Enablers and challenges to advanced nursing and midwifery practice roles.
advanced practice
barriers and challenges
midwifery
nursing
Journal
Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
26
04
2018
revised:
30
06
2018
accepted:
13
07
2018
pubmed:
27
9
2018
medline:
21
5
2019
entrez:
26
9
2018
Statut:
ppublish
Résumé
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.
Sections du résumé
AIM
OBJECTIVE
To describe the enablers and challenges to the development and implementation of advanced nursing and midwifery practice roles in Ireland.
BACKGROUND
BACKGROUND
Leadership strategies need to be put in place to enhance the development and implementation of advanced nursing and midwifery practice roles.
METHOD
METHODS
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.
RESULTS
RESULTS
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.
CONCLUSION
CONCLUSIONS
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.
IMPLICATIONS FOR NURSING AND MIDWIFERY MANAGEMENT
UNASSIGNED
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.
Types de publication
Historical Article
Journal Article
Langues
eng
Pagination
271-277Subventions
Organisme : Department of Health, Dublin
Informations de copyright
© 2018 John Wiley & Sons Ltd.