51 |
Lived Experience of the Advanced Practice Provider on the Burn Surgery ServiceSmith, Susan Lee 01 January 2017 (has links)
The purpose of this qualitative dissertation study was to examine the lived experience and meaning making of challenges, benefits, satisfaction, and professional sustainability for the advanced practice provider in the burn surgery specialty service. The problem addressed was the knowledge gap resulting from a lack of literature describing aspects of the advanced practice provider role in the burn specialty. An interpretive phenomenological analysis, informed by the philosophy of Dr. Martin Heidegger, was undertaken. Participants were solicited from the American Burn Association Advanced Practice Provider (APP) special interest group site. The results provided a thick description of the lived experience of the Burn APP offering, illuminating commonalities and distinctions to promote role gratification and fulfillment leading to professional success and prolonged engagement. Keywords: advanced practice provider, nurse practitioner, physician assistant, interpretive phenomenology, hermeneutics.
|
52 |
Development and Implementation of Advanced Practice Registered Nurse Competency Validation Tools in Four Nurse-Led Clinics in Rural East TennesseeMullins, Christine, Hall, Katherine, Diffenderfer, Sandy, Marrs, Jo-Ann, Stidham, April 01 October 2019 (has links)
Background: Graduate nursing academic faculty rely heavily on clinical preceptors for mentorship and clinical practicum experiences for BSN-DNP degree-seeking family nurse practitioner (FNP) students. Thus, it is important that preceptors have documented clinical competencies to assure the delivery of quality, evidence-based practice that meets regulatory requirements prior to precepting students.Objectives: The objectives of this quality improvement project were to develop and implement APRN competency validation tools (CVTs) in nurse-led clinic settings.Methods: Rapid Cycle Quality Improvement (RCQI) strategies were used to develop and implement APRN CVTs.Results: Three APRN CVTs were successfully developed, tested, refined, and implemented in four nurse-led clinics in rural east Tennessee. With one exception, the APRN preceptors had documentation of clinical competency prior to approval as a SPADES preceptor. Graduate academic faculty, preceptors, and students reported satisfaction with the SPADES project.Conclusion: CVTs are feasible tools for documentation of validated clinical APRN preceptors’ competency in nurse-led clinics. The CVTs and the medical record review checklist are available upon request from the primary author.Implications for Nursing: Use of APRN CVTs provides documentation that the preceptor uses evidence-based practice in the clinic setting prior to precepting students.
|
53 |
Behind Bars: Providing Advanced Practice Psychiatric Nursing in JailRice, Judy A. 01 April 2002 (has links)
No description available.
|
54 |
The Meth Epidemic: Implications for the Advanced Practice NurseRice, Judy A. 01 April 2006 (has links)
No description available.
|
55 |
Development of the radiography evidence base: An examination of advancing practiceSnaith, Beverly January 2013 (has links)
Radiography has seen most development over the last 30 years with the
evolution of new technologies, but perhaps more significantly changes in
education models and radiographer roles. The development of advanced
and consultant posts has facilitated the growth of the profession, although
the evidence base is still evolving.
Through a number of research projects this thesis will explore the growth in
the radiography evidence base with specific reference to the extending role
of the radiographer in image interpretation. Parallel clinical and academic
developments have provided evidence of a scholarly profession which is
slowly establishing its place through publication and a growing research
base. / Please Note: The full text of each of the published articles, which are listed on page vii, has been removed from the PhD online copy due to publisher copyright restrictions. Links to the publisher¿s websites are given.
To see the final full text version of the articles listed on page vii, please visit the publisher¿s website. Available access to the published online version may require a subscription.
|
56 |
Program Evaluation of an Outpatient Palliative Care ModelJackson, Molly January 2015 (has links)
No description available.
|
57 |
Advanced Practice: Research ReportHardy, Maryann L., Snaith, Beverly, Edwards, Lisa, Baxter, John, Millington, Paul, Harris, Martine A. 17 June 2021 (has links)
Yes / The Health Care and Professions Council (HCPC) regulates fifteen different professions; some of
these are large groups like Physiotherapists and some are much smaller such as Speech
and Language Therapists (SLT). Most of the people registered by the HCPC work within their own
areas of clinical expertise and defined professional scope of practice. However, an increasing
number of registrants are undertaking new or additional roles beyond the traditional scope of
practice for the defined profession. These roles are often shared with other medical or health
professionals and persons undertaking these roles are often, but not consistently, referred to
as Advanced Practitioners.
Advanced Practitioners are employed within the NHS across all four countries of the UK and are
also employed by private healthcare providers. The roles they undertake vary from the highly
specialised (e.g. an advanced podiatrist might specialise in biomechanics) to more general roles with
greater professional autonomy and