Policy-makers' views on impact of specialist and advanced practitioner roles in Ireland: the SCAPE study
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2014Access:
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Begley C, Murphy K, Higgins A, Cooney A., Policy-makers' views on impact of specialist and advanced practitioner roles in Ireland: the SCAPE study, Journal of Nursing Management, 22, 4, 2014, 410 - 422Download Item:
jonm12018.pdf (Accepted for publication (author's copy) - Peer Reviewed) 105.3Kb
Abstract:
Aim
To ascertain and explore the views held by key healthcare policy-makers on
the impact of clinical specialist and advanced practice nursing and midwifery
roles.
Background
Specialist and advanced practice roles are common world-wide and
were introduced in Ireland in 2000. After experiencing these roles for a decade,
the views of healthcare policy-makers were sought as part of a national
evaluation.
Methods
A qualitative, descriptive design was used. Following ethical approval,
12 policy-makers were interviewed in 2010, using a six-part interview schedule.
Results
Policy-makers believed that specialist and advanced practice roles resulted
in better continuity of care, improved patient/client outcomes and a more holistic
approach. These clinicians were also said to be leading guideline development,
new initiatives in care, education of staff, audit and policy development. They
lacked administrative support and research time. Budget cuts and a government-
applied recruitment moratorium were said to hamper the development of
specialist/advanced practice roles.
Conclusion
Healthcare policy-makers believe that specialists and advanced
practitioners contribute to higher quality patient/client care, particularly at a
strategic level.
Implications for nursing management
These roles could make an important
contribution to future health service developments, particularly in relation to
chronic-disease management and community care, where more advanced
practitioner posts are required
Author's Homepage:
http://people.tcd.ie/cbegleyhttp://people.tcd.ie/ahiggins
Description:
PUBLISHED
Author: BEGLEY, CECILY; HIGGINS, AGNES
Type of material:
Journal ArticleCollections:
Series/Report no:
Journal of Nursing Management22
4
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Full text availableKeywords:
MidwiferyDOI:
http://dx.doi.org/10.1111/jonm.12018Licences: