Differences between clinical specialist and advanced practitioner clinical practice, leadership, and research roles, responsibilities, and perceived outcomes (the SCAPE study)

Journal of Advanced Nursing

Volumn 69, Issue 6, 2013, Pages 1323-1337

  Begley, Cecily ^a   Elliott, Naomi ^a   Lalor, Joan ^a   Coyne, Imelda ^a   Higgins, Agnes ^a   Comiskey, Catherine M ^a  

^a TRINITY COLLEGE DUBLIN   (Ireland)

Author keywords

Advanced practitioner; Case study; Clinical specialist; Expert practice; Leadership; Mixed methods; Nurses midwives

Indexed keywords

ADULT; ARTICLE; COMPARATIVE STUDY; EMPIRICAL RESEARCH; FEMALE; HUMAN; IRELAND; LEADERSHIP; MALE; NURSE; NURSE ATTITUDE; NURSE MIDWIFE; NURSE PRACTITIONER; NURSING RESEARCH; PROFESSIONAL PRACTICE; QUESTIONNAIRE; STANDARD;

ADULT; EMPIRICAL RESEARCH; FEMALE; HUMANS; IRELAND; LEADERSHIP; MALE; NURSE CLINICIANS; NURSE MIDWIVES; NURSE PRACTITIONERS; NURSE'S ROLE; NURSING RESEARCH; PROFESSIONAL AUTONOMY; QUESTIONNAIRES;

EID: 84876087110     PISSN: 03092402     EISSN: 13652648     Source Type: Journal    
DOI: 10.1111/j.1365-2648.2012.06124.x     Document Type: Article

References (71)

