Making nursing work: Breaking through the role confusion of advanced practice nursing

Gardner, Glenn E., Chang, Anne M., & Duffield, Christine (2007) Making nursing work: Breaking through the role confusion of advanced practice nursing. Journal of Advanced Nursing, 57(4), pp. 382-391.

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The Aim of this study was to develop a research-informed model of the service parameters and an analysis framework for advanced practice nursing roles.
Background: Changing patterns of health care are forcing service planners to examine new service delivery models. Apparent is the call for nursing service that incorporates expanded levels of autonomy, skill and decision making. A number of nursing roles conform to this description under the generic title of advanced practice nurse. However, there is confusion in the health service community internationally about nomenclature, role and scope of practice for advanced nursing roles. An emerging priority in response to recent developments in the nurse practitioner role is to establish service parameters for advanced practice nursing and to operationally differentiate between advanced practice and practitioner nursing roles. Design: We conducted an interpretive, qualitative examination of the practice of a random sample of nine advanced practice nurses working in three acute care hospitals in south east Queensland, Australia. Methods: Data collection involved individual in-depth interviews. The interview data were deductively analysed and tested against published advanced practice nursing models. Results: This analysis identified the Strong Model of Advanced Practice as most comprehensively supporting the practice experiences of the research participants. The Strong Model supports definition of the service parameters and the design of an operational framework for implementation and evaluation of APN roles. Conclusions: This exploratory study has addressed some of the confusion that surrounds advanced practice nursing roles. The findings provide a description of the service parameters of the APN role; differentiate advanced practice nurse and nurse practitioner roles; and provides an operational framework to identify, establish and evaluate advanced and extended nursing positions. Subject to further validation, this research outcome can provide operational information for implementing innovative nursing roles appropriate to consumer needs and specific health service models.

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ID Code: 5992
Item Type: Journal Article
Refereed: Yes
Keywords: IHBI Advanced Practice Nursing, Nurse Roles, Strong Model, Qualitative Research, Interviews
DOI: 10.1111/j.1365-2648.2007.04114.x
ISSN: 0309-2402
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2007 Blackwell Publishing
Copyright Statement: The definitive version is available at
Deposited On: 19 Mar 2007 00:00
Last Modified: 29 Feb 2012 13:37

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