UCD School of Nursing, Midwifery and Health Systems, Health Systems Centre, University College Dublin, Dublin 4, Ireland.
Southern Cross University, East Lismore, New South Wales, Australia.
J Nurs Manag. 2019 Mar;27(2):271-277. doi: 10.1111/jonm.12697. Epub 2018 Sep 25.
To describe the enablers and challenges to the development and implementation of advanced nursing and midwifery practice roles in Ireland.
Leadership strategies need to be put in place to enhance the development and implementation of advanced nursing and midwifery practice roles.
A descriptive qualitative approach using semi-structured interviews with key stakeholders (n = 15) was undertaken with nurses and midwives working in specialist and advanced practice roles and participants from other areas such as legislative, regulatory, policy, pharmacy, medicine and education.
Participant's perspectives on the enablers and challenges to enacting specialist and advanced practice roles resulted in the generation of three themes: organisational factors; collegial, interprofessional and interpersonal support; and role clarity, economic and regulatory contexts.
Addressing organisational factors, encouraging collegial and interprofessional support and establishing role clarity contribute to the effective development and implementation of the role of advanced practitioners.
Managers of nursing services need to provide leadership in developing strategies to enhance the enablers and overcome the challenges to advanced practice role development in their own organisation.
描述爱尔兰发展和实施高级护理和助产实践角色的促成因素和挑战。
需要制定领导策略来加强高级护理和助产实践角色的发展和实施。
采用描述性定性方法，对从事专科和高级实践角色的护士和助产士以及来自立法、监管、政策、药学、医学和教育等领域的参与者（n=15）进行半结构化访谈。
参与者对实施专科和高级实践角色的促成因素和挑战的看法产生了三个主题：组织因素；同事、跨专业和人际支持；以及角色明确性、经济和监管背景。
解决组织因素、鼓励同事和跨专业支持以及明确角色有助于有效发展和实施高级从业者的角色。
护理服务管理人员需要在制定战略方面发挥领导作用，以增强其组织内高级实践角色发展的促成因素并克服挑战。
