Role delineation study of pediatric nurse practitioners: A national study of practice responsibilities and trends in role functions

Characteristics and Role Functions of Advanced Practice Nurses in a Tertiary Pediatric Setting

“…The most predominant functions were providing education, guidance, and counseling, followed closely by assessment, diagnosis, and managing a treatment plan. These findings are consistent with the 1997 NAPNAP survey (Dunn, 1998) describing the health care services provided by practicing PNPs, and with similar national surveys conducted by Brady & Neal (2000) and Jackson et al (2001). It is important to note that the aforementioned studies reported data from large samples of PNPs practicing at multiple sites across the country.…”

“…Almost 60% of the APNs in this study reported having privileges for prescriptive authority. In 1998, Dunn reported greater than 70% of PNPs surveyed held “independent authority” to prescribe medications, and a survey of PNP practice by Brady and Neal (2000) found that 84% of their sample held prescriptive authority. Although the figure in this sample is somewhat lower, both NP and CNS practice combined are being reported here.…”

Knowing the nurse practitioner: dominant discourses shaping our horizons

“…For example, there are numerous articles in the literature based on anecdotal accounts and research studies that list the types of procedures performed by NPs safely and efficiently (e.g. Brady & Neal, 2000; Rust & Magdic, 2000).…”

“…We have come to know the NP in terms of their demographic data, educational preparation, geographical region of practice, years of employment, and type of employment setting (e.g. Brady & Neal, 2000; Kleinpell‐Nowell, 2001). We know how the NP role has been operationalized within the business of health care, including such information as their varied position titles, academic requirements, reporting relationships, and differences in the functions and activities (e.g.…”

Spanish version of the modifiedAdvanced Practice Role Delineationtool, adaptation and psychometric properties

“…Seven studies were identified that reported on instruments or questionnaires that could help assess the role of the advanced practice nurse or measure their activities and that had sufficient statistical data to determine the validity, reliability, and stability of these instruments. Most of the studies focused on specific areas of work such as paediatrics (Brady & Neal, 2000) or pain management (Willens, DePascale, & Penny, 2010), or particular nursing roles such as nurse practitioners (Brown & Waybrant, 1987), clinical nurse specialists (Lindeke, Canedy, & Kay, 1997), intensive care acute practitioners (Ackerman et al, 1996), or consultant nurses (Fry et al, 2013). Two of the included studies were pilot studies, which may report inaccurate results and predictions based on the pilot data obtained.…”