Nursing Resources: Advanced Practice Nursing Professional Role Development

1999 ◽  
Vol 99 (6) ◽  
pp. 2414
Author(s):  
Mary Ellen Roberts
Author(s):  
Jannine van Schothorst-van Roekel ◽  
Anne Marie J W M Weggelaar-Jansen ◽  
Antoinette A de Bont ◽  
Iris Wallenburg

Abstract Scholars describe organizing professionalism as ‘the intertwinement of professional and organizational logics in one professional role’. Organizing professionalism bridges the gap between the often-described conflicting relationship between professionals and managers. However, the ways in which professionals shape this organizing role in daily practice, and how it impacts on their relationship with managers has gained little attention. This ethnographic study reveals how nurses shape and differentiate themselves in organizing roles. We show that developing a new nurse organizing role is a balancing act as it involves resolving various tensions concerning professional authority, task prioritization, alignment of both intra- and interprofessional interests, and internal versus external requirements. Managers play an important yet ambiguous role in this development process as they both cooperate with nurses in aligning organizational and nursing professional aims, and sometimes hamper the development of an independent organizing nursing role due to conflicting organizational concerns.


2011 ◽  
Vol 68 (6) ◽  
pp. 1369-1379 ◽  
Author(s):  
Anne M. Chang ◽  
Glenn E. Gardner ◽  
Christine Duffield ◽  
Mary-Anne Ramis

2019 ◽  
Vol 23 (1) ◽  
pp. 101-108 ◽  
Author(s):  
M. Patrice McCarthy ◽  
Jeffrey S. Jones

The authors propose that the evolution of the role development for generalist and advanced practice nursing is increasingly at odds with the contemporary scholarship of the discipline and ultimately betrays the unique identity and autonomy of the nursing profession. The development of the evidence-based practice movement in medicine and nursing is explored as the predominant theoretical framework guiding nursing practice. Professional challenges and recommendations to reclaim the unique nature of nursing are discussed with attention to the implications for the educator, clinician, and scholar.


Author(s):  
Melodee Harris ◽  
Karen Devereaux Melillo ◽  
Linda J. Keilman ◽  
George Byron Peraza-Smith ◽  
Sharon Bronner ◽  
...  

Author(s):  
Denise Bryant-Lukosius ◽  
Ruta Valaitis ◽  
Ruth Martin-Misener ◽  
Faith Donald ◽  
Laura Morán Peña ◽  
...  

ABSTRACT Objective: to examine advanced practice nursing (APN) roles internationally to inform role development in Latin America and the Caribbean to support universal health coverage and universal access to health. Method: we examined literature related to APN roles, their global deployment, and APN effectiveness in relation to universal health coverage and access to health. Results: given evidence of their effectiveness in many countries, APN roles are ideally suited as part of a primary health care workforce strategy in Latin America to enhance universal health coverage and access to health. Brazil, Chile, Colombia, and Mexico are well positioned to build this workforce. Role implementation barriers include lack of role clarity, legislation/regulation, education, funding, and physician resistance. Strong nursing leadership to align APN roles with policy priorities, and to work in partnership with primary care providers and policy makers is needed for successful role implementation. Conclusions: given the diversity of contexts across nations, it is important to systematically assess country and population health needs to introduce the most appropriate complement and mix of APN roles and inform implementation. Successful APN role introduction in Latin America and the Caribbean could provide a roadmap for similar roles in other low/middle income countries.


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