How do CNCs construct their after hours support role in a Major Metropolitan Hospital

Santiano, Nancy; Young, Lis; Baramy, La-Stacey; McDonnell, Scott R.; Page, Karen; Cabrera, Rouchelle; Chapman, Anna

doi:10.1016/j.colegn.2009.03.003

Cited by 8 publications

(14 citation statements)

References 24 publications

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“…For example, Dawson and Benson examined the CNC role in Wentworth Area Health Service, where a total of 13 CNCs were employed (Dawson & Benson, 1997), whilst McIntyre and colleagues' more recent paper looked at ward nurses' attitudes to intensive care unit CNCs at a single health service (McIntyre et al, 2012). Similarly, Santiano and co-authors' paper on the work of after-hours CNCs at a metropolitan hospital focused on only two participants (Santiano et al, 2009). Whilst small scale studies provide a useful insight into practice in particular health services and specialties, more extensive research is required in order to gain a comprehensive picture of CNC practice.…”

Section: Introductionmentioning

confidence: 99%

Clarifying Clinical Nurse Consultant work in Australia: A phenomenological study

et al. 2015

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The Clinical Nurse Consultant role in Australia is an Advanced Practice Registered Nurse Role (APRN). This role has been conceptualized from the discrete pillars of research, education, practice, system support and leadership, articulated in the Strong Model of Advanced Practice. This conceptualization has been manifested in job descriptions, workforce planning and course design. This paper explored whether there was a more refined way of conceptualizing the unique 'value add' of the role. A hermeneutic phenomenological approach was employed to explore the lived experience of the role. It was identified that the pillars of education, practice, leadership and research are interconnected and expressed in the system work of the Clinical Nurse Consultant. The findings have implications for education and workforce planning.

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Section: Introductionmentioning

confidence: 99%

Clarifying Clinical Nurse Consultant work in Australia: A phenomenological study

et al. 2015

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“…Included studies were conducted in both acute and community settings (Begley et al., 2013; Coyne et al., 2016; Elliott et al., 2013; Giles et al., 2018) or involved both university and non‐university hospitals (Van Hecke et al., 2019). Most studies were either qualitative (Coyne et al., 2016; Elliott et al., 2013; Santiano et al., 2009; Walsh et al., 2015) and/or of mixed‐methods design (Begley et al., 2013; Giles et al., 2018) with one using a quantitative approach (Van Hecke et al., 2019). Studies' sample sizes ranged from two (Santiano et al., 2009) to 151 (Coyne et al., 2016).…”

Section: Resultsmentioning

confidence: 99%

“…Most studies were either qualitative (Coyne et al., 2016; Elliott et al., 2013; Santiano et al., 2009; Walsh et al., 2015) and/or of mixed‐methods design (Begley et al., 2013; Giles et al., 2018) with one using a quantitative approach (Van Hecke et al., 2019). Studies' sample sizes ranged from two (Santiano et al., 2009) to 151 (Coyne et al., 2016).…”

Section: Resultsmentioning

confidence: 99%

“…The majority of the studies sampled a range of other health professionals in addition to APs in identifying the clinical leadership role of APs (Begley et al., 2013; Coyne et al., 2016; Walsh et al., 2015). Several studies aimed to investigate and understand the various roles and clinical services provided by APs (Begley et al., 2013; Coyne et al., 2016; Giles et al., 2018; Santiano et al., 2009), with other studies specifically aiming to identify (Elliott et al., 2013), investigate (Van Hecke et al., 2019) and provide understanding (Giles et al., 2018) of the leadership capabilities of such roles.…”

Section: Resultsmentioning

confidence: 99%

“…While there is consensus as to the importance of clinical leadership, there is less agreement on a clear definition of the concept. Nevertheless, common characteristics identified include the following: clinical embeddedness, expertise, visibility within care environments, role modelling, facilitation of care, working within and across professional boundaries and a concern with improving care quality (Elliott et al., 2013; Giles et al., 2018; Santiano et al., 2009; Walsh et al., 2015). In a report evaluating AP roles within nursing, the SCAPE report (NCNM, 2010) suggested a number of activities that give expression to clinical leadership (Table 1).…”

Section: Introductionmentioning

confidence: 99%

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Impact of clinical leadership in advanced practice roles on outcomes in health care: A scoping review

2020

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Aim To undertake a scoping review of the literature exploring the impact of clinical leadership in advanced practice roles in relation to patient, staff and organisational outcomes. Background An increasing number of publications as well as job specifications have identified clinical leadership as a cornerstone of advanced practice roles. However, it is unclear whether embedding clinical leadership in such roles has led to improvements in patient, staff or organisational outcomes. Therefore, identifying the extent to which clinical leadership in advanced practice roles relates to patient, staff and organisational outcomes is needed. Method A scoping review examining the relationship between clinical leadership in advanced practice roles and health care outcomes. Searching in SCOPUS, PubMed, Psychinfo and CINAHL Plus and Web of Science identified 765 potential articles. Independent selection, data extraction tabulation of findings and analysis were completed. Results Seven studies were identified that met the inclusion criteria. Only studies reporting on nurses in advanced practice roles were included; no studies were identified that reported on the advanced practice roles of allied health professionals. The results indicate that there is no objective evidence of the impact of advanced practitioners’ clinical leadership on patient, staff or organisational outcomes. Conclusion There is a paucity of objective evidence to identify the extent to which clinical leadership is enacted in advanced practice roles. The review indicates a need for closer alignment of AP clinical leadership policy aspirations and formal operational leadership opportunities for APs. Implications for Nursing Management Nurse managers have a key role in supporting and equipping APs with leadership competencies and opportunities to enable both capability and capacity building of such roles. Nurse managers should involve APs in health care leadership at an organisational level to maximize their contribution to health, quality practice environments and health care reform. Additionally, a distinct involvement in staff development, change, operational strategic decisions and policy development should be part of the AP role, which is facilitated by management.

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Leadership and the Clinical Nurse Specialist

Thompson,

Donovan

2023

The Role of the Clinical Nurse Specialist in Cancer Care

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How do CNCs construct their after hours support role in a Major Metropolitan Hospital

Cited by 8 publications

References 24 publications

Clarifying Clinical Nurse Consultant work in Australia: A phenomenological study

Clarifying Clinical Nurse Consultant work in Australia: A phenomenological study

Impact of clinical leadership in advanced practice roles on outcomes in health care: A scoping review

Leadership and the Clinical Nurse Specialist

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