UCD School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin, Ireland.
School of Nursing, Midwifery & Health Systems, University College Dublin, Belfield, Dublin, Ireland.
J Adv Nurs. 2017 Dec;73(12):3007-3016. doi: 10.1111/jan.13359. Epub 2017 Jul 12.
To explore the perceptions of key stakeholders of the roles of specialist and advanced nursing and midwifery practitioners.
There is evidence that the contribution of these roles to patient care is poorly understood.
This research took place over 2 months in 2015 and is part of a larger study involving a rapid review to inform policy development on the specialist and advanced nursing and midwifery practice in Ireland. As an added value, a qualitative element involving thematic analysis was undertaken with key stakeholders.
A phenomenological qualitative study was conducted incorporating semi-structured interviews with key stakeholders (n = 15). Purposive sampling with maximum diversity was used to recruit a wide range of perspectives.
Participant's perspectives led to seven themes: Impact of these roles; role preparation, experience and organizational support; specialist and advanced practice roles in an interdisciplinary context; different folks but not such different roles; impact of specialist and advanced practice roles on patient outcomes; barriers and facilitators to enacting specialist and advanced practice roles; future development of these roles.
There is acknowledgement of the positive impact of specialist and advanced practitioners; however, the evidence is currently not conclusive. Preparation for these roles needs to reflect changes in the calibre of today's professional applicants, and organizational support is paramount to their successful execution. The contribution of their activity to patient outcome needs to be made visible to enhance these roles and to justify the development of new roles across a variety of healthcare areas.
探讨关键利益相关者对专科护士和高级护理实践师角色的看法。
有证据表明，人们对这些角色在患者护理中的作用了解甚少。
这项研究于 2015 年进行了 2 个月，是一项快速审查的更大研究的一部分，旨在为爱尔兰的专科护士和高级护理实践提供政策制定信息。作为一项附加价值，与关键利益相关者一起进行了涉及主题分析的定性研究。
采用现象学定性研究方法，对关键利益相关者（n=15）进行半结构化访谈。采用最大多样性的目的抽样法招募了广泛的观点。
参与者的观点导致了七个主题：这些角色的影响；角色准备、经验和组织支持；在跨学科背景下的专科和高级实践角色；不同的人但并非如此不同的角色；专科和高级实践角色对患者结果的影响；实施专科和高级实践角色的障碍和促进因素；这些角色的未来发展。
人们承认专科护士和高级护士的积极影响；然而，目前证据尚不确定。这些角色的准备工作需要反映当今专业申请人素质的变化，组织支持对他们的成功执行至关重要。他们的活动对患者结果的贡献需要变得可见，以加强这些角色，并证明在各种医疗保健领域开发新角色的合理性。
