Between two roles – Experiences of newly trained nurse practitioners in surgical care in Sweden: A qualitative study using repeated interviews

Jangland, Eva; Uhlin, Pia Yngman; Arakelian, Erebouni

doi:10.1016/j.nepr.2016.10.005

Cited by 23 publications

(26 citation statements)

References 25 publications

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“…All agreed that the newly graduated NP requires a period to transition and consolidate AP, best achieved by a structured clinical internship with supportive mentorship for up to 1-year post training (Brown & Olshansky, 1997;Rugen, Harada, Harrington, Dolansky, & Bowen, 2018;Sullivan-Bentz et al, 2010). All the papers identified that establishing NP roles was challenging and where NP roles were poorly defined or were an innovation in the service (Jangland, Uhlin, & Arakelian, 2016), some assumed an 'imposter role'.…”

Section: Consolidationmentioning

confidence: 99%

A rapid review of educational preparedness of advanced clinical practitioners

Dover

Lee

Raleigh

et al. 2019

Journal of Advanced Nursing

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Aim The aim of this study was to synthesize available data on current educational provision related to preparation for the advanced clinical practice role. Design A mixed methods rapid review of the literature. Data Sources A search of Ovid Medline and Ovid EMBASE for English language papers published 2006–2018 resulted in 38 publications, which met the criteria for inclusion. Review Methods Using Tricco's seven‐stage process, following an identification of relevant papers and data extraction, a data‐based convergent synthesis was used to convert quantitative papers into qualitative data prior to completing a narrative synthesis. Results The four themes identified from data synthesis were consolidation; theory to practice gap; competency and mentoring. A lack of preparedness for new advanced clinical practitioners completing an educational programme was noted with a need identified for a clinically focussed consolidation period to enable practitioners to develop their skills under supervision in the clinical environment. Conclusion As the needs for different models of health care evolve with the expansion of advanced practice, appropriate education and clinical supervision are important aspects in the delivery of programmes that allow individuals to be competent and confident practitioners providing safe and effective health care. Impact There is a paucity of papers on educational preparedness of advanced clinical practitioners. Our findings demonstrate a lack of preparedness and the need for a clinically focussed consolidation period with good role models and mentors following completion of a Master's programme. Employers and higher education institutions need to ensure a protected period of time is available for newly qualified advanced clinical practitioners to allow consolidation of clinical practice.

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Section: Consolidationmentioning

confidence: 99%

A rapid review of educational preparedness of advanced clinical practitioners

Dover

Lee

Raleigh

et al. 2019

Journal of Advanced Nursing

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“…In Southern Germany, APNs are in place within hospital settings, in Switzerland, an APN role in lung cancer care has recently been developed, and in Sweden, the surgical NP role has incorporated many of the activities typically performed only by physicians. 25,44,55 The NP role is also being developed in the emergency care context in Norway. 56 Advanced clinical activity roles are emerging in Spain where an Advanced Practice Nursing Competency assessment tool has been recently validated.…”

Section: Summary Resultsmentioning

confidence: 99%

“…Masters level APN education programs are emerging in seven additional European countries. 2,40,[42][43][44][45][46][47][48][49][50][51][52] European advanced practice nurses with Master's level education enjoy title protection in the Netherlands Advanced Practice Nursing roles that align with the ICN NP/APN Network's role de nition, role characteristics and with independent, advanced clinical activities are well established in Finland, Ireland, the Netherlands, and the United Kingdom (Scotland, Wales and Northern Ireland). 50,51 Other countries have implemented pilot programs or emerging specialty practice roles for APNs.…”

Section: Summary Resultsmentioning

confidence: 99%

A Global SWOT Analysis of Advanced Practice Nursing: Policy, Regulation, and Practice

Ladd¹,

Miller²,

Wheeler³

et al. 2020

Preprint

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Background: The advanced practice nursing role has been characterized as task sharing between physicians and nurses, and commonly is a part of national or health system schemes to expand healthcare access and/or to improve efficiencies. However, lack of regulatory uniformity can lead to inconsistent qualifications, competencies, and a limitation of expansion of healthcare services, based on regulated scope of practice. Methods: The SWOT analysis technique (strengths, weaknesses, opportunities, threats) was used to assess the current state of advanced practice nursing worldwide, with specific focus on regulation, education, licensure, and practice. Data were collected broadly from peer reviewed, governmental and regulatory sources, as well as grey literature. Results: Key regulatory elements that frame advanced practice nursing vary significantly by country and region and remain dynamic. However, practice and educational models are outpacing regulatory standards in all six WHO regions. Overall, advanced practice nursing is expanding at an accelerated pace in order to meet population and health system needs, despite weaknesses of the regulatory system, or threats from systems that are not ready to accept innovative strategies. Conclusion: Advanced practice nursing is an innovative role that is progressing broadly in response to the global drivers of an aging population, workforce shortages, the increasing prevalence of non-communicable disease, and the need to develop system-based efficiencies for cost containment. The role is developing organically, driven by local needs, but still lags in terms of the formal regulatory legitimization in many countries. Notably, it is being buoyed by the global movement toward universal health coverage.

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“…Reference is made to interprofessional working and the need for professional boundaries. Jangland et al (2016) recognise that new roles can result in a perceived threat to boundaries but also acknowledge that such roles can make valuable contributions.…”

Section: Literature Reviewmentioning

confidence: 99%

How can the presence of a surgical care practitioner improve training for staff who are learning how to scrub for robotics cases in a urology theatre?

Barry

2018

Journal of Perioperative Practice

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Aim This study examines how a surgical care practitioner can contribute to the learning needs of junior scrub staff learning to scrub for urological robotics cases. Key themes include education, technical training, non-technical skills, patient safety and the specialist practitioner as educator. Methods Data collection was via an online survey, distributed by a gatekeeper to 13 participants. These were junior scrub practitioners who had completed their robotic rotation. Results A 62% response rate was achieved. The majority of respondents indicated that there was a difference in interactions when a surgical care practitioner was assisting compared to a surgical trainee. Half of the respondents felt more confident when the surgical care practitioner was assisting. Conclusions A range of approaches were proposed for how the surgical care practitioner could enhance learning. Structured input is likely to be more appropriate to avoid the surgical care practitioner being distracted from their own duties whilst assisting. There is scope for further research.

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Between two roles – Experiences of newly trained nurse practitioners in surgical care in Sweden: A qualitative study using repeated interviews

Cited by 23 publications

References 25 publications

A rapid review of educational preparedness of advanced clinical practitioners

A rapid review of educational preparedness of advanced clinical practitioners

A Global SWOT Analysis of Advanced Practice Nursing: Policy, Regulation, and Practice

How can the presence of a surgical care practitioner improve training for staff who are learning how to scrub for robotics cases in a urology theatre?

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