Walsh Kenneth, Bothe Janine, Edgar Denise, Beaven Geraldine, Burgess Bernadette, Dickson Vhari, Dunn Stephen, Horning Lynda, Jensen Janice, Kandl Bronia, Nonu Miriam, Owen Fran, Moss Cheryle
a School of Health Sciences , University of Tasmania , Hobart , Tasmania , Australia.
b Tasmanian Health Service - Southern Region , Hobart , Tasmania , Australia.
Contemp Nurse. 2015 Oct-Dec;51(2-3):171-87. doi: 10.1080/10376178.2016.1169936.
The impetus for this research came from a group of 11 Clinical Nurse Consultants (CNCs) within a health service in NSW, Australia, who wanted to investigate the CNC role from multiple stakeholder perspectives. With support from academic researchers, the CNCs designed and implemented the study.
The aim of this research project was to investigate the role of the CNC from the multiple perspectives of CNCs and other stakeholders who work with CNCs in the Health District.
This was a co-operative inquiry that utilised qualitative descriptive research approach.
Co-operative inquiry methods enabled 11 CNCs to work as co-researchers and to conduct the investigation. The co-researchers implemented a qualitative descriptive design for the research and used interviews (7) and focus groups (16) with CNC stakeholders (n = 103) to gather sufficient data to investigate the role of the CNC in the organisation. Thematic analysis was undertaken to obtain the results.
The CNC role is invaluable to all stakeholders and it was seen as the "glue" which holds teams together. Stakeholder expectations of the CNC role were multiple and generally agreed. Five themes derived from the data are reported as "clinical leadership as core", "making a direct difference to patient care", "service development as an outcome", "role breadth or narrowness and boundaries", and "career development". There was clear appreciation of the work that CNCs do in their roles, and the part that the CNC role plays in achieving quality health outcomes.
The role of the CNC is complex and the CNCs themselves often negotiate these complexities to ensure beneficial outcomes for the patient and organisation. For the wider audience this study has given further insights into the role of these nurses and the perspectives of those with whom they work.
本研究的推动力来自澳大利亚新南威尔士州一家医疗服务机构内的11名临床护理顾问（CNC），他们希望从多个利益相关者的角度调查临床护理顾问的角色。在学术研究人员的支持下，临床护理顾问设计并实施了该研究。
本研究项目的目的是从临床护理顾问以及与健康区临床护理顾问共事的其他利益相关者的多个角度，调查临床护理顾问的角色。
这是一项采用定性描述性研究方法的合作性探究。
合作性探究方法使11名临床护理顾问能够作为共同研究者开展调查。共同研究者为该研究采用了定性描述性设计，并通过与临床护理顾问利益相关者（n = 103）进行访谈（7次）和焦点小组讨论（16次）来收集足够的数据，以调查临床护理顾问在组织中的角色。采用主题分析法得出结果。
临床护理顾问的角色对所有利益相关者都非常重要，被视为凝聚团队的“粘合剂”。利益相关者对临床护理顾问角色的期望是多方面的，且普遍达成共识。从数据中得出的五个主题分别为“以临床领导力为核心”、“对患者护理产生直接影响”、“以服务发展为成果”、“角色范围或宽窄及界限”以及“职业发展”。人们清楚地认识到临床护理顾问在其角色中所做的工作，以及临床护理顾问角色在实现优质健康成果方面所起的作用。
临床护理顾问的角色很复杂，临床护理顾问自身常常要应对这些复杂性，以确保为患者和组织带来有益的结果。对于更广泛的受众而言，本研究进一步深入了解了这些护士的角色以及与他们共事者的观点。
