Eileen Furlong 16th October 2004 School of Nursing & Midwifery University College Dublin The Emerging Role of the Advanced Nurse Practitioner
Jan 10, 2016
Eileen Furlong
16th October 2004
School of Nursing & Midwifery
University College Dublin
The Emerging Role of the Advanced Nurse Practitioner
Objectives
• To provide background information
• To outline the development of an educational framework for advanced nursing practice
• To present the framework process
• To consider the role of the advanced nurse practitioner in cancer care
• Development of specialist and advanced practice roles
• Increase in knowledge and educational reforms
• Technological advances
• Service need / public need / economic forces
• Desire by nursing to develop its full potential in service provision
Historical Review
Registered Nurse
Clinical Nurse Specialist
(Government of Ireland 1998)
Advanced NursePractitioner
Clinical Career Pathway
• Department of Health and Children
• An Bord Altranais
• National Council for the Professional Development of Nursing and Midwifery
• Nursing and Midwifery Planning and Development Units
• Reports
Influences
Cancer Nursing
Hanley & Brennan
European Working Directive on
Medical Manpower
Cancer Strategy
Quality and Fairness
Medication Management
• Interest
• Persistence !!
• Curriculum work (2000 onwards)
• London City University (March 2001)
• Summer in Penn (2001)
• Started programme (Sept 2001)
How I Became Involved
• Advanced Practice
• Clinical
• Education
• Management
• Public Health
MSc Nursing Programme UCD
Core Modules on Masters Degree:
• Theory & Practice
• Advanced Research
• Leadership & Management
• CQI
MSc Nursing (Advanced Practice)
Advanced Practice Modules:
• Pathology
• Physiology
• Physical Assessment
• Pharmacology
• Case Management
• Clinical Practicum
MSc Nursing (Advanced Practice)
• Oncology / haematology
• Critical care
• Palliative care
• Primary care / community nursing
• Emergency / diabetes / renal nursing
• Dermatology /Gastro–intestinal nursing
• Stroke care
Speciality Areas Adult / Paediatric
• 4 graduates
• 3 due to finish next month
• 16 on programme currently
• No one yet accredited from UCD programme
• UCG commenced programme in Jan 2002
Current Status - UCD
• 14 accredited
• Emergency
• Sexual Health
• Rheumatology
Current Irish Status
Map of ireland to go here
• Refers to nursing practice that focuses on the client and situations which enhance positive outcomes for the client, family and community (Hamric et al. 2000)
• Advanced nursing practice is carried out by autonomous, experienced practitioners who are competent and responsible for their own practice (NCNM 2001)
Current Irish Status
• “ANP’s promote wellness, offer healthcare interventions and advocate healthy lifestyle choices for patient / clients, families and carers in a wide variety of settings in collaboration with other healthcare professionals according to an agreed scope of practice guidelines”
(NCNM 2001)
Advanced Nurse Practitioner (ANP)
• Specialisation, expansion and advancement
• Higher skill and knowledge to allow for the adoption of independent and autonomous roles
• Clinical practice that focuses on direct clinical care…emphasis is on experiental development of competencies, underpinned by theoretical knowledge
ANP Involves
ANPPioneering
professional & clinical leadership
Res
earc
her
Autonomy in clinical practice
Exp
ert
prac
titio
ners
Core Concepts
(NCNM 2002)
Differentiation(Commission on Nursing 1998)
• Beyond level of initial qualification
• (H.Dip/Post Graduate Dip)
• Experience & expertise• Work with
interdisciplinary team• Research utilisation• Teaching/advisory
Clinical Nurse Specialist:
• Higher level that CNS
• MSc – theoretical & clinical modules
• Extensive experience & advanced expertise
• Works independently in collaborative role
• Conducts research
Advanced Nurse Practitioner:
MAY 2001
• Registered nurse
• Masters Degree or higher
• 7 years post registration
• 5 years in speciality area
• Supervised practice
• Demonstrate competencies
• Evidence of professional development
(www.ncnm.ie)
Criteria for ANP
Part 1. Organisational Application
Approval of Site Preparation and Job Description
Part 2. Individual Application
Accreditation of ANP
ANP Establishment Process
• Identify healthcare need to be addressed
• Understand laws, rules, regulations and guidelines governing nursing practice
• Accept the legal principle of vicarious liability
• Ensure good practice guidelines are developed collaboratively
• Determine the patient / client benefit from ANP service
Site Preparation- Organisational
• Service to be consistent with organisational philosophy
• Project how change will help to meet the service plan
• Consider optimal location of service• Consider integration into MDT • Define role content • Identify resource implications
Site PreparationApproval
• Job title
• Grade
• Reporting relationship
• Location
• Background to post
• Specific factors
• Purpose of post
Job Description Approval
• Application form
• A professional portfolio demonstrating extensive experience, knowledge and skills in the context of practice in which the accreditation is sought in line with National Council criteria
• Accreditation valid for 5 years
• Non-transferable
Part 2 Process for Accreditation
• Definitions
• Core concepts
• Responsibilities
• Framework
• Scope of practice
• Literature
Role Development
• ANP role – grounded in nursing theory ensuring holistic practice
• Role development must occur in the context of service need and be established within the framework of the service plan
Setting Your Own Agenda
• AA process • Role development in cancer nursing• Competencies• Outcomes research (quality and
cost)• Accessibility of programme• Evaluate educational framework
Challenges Ahead
Contribution to Cancer Nursing