scholarly journals Delineating the practice profile of advanced practice nursing: a cross-sectional survey using the modified strong model of advanced practice

2012 ◽  
Vol 69 (9) ◽  
pp. 1931-1942 ◽  
Author(s):  
Glenn Gardner ◽  
Anne M. Chang ◽  
Christine Duffield ◽  
Anna Doubrovsky
Keyword(s):  
Advanced Practice Nursing ◽  
Advanced Practice ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals The self‐assessment of clinical competence and the need for further training: A cross‐sectional survey of advanced practice nursing students

2019 ◽  
Vol 29 (3-4) ◽  
pp. 545-555 ◽  
Author(s):  
Ingrid Taylor ◽  
Pia Bing‐Jonsson ◽  
Sigrid Wangensteen ◽  
Elisabeth Finnbakk ◽  
Leiv Sandvik ◽  
...  
Keyword(s):  
Nursing Students ◽  
Clinical Competence ◽  
The Self ◽  
Advanced Practice Nursing ◽  
Advanced Practice ◽  
Further Training ◽  
Cross Sectional Survey ◽  
Self Assessment ◽  
Cross Sectional

Perceptions of Role Transition into Practice among Advanced Practice Providers and Physicians

2020 ◽  
pp. 019394592093543
Author(s):  
Colleen J. Klein ◽  
Lisa Pierce ◽  
Melinda Cooling ◽  
Wen Che ◽  
Shannon Lizer
Keyword(s):  
Time Management ◽  
Survey Design ◽  
First Year ◽  
Advanced Practice ◽  
Care Needs ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Transition Into Practice ◽  
Physician Support ◽  
Workforce Composition

This study sought to examine the experiences of advanced practice providers (APPs) as an approach to inform the development of formalized programs for transition into practice and to compare APP ( N = 122) and physician ( N = 84) perceptions of the novice practitioners’ acclimation into a provider role within the first year of practice. Using a cross-sectional survey design, two separate web-based questionnaires were distributed to APPs and physicians. The APPs’ perspectives echoed findings of earlier studies with regard to perceived confidence, feelings of anxiety/fear, and inadequacy. In 16 of 23 paired items, physicians and APPs had similar perspectives about confidence/competence after orientation. Significant differences in their perceptions included amount of physician support, time management, length of time to become a fully functional APP, and independence. Better understanding of the perceptions of APPs and physicians can augment APP preparation for a shifting workforce composition and team-based, interprofessional practice designed to meet the population’s health care needs.

scholarly journals Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey

BJR|Open ◽  
2021 ◽  
Vol 3 (1) ◽  
pp. 20210003
Author(s):  
Nick Woznitza ◽  
Lisa Pittock ◽  
James Elliott ◽  
Bev Snaith
Keyword(s):  
United Kingdom ◽  
Clinical Practice ◽  
Breast Imaging ◽  
Advanced Practice ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Advanced Level ◽  
The United Kingdom ◽  
Computed Tomography Fluoroscopy ◽  
The Uk

Objectives: To survey the diagnostic radiography workforce in the United Kingdom (UK) at an organisational level to ascertain the scope of advanced practice and compliance with Health Education England standards for multiprofessional advanced clinical practice (ACP). Methods: 174 diagnostic imaging departments were invited to participate in a cross-sectional electronic survey focused upon advanced level practice and their educational and accreditation expectations (October–December 2019). Breast imaging, computed tomography, fluoroscopy, interventional radiology, lithotripsy, magnetic resonance imaging and projectional radiography were included. Results: A total of 97 responses were received, of which 79 were eligible for inclusion (45%). Respondents reported advanced-level practice roles across all imaging modalities, which included clinical reporting, procedural-based and combined roles. Radiograph and mammogram reporting were most prevalent (95 and 67% of Trusts), with fluoroscopy the most frequent procedure-only role (25%). Only 39% of trusts required adherence to the four pillars of ACP within job descriptions, and only 12% requiring a full Masters qualification. Conclusions: Diagnostic radiographer reporting and procedure-based roles in the NHS are varied and widespread. However, inconsistencies in fulfilment against the expected standards for advanced practice exist. Realignment of advanced-level roles to delineate enhanced and advanced clinical practice may ensure consistency between roles and professions. A requirement for accreditation as an advanced (clinical) practitioner with adherence to advanced practice requirements could therefore provide value to accreditation for both individual practitioners and Trusts. Advances in knowledge: Within the UK, diagnostic radiographer roles previously self-identified as advanced-level practice may be termed enhanced practice when not adhering to expected ACP standards.

scholarly journals Mapping of advanced practice nursing actions in the Family Health Strategy

2021 ◽  
Vol 74 (suppl 6) ◽  
Author(s):  
Emerson Willian Santos de Almeida ◽  
Simone de Godoy ◽  
Ítalo Rodolfo Silva ◽  
Orlene Veloso Dias ◽  
Leila Maria Marchi-Alves ◽  
...  
Keyword(s):  
Master's Degree ◽  
Diagnostic Testing ◽  
Family Health ◽  
Advanced Practice Nursing ◽  
Advanced Practice ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Master’S Degree

ABSTRACT Objectives: to map advanced practice nursing actions implemented in the Family Health Strategy context. Methods: cross-sectional exploratory study carried out with Family Health Strategy nurses. Data obtained in the mapping were compared to the characteristics that define advanced practice nurses and are adopted internationally by using a checklist based on the International Council of Nurses Guidelines. Results: the mapping allowed to identify advanced practice nursing actions, such as advanced assessment, judgement, decision-making, and diagnostic reasoning skills and authority to diagnose and prescribe medications, diagnostic testing, and therapeutic treatments. However, evidence found in the educational preparation domain indicated evident fragility, expressed as the low percentage of nurses credentialed with a professional master’s degree. Conclusions: the present study showed that nurses in the Family Health Strategy carry out advanced practice nursing actions without the professional master’s degree recommended for credentialing, with pertinent legislation, which requires initiatives to be taken by nursing leaders to overcome this deficiency.

scholarly journals Hospitalists as Triagists: Description of the Triagist Role across Academic Medical Centers

2019 ◽  
pp. 87-90
Author(s):  
Sadie Trammel Velasquez ◽  
Emily S Wang ◽  
Andrew A White ◽  
Jagriti Chadha ◽  
Michael Mader ◽  
...  
Keyword(s):  
Electronic Communication ◽  
Academic Medical Centers ◽  
Inpatient Service ◽  
Advanced Practice ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical Centers ◽  
Academic Medical ◽  
Communication Practices ◽  
Similarities And Differences

From the hospitalist perspective, triaging involves the evaluation of a patient for potential admission to an inpatient service. Although traditionally done by residents, many academic hospitalist groups have assumed the responsibility for triaging. We conducted a cross-sectional survey of 235 adult hospitalists at 10 academic medical centers (AMCs) to describe the similarities and differences in the triagist role and assess the activities and skills associated with the role. Eight AMCs have a defined triagist role; at the others, hospitalists supervise residents/advanced practice providers. The triagist role is generally filled by a faculty physician and shared by all hospitalists. We found significant variability in verbal communication practices (P = .02) and electronic communication practices (P < .0001) between the triagist and the current provider (eg, emergency department, clinic provider), and in the percentage of patients evaluated in person (P < .0001). Communication skills, personal efficiency, and systems knowledge are dominant themes of attributes of an effective triagist.

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