Recognising the differences in the nurse consultant role across context: a study protocol
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- 作者：Michelle Giles ; Vicki Parker ; Rebecca Mitchell
- 关键词：Nurse consultant ; Nursing ; Workforce ; Role clarity ; Advanced practice nurse
- 刊名：BMC Nursing
- 出版年：2014
- 出版时间：December 2014
- 年：2014
- 卷：13
- 期：1
- 全文大小：674 KB
- 参考文献：1. AIHW (Australian Institute of Health and Welfare): / Australia’s Health 2012. / Australia’s Health series no 13. Cat. no. Aus 156. Canberra: AIHW; 2012.
Health Workforce Australia Annual Report 2012-13. Health Workforce Australia, Adelaide
The challenges of health care reforn in advanced and emerging economies. Gupta, S, Clements, B, Coady, D eds. (2012) The economics of public health care reform in advanced and emerging economies.
2. Lowe, G, Plummer, V, O’Brien, AP, Boyd, L (2012) Time to clarify the value of advanced practice nursing roles in health care. J Adv Nurs 68: pp. 677-685 CrossRef
3. Duffield, C, Gardner, G, Chang, AM, Catling-Paull, C (2009) Advanced nursing practice: a global perspective. Collegian 16: pp. 55-62 CrossRef
4. Pulcini, J, Jelic, M, Gul, R, Loke, A (2010) An international survey on advanced practice nursing education. Pract Regulat J Nurs Scholar 42: pp. 31-39 CrossRef
5. Lloyd Jones, M (2005) Role development and effective practice in specialist and advanced practice roles in acute hospital settings: systematic review and meta-synthesis. J Adv Nurs 49: pp. 191-209 CrossRef
6. Gardner, G, Chang, A, Duffield, C (2007) Making nursing work: breaking through the role confusion of advanced practice nursing. J Adv Nurs 57: pp. 382-391 CrossRef
7. Chang, A, Gardner, G, Duffield, C, Ramus, M (2010) A Delphi study to validate an advanced practice nursing tool. J Adv Nurs 66: pp. 2320-2330 CrossRef
8. Hutchinson, M, East, L, Stasa, HDJ (2014) Deriving COnsensus on the characteristics of advanced practice nursing: meta-summary of more than 2 decades of research. Nurs Res 62: pp. 116-128 CrossRef
9. Jokiniemi, K, Pietila, A, Kylma, J, Haatainen, K (2012) Advanced nursing roles: a systematic review. Nurs Health Sci 14: pp. 421-431 CrossRef
10. Dowling, M, Beauchesne, M, Farrelly, F, Murphy, K (2013) Advanced practice nursing: a concept analysis. Int J Nurs Pract 19: pp. 131-140 CrossRef
11. Por, J (2008) A critical engagement with the concept of advancing nursing practice. J Nurs Manag 16: pp. 84-90 CrossRef
12. Manley, K (1997) A conceptual framework for advanced practice: an action research project operationalizing an advanced practitioner/consultant nurse role. J Clin Nurs 6: pp. 179-190 CrossRef
13. Higgins, A (2003) The developing role of the consultant nurse. Nurs Manag 10: pp. 22-28
14. Duffield, C, Diers, D, O’Brien-Pallas, L, Aisbett, C, Roche, M, King, M, Aisbett, K (2011) Nursing staff, nursing workload, the work environment and patient outcomes. Appl Nurs Res 24: pp. 244-255 CrossRef
Clinical Nurse Consultant - Higher Grades - Public Hospital Nurses' (State) Award. Policy Directive. NSW Government, Sydney
15. Guest, D, Redfern, S, Wilson-Barnett, J, Dewe, P, Peccei, R, Rosenthal, P, Evans, A, Young, C, Montgomery, J, Oakley, P (2001) A Preliminary Evaluation of the Establishment of Nurse, Midwife and Health Visitor Consultants: A Report to the Department of Health. Kings College London, London
16. Guest, DE, Peccei, R, Rosenthal, CJ, Redfern, S, Wilson-Barnett, J, Dewe, P, Coster, S, Evans, A, Sudbury, A (2004) An Evaluation of the Impact of Nurse, Midwife and Health Visitor Consultants. King’s College, London
17. DoH, UK (1999) Making a Difference. Strengthening the Nursing, Midwifery and Health Visiting Contribution to Health and Health Care. The Stationary Office, Lond - 刊物主题：Nursing;
- 出版者：BioMed Central
- ISSN：1472-6955
文摘
Background The advanced practice role of the Nurse Consultant is unique in its capacity to provide clinical leadership across a range of contexts. However, the Nurse Consultant role has been plagued with confusion due to lack of clarity over function and appropriateness for purpose within health organisations across contexts. Changing health service delivery models are driving the emergence of new nursing roles, further clouding the waters related to role positioning and purpose. There is an urgent need for evidence of impact and demonstration of how Nurse Consultants contribute to health care outcomes. This study aims to gain a clearer understanding of the Nurse Consultant role and its impact in metropolitan and rural New South Wales (NSW) Australia. Design The proposed study employs a sequential mixed method design, underpinned by Realistic Evaluation, to explore how Nurse Consultants contribute to organisational outcomes. The ‘context -mechanism -outcome-approach of realistic evaluation provides a sound framework to examine the complex, diverse and multifaceted nature of the Nurse Consultant’s role. Method Participants will be stakeholders, recruited across a large Local Health District in NSW, comprising rural and metropolitan services. A modified and previously validated survey will be used providing information related to role characteristics, patterns and differences across health context. Focus groups with Nurse Consultant’s explore issues highlighted in the survey data. Focus groups with other clinicians, policy makers and managers will help to achieve understanding of how the role is viewed and enacted across a range of groups and contexts. Discussion Lack of role clarity is highlighted extensively in international and Australian studies examining the role of the Nurse Consultant. Previous studies failed to adequately examine the role in the context of integrated and complex health services or to examine the role in detail. Such examination is critical in order to understand the significance of the role and to ascertain how Nurse Consultants can be most effective as members of the health care team. This is the first Australian study to include extensive stakeholder perspectives in order to understand the relational and integrated nature and impact of the role across metropolitan and rural context.