Recognising advancing nursing practice: evidence from two observational studies

The role and development of consultancy in nursing practice

“…The various advanced roles (NC, CNS, ANP, NP) are often referred to under the umbrella term of advanced practice and the notion of consultancy as a subrole of these advanced roles has long been acknowledged and supported (Fitzgerald et al, 2003;Fulton et al, 2010). However, in the UK, the Department of Health (DH) (1999) set out to establish the post of nurse consultant (NC) with the same status as medical consultants as a result of the developing progression of CNS' and ANPs (Wilson-Barnett et al, 2000). In Ireland, the term consultancy is encapsulated as one of the core concepts required within the role of the CNS (clinical focus, patient/client advocacy, education/training, audit/research, consultancy) and ANP (teaching, consultancy, practice development).…”

Introduction to Advancing Practice in Pain Management

“…In the UK the profound changes in the National Health Service (NHS) coupled with changes in the scope of professional practice is making it possible for nurses to challenge professional boundaries and create and adopt new roles and responsibilities throughout the healthcare sector (Wilson-Barnett et al, 2000;McGee & Castledine, 2004). Central to these changes has been the continual development of the Advanced Nurse Practitioner (ANP).…”

“…To many it has become synonymous with the work of the advanced or expert practitioner; others have viewed it as a process of continuing professional development and skills acquisition (Wilson-Barnett et al, 2000;Por, 2008). Moreover, it is becoming closely linked with practice development (Jenkins & White, 2001;Jackson, 2003).…”

Exploring registered nurses’ attitudes to postgraduate education for specialty practice in Australia

“…Several other studies have also reported that postgraduate education enables nurses to challenge and accept challenges in practice (Spence, 2004a;Wilson-Barnett, Barriball, Reynolds, Jowett, & Ryrie, 2000). Hardwick and Jordan (2002) studied a group of nurses enrolled in a masters level program to identify how their practice had changed as a result of the knowledge and skills acquired from the course.…”

“…Only 12 studies were identified that specifically reported the attitudes of registered nurses to postgraduate education being a prerequisite for specialty nursing practice (Armstrong & Adam, 2002;Duffield & Franks, 2001;Duffield & O'Brien-Pallas, 2002;Hardwick & Jordan, 2002;McCarthy & Evans, 2003;Pelletier, Donoghue, Duffield, & Adams, 1998a;Pelletier, Donoghue, et al, 1998b;Pelletier, Donoghue, Duffield, Adams, et al, 1998; P a g e 14 | 166 1994; Spence, 2004b;Taylor et al, 1999;Wilson-Barnett et al, 2000). Johnson and Copnell (2002) interviewed paediatric nurses undertaking a postgraduate course and found that significant numbers did not see having a paediatric postgraduate qualification as a necessary aspect of competent practice.…”