1. Alexander J., Anderson T. & Cunningham S. (2002) An evaluation by focus group and survey of a course for midwifery ventouse practitioners. Midwifery 18(2), 165-172.
2. Arslanian-Engoren C., Hicks F.D., Whall A.L. & Algase D.L. (2005) An ontological view of advanced practice nursing. Research and Theory for Nursing Practice 19(4), 315-322.
3. Baxter P. & Jack S. (2008) Qualitative case study methodology: study design and implementation for novice researchers. The Qualitative Report 13(4), 544-559.
4. Begley C., Murphy K., Higgins A., Elliott N., Lalor J., Sheerin F., Coyne I., Comiskey C., Normand C., Casey C., Dowling M., Devane D., Cooney A., Farrelly F., Brennan M., Meskell P. & MacNeela P. (2010) An Evaluation of Clinical Nurse and Midwife Specialist and Advanced Nurse and Midwife Practitioner Roles in Ireland (SCAPE). National Council for the Professional Development of Nursing and Midwifery in Ireland, Dublin.
5. Brook S. & Rushforth H. (2011) Why is the regulation of advanced practice essential? British Journal of Nursing 20(16), 996, 998-1000.
6. Bryant-Lukosius D., DiCenso A., Browne G. & Pinelli J. (2004) Advanced practice nursing roles: development, implementation and evaluation. Journal of Advanced Nursing 48(5), 519-529.
7. Bryant-Lukosius D., Vohra J. & DiCenso A. (2009) Resources to facilitate APN outcomes research. In Outcome Assessment in Advanced Practice Nursing, 2nd edn (Kleinpell R., ed.), Springer Publishing Company, New York, pp. 277-296.
8. Canadian Nurses Association (2006) Practice Framework for Nurse Practitioners in Canada. Retrieved from http://www.cna-aiic.ca/CNA/documents/pdf/publications/cnpi/tech-report/section3/04_Practice%20Framework.pdf on 21 January 2012.
9. Carryer J., Gardner G., Dunn S. & Gardner A. (2007) The core role of the nurse practitioner: practice, professionalism and clinical leadership. Journal of Clinical Nursing 16(10), 1818-1825.
10. Cohen J. (1992) Quantitative methods in psychology: a power primer. Psychological Bulletin 112(1), 155-159.
11. Cole F.L. (2003) Emergency care. Advanced practice nursing in the US: an overview. Emergency Nurse: The Journal of the RCN Accident and Emergency Nursing Association 11(5), 22-25.
12. Coster S., Redfern S., Wilson-Barnett J., Evans A., Peccei R. & Guest D. (2006) Impact of the role of nurse, midwife and health visitor consultant. Journal of Advanced Nursing 55(3), 352-363.
13. Cunningham R.S. (2004) Advanced practice nursing outcomes: a review of selected empirical literature. Oncology Nursing Forum 31(2), 219-232.
14. Daly W.M. & Carnwell R. (2003) Nursing roles and levels of practice: a framework for differentiating between elementary, specialist and advancing nursing practice. Journal of Clinical Nursing 12(2), 158-167.
15. DiCenso A. & Bryant-Lukosius D. (2010) Clinical Nurse Specialists and Nurse Practitioners in Canada: A Decision Support Synthesis. Canadian Health Services Research Foundation, Ottawa.
16. Donald F., Bryant-Lukosius D., Martin-Misener R., Kaasalainen S., Kilpatrick K., Carter N., Harbman P., Bourgeault I. & DiCenso A. (2010) Clinical nurse specialists and nurse practitioners: title confusion and lack of role clarity. Nursing Leadership (Toronto Ontario) Dec; 23 Spec No 2010:189-201.
17. Dunn L. (1997) A literature review of advanced clinical nursing practice in the United States of America. Journal of Advanced Nursing 25(4), 814-819.
18. Elder R.G. & Bullough B. (1990) Nurse practitioners and clinical nurse specialists: are the roles merging? Clinical Nurse Specialist 4(2), 78-84.
19. Elliott N., Higgins A., Begley C., Lalor J., Sheerin F., Coyne I. & Murphy K. (2012) The identification of clinical and professional leadership activities of advanced practitioners: findings from the Specialist Clinical and Advanced Practitioner Evaluation study in Ireland. Journal of Advanced Nursing, doi: 10.1111/j.1365-2648.2012.06090.x.
20. Elsom S., Happell B. & Manias E. (2006) The clinical nurse specialist and nurse practitioner roles: room for both or take your pick? Australian Journal of Advanced Nursing 24(2), 56-59.
21. Fagerström L. (2009) Developing the scope of practice and education for advanced practice nurses in Finland. International Nursing Review 56(2), 269-272.
