosius, Dicenso, Browne & Pinelli, 2004;Newhouse et al, 2011 (Hanrahan, Wu, Kelly, Aiken & Blank, 2011;Neff, Madigan & Narsavage, 2003). Patient(inn)en zeigten effektive «Lebensveränderungen» wie gezielte Einhaltung therapeutischer Regimes und erhöhte Selbstpflegefähigkeiten.…”

Compassion Fatigue in Hospice Nursing: A Program Development

“…The APRN can be a leader of the interdisciplinary team in designing interventions based on best practice and advancing nursing practice through education, research, personal development and organizational leadership (Bryant-Lukosius, DiCenso, & Pinelli, 2004). Functions of the APRN, particularly the Clinical Nurse Specialist (CNS), include clinical expert and change agent, which involve collaboration and consultation with other disciplines in the health care setting.…”