Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW, Australia.
J Clin Nurs. 2013 Jun;22(11-12):1531-8. doi: 10.1111/j.1365-2702.2012.04264.x. Epub 2012 Sep 17.
To develop a tool for defining and measuring the role characteristics and responsibilities of an advanced practice nursing role in Australia.
Internationally, there is considerable confusion about the precise role responsibilities of advanced practice nursing positions. In Australia, the clinical nurse consultant is an advanced practice role with five nominated domains of practice. However, there are no tools for measuring the performance of clinical nurse consultants against the listed domains.
Participants were 56 clinical nurse consultants at a tertiary public hospital. The existing literature, an online survey, and position descriptions were used to generate the a priori themes for the initial template. Semi-structured interviews were conducted (in 2010) to test the template characteristics. The template underwent multiple iterations in its development.
A 50-item tool was devised, which consisted of five domains with a ten-point hierarchical scale within each domain. In preliminary testing, the revised template was found to provide greater clarity regarding roles and grades than the original position descriptions.
Further testing and refinement of the modified rating scale is needed, but it offers the possibility of a new tool that can be used by health service managers to determine the grade of a clinical nurse consultant position and for evaluating role performance.
This preliminary study suggests that the tool provides a useful means of measuring advanced nursing practice and responsibilities across different domains and levels of appointment. The tool may be able to be adapted for use with other advanced practice nursing roles both within Australia and internationally.
开发一种工具，用于定义和衡量澳大利亚高级实践护理角色的角色特征和职责。
在国际上，对于高级实践护理职位的确切职责存在相当大的混淆。在澳大利亚，临床护士顾问是一种高级实践角色，有五个指定的实践领域。然而，没有工具可以衡量临床护士顾问在列出的领域中的表现。
参与者是一家三级公立医院的 56 名临床护士顾问。现有的文献、在线调查和职位描述被用来为初始模板生成预先确定的主题。半结构化访谈（2010 年）用于测试模板特征。在开发过程中，模板经过多次迭代。
设计了一个包含 50 个项目的工具，由五个领域组成，每个领域都有一个十点的层次量表。在初步测试中，与原始职位描述相比，修订后的模板在角色和级别方面提供了更大的清晰度。
需要进一步测试和改进修改后的评分量表，但它提供了一种新工具的可能性，该工具可由卫生服务管理者用于确定临床护士顾问职位的级别，并评估角色绩效。
这项初步研究表明，该工具提供了一种有用的方法，可以衡量不同领域和任命级别上的高级护理实践和职责。该工具可能能够适应澳大利亚和国际上其他高级实践护理角色的使用。