22. Fairley D. & Closs S.J. (2006) Evaluation of a nurse consultant's clinical activities and the search for patient outcomes in critical care. Journal of Clinical Nursing 15, 1106-1114.
23. Gardner G., Chang A. & Duffield C. (2007) Making nursing work: breaking through the role confusion of advanced practice nursing. Journal of Advanced Nursing 57(4), 382-391.
24. Gerrish K., Guillaume L., Kirshbaum M., McDonnell A., Nolan M., Read S. & Tod A. (2007) Empowering Front-Line Staff to Deliver Evidence-Based Care: The Contribution of Nurses in Advanced Practice Roles. Sheffield Hallam University, Sheffield.
25. Glen S. & Waddington K. (1998) Role transition from staff nurse to clinical nurse specialist: a case study. Journal of Clinical Nursing 7(3), 283-290.
26. Government of Ireland (1998) Report of the Commission on Nursing. The Stationery Office, Dublin.
27. Government of Ireland (2003) Health Service Reform Programme. The Stationery Office, Dublin.
28. Government of Ireland (2011) Strategic Framework for Role Expansion of Nurses and Midwives: Promoting Quality Patient Care. The Stationery Office, Dublin.
29. Hewitt-Taylor J. (2004) Challenging the balance of power: patient empowerment. Nursing Standard 18(22), 33-37.
30. Huws D.W., Cashmore D., Newcombe R.G., Roberts C., Vincent J. & Elwyn G. (2008) Impact of case management by advanced practice nurses in primary care on unplanned hospital admissions: a controlled intervention study. BMC Health Services Research 8, 115.
31. Ingersoll G.L., McIntosh E. & Williams M. (2000) Nurse-sensitive outcomes of advanced practice. Journal of Advanced Nursing 32(5), 1272-1281.
32. Jenkinson C., Coulter A. & Bruster S. (2002) The Picker Patient Experience Questionnaire: development and validation using data from in-patient surveys in five countries. International Journal for Quality in Health Care 14(5), 353-358.
33. Keen J. & Packwood T. (1995) Qualitative research: case study evaluation. British Medical Journal 311, 444-446.
34. Kennedy F., McDonnell A., Gerrish K., Howarth A., Pollard C. & Redman J. (2012) Evaluation of the impact of nurse consultant roles in the United Kingdom: a mixed method systematic literature review. Journal of Advanced Nursing 68(4), 721-742.
35. Kilpatrick K., Lavoie-Tremblay M., Ritchie J.A., Lamothe L. & Doran D. (2012) Boundary work and the introduction of acute care nurse practitioners in healthcare teams. Journal of Advanced Nursing 68(7), 1504-1515.
36. Kleinpell R.M. (2007) APNs: invisible champions? Nursing Management 38(5), 18-22.
37. Kleinpell R.M., Hudspeth R., Scordo K.A. & Magdic K. (2012) Defining NP scope of practice and associated regulations: focus on acute care. Journal of the American Academy of Nurse Practitioners 24(1), 11-18.
38. Lincoln P. (2000) Comparing CNS and NP role activities: a replication. Clinical Nurse Specialist: The Journal for Advanced Nursing Practice 14(6), 269-277.
39. Mantzoukas S. & Watkinson S. (2007) Review of advanced nursing practice: the international literature and developing the generic features. Journal of Clinical Nursing 16, 28-37.
40. Mayo A.M., Omery A., Agocs-Scott L.M., Khaghani F., Meckes P.G., Moti N., Redeemer J., Voorhees M., Gravell C. & Cuenca E. (2010) Clinical nurse specialist practice patterns. Clinical Nurse Specialist 24(2), 60-68.
41. McCabe S. & Grover S. (1999) Psychiatric nurse practitioner versus clinical nurse specialist: moving from debate to action on the future of advanced psychiatric nursing. Archives of Psychiatric Nursing 13(3), 111-116.
42. McCauley K.M., Bixby B. & Naylor M.D. (2006) Advanced practice nurse strategies to improve outcomes and reduce cost in elders with heart failure. Disease Management 9(5), 302-310.
43. Mick D.J. & Ackerman M.H. (2002) Deconstructing the myth of the advanced practice blended role: support for role divergence. Heart and Lung 31(6), 393-398.
44. Middleton S., Gardner A., Gardner G. & Della P.R. (2011) The status of Australian nurse practitioners: the second national census. Australian Health Review 35(4), 448-454.
45. National Council for the Professional Development of Nursing and Midwifery (NCNM) (2005) A Preliminary Evaluation of the Role of the Advanced Nurse Practitioner. NCNM, Dublin.
