Advanced roles in respiratory healthcare science: it's not just spirometry

Abstract

Advanced clinical practitioner (ACP) roles in nursing began as early as the 1970s. Health Education England, along with National Health Service (NHS) Improvement and NHS England, have recently published a definition of and standards for multiprofessional advanced clinical practice [1]. They define these practitioners as “experienced, registered health and care practitioners…a level of practice characterised by a high degree of autonomy and complex decision making…underpinned by a masters level award or equivalent.” These roles are now common place in healthcare professions such as nursing, physiotherapy and occupational therapy.

Desafiando la Costumbre en el Cuidado de la Salud: Percepciones Sociales del Rol del Técnico Superior en Enfermería

“…Como ya se ha demostrado en la experiencia exitosa a nivel internacional de países como Cuba, Chile y Perú, donde se ha logrado fortalecer los servicios mediante programas de atención, prevención y promoción de salud, disminuyendo también barreras de accesibilidad y brindando una atención eficaz y de amplia calidad al incluir a esta profesión dentro del personal sanitario (Altamirano-Baquerizo et al, 2017c, 2017bFranco Coffré, 2020). Además, estudios recientes destacan la importancia de roles avanzados en la práctica de enfermería, como los de técnicos superiores, y su influencia positiva en la calidad del cuidado al paciente y la colaboración interprofesional (Moore et al, 2018;Shakespeare et al, 2019).…”

El papel de enfermería en el seguimiento de los pacientes con EPOC

“…No obstante, el papel de enfermería en el seguimiento de los pacientes con EPOC no se limita a la espirometría 8 . Actualmente las competencias de este colectivo siguen y seguirán avanzando para continuar ofreciendo unos cuidados de calidad basados en la evidencia a estos enfermos.…”

ARTP statement on pulmonary function testing

“…Furthermore, this reflects the improved and higher level education and training standard in UK clinical respiratory physiology in recent decades, which encourages 'thinking practitioners' rather than 'following technicians'. 9 As such, the authors should be commended on improving the old guidance immensely by expanding the detail, adding the rationale for changes and thus helping those unfamiliar with the physiology/technology to understand why certain methods and criteria are used. This may in part be due to the fact that this document will have online material which means the size of the document is less critical than it was previously.…”