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How would you define the roles and responsibilities of nurses undertaking advanced practice?

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Gary Rolfe is professor of practice development and innovation, College of Human and Health Sciences, Swansea University.


Rolfe G (2014) Advanced nursing practice 1: understanding advanced nursing practice. Nursing Times; 110: 27, 20-23.

Articles published in Nursing Times in 2012 presented the role of the advanced nurse practitioner as an extension into the territory of junior doctors in response to pressures in healthcare resources. This article traces the history of advanced practice and suggests that a more appropriate model, post Francis report, should focus on fundamental skills and core nursing values. Rather than attempting to plug a gap created by a shortage of doctors by developing medical skills, nurses should value and promote advanced nursing practice, which is driven by patients’ needs for the care that doctors are unable and unskilled to provide.


Let’s discuss…

  • The author suggests the current role of the advanced nurse practitioner developed in response to pressure on healthcare. What do you think of this theory?
  • Following the Francis report and a call for a return to core skills, values and attitudes for nurses should we re-examine the role of advanced nursing?
  • How would you define the roles and responsibilities of nurses undertaking advanced practice?


Part 2 of this series is published next week

  • Comments (1)

Readers' comments (1)

  • Advanced nursing practice should include 1.leadership 2. excellence in own clinical field 3, innovation if possible with research 4. team working 5. courage as nursing colleagues are usually jealous and unhelpful 6. other members of the MDT may struggle to understand your advanced skills 7 confidence that you can do it 8. commitment to lifelong learning 9. not losing sight of why you became a nurse in the first place 10. understanding why all of the above are necessary!!

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