46. National Council for the Professional Development of Nursing and Midwifery (NCNM) (2008a) Framework for the Establishment of Clinical Nurse/Midwife Specialist Posts, 4th edn. NCNM, Dublin.
47. National Council for the Professional Development of Nursing and Midwifery (NCNM) (2008b) Accreditation of Advanced Nurse Practitioners and Advanced Midwife Practitioners. NCNM, Dublin.
48. National Council for the Professional Development of Nursing and Midwifery (NCNM) (2008c) Annual Report. NCNM, Dublin.
49. Ormond-Walshe S.E. & Newham R.A. (2001) Comparing and contrasting the clinical nurse specialist and the advanced nurse practitioner roles. Journal of Nursing Management 9, 205-207.
50. Patten S. (2007) The clinical nurse specialist role. AORN Journal 85(4), 711-712.
51. Pulcini J., Jelic M., Gul R. & Loke A.Y. (2010) An international survey on advanced practice nursing education, practice and regulation. Journal of Nursing Scholarship 42(1), 31-39.
52. Pullon S., McLeod D., Benn C., Viccars A., White S., Cookson T., Dowell A. & Green R. (2003) MEWS Study Team. Smoking cessation in New Zealand: education and resources for use by midwives for women who smoke during pregnancy. Health Promotion International 18(4), 315-325.
53. Reasor J.E. & Farrell S.P. (2005) The effectiveness of advanced practice registered nurses as psychotherapists. Archives of Psychiatric Nursing 19(2), 81-92.
54. Resnick B. (2006) Outcomes research: you do have the time!. Journal of the American Academy of Nurse Practitioners 18(11), 505-509.
55. Ryder M. (2005) Is heart failure nursing practice at the level of a clinical nurse specialist or advanced nurse practitioner? The Irish experience. European Journal of Cardiovascular Nursing 4(2), 101-105.
56. Schulz R., O'Brien A., Czaja S., Ory M., Norris R., Martire L.M., Belle S.H., Burgio L., Gitlin L., Coon D., Burns R., Gallagher-Thompson D. & Stevens A. (2002) Dementia caregiver intervention research: in search of clinical significance. The Gerontologist 42(5), 589-602.
57. Sheer B. & Wong F.K.Y. (2008) The development of advanced nursing practice globally. Journal of Nursing Scholarship 40(3), 204-211.
58. Small V. (1999) An Evaluation of the Role and Scope of Practice and Emergency Nurse Practitioner in an Urban Teaching Hospital in Dublin. Trinity College Dublin, Dublin, Unpublished Master's Dissertation.
59. Smith R., Leap N. & Homer C. (2010) Advanced midwifery practice or advancing midwifery practice? Women Birth 23(3), 117-120.
60. Stake R. (2000) Case Studies. InHandbook of Qualitative Research, 2nd edn (Denzin N.K. & Lincoln Y.S., eds), Sage: Thousand Oaks, CA, pp. 435-454.
61. The Picker Institute (1999) The Picker Institute Implementation Manual. Picker Institute, Boston, MA.
62. Timoney N. (2002) A Survey of the Quality of Care in the Emergency Department from the Patients' Perspectives. Trinity College Dublin, Dublin, Unpublished Master's Dissertation.
63. Van Soeren M., Hurlock-Chorostecki C. & Reeves S. (2011) The role of nurse practitioners in hospital settings: implications for interprofessional practice. Journal of Interprofessional Care 25(4), 245-251.
64. Watson J. & Turnbull B. (2002) Evaluation of the extended role of the midwife: the voices of midwives. International Journal of Nursing Practice 8(5), 257-264.
65. Williams A. & Jones M. (2006) Patients' assessments of consulting a nurse practitioner: the time factor. Journal of Advanced Nursing 53(2), 188-195.
66. Wolke D., Davé S., Hayes J., Townsend J. & Tomlin M. (2002) A randomised controlled trial of maternal satisfaction with the routine examination of the newborn baby at three months post birth. Midwifery 18(2), 145-154.
67. Woods L. (2006) Evaluating the clinical effectiveness of neonatal nurse practitioners: an exploratory study. Journal of Clinical Nursing 15, 35-44.
68. Yin R. (1994) Case Study Research: Design and Methods, 2nd edn. Sage, London.
69. Yin R. (1999) Enhancing the quality of case studies in health service research. Health Services Research 34(5 Pt 2), 1209-1224.
70. Yin R. (2003) Case Study Research: Design and Methods, 3rd edn. Sage, London.
71. Zwijnenberg N.C. & Bours G.J. (2012) Nurse practitioners and physician assistants in Dutch hospitals: their role, extent of substitution and facilitators and barriers experienced in the reallocation of tasks. Journal of Advanced Nursing 68(6), 1235-1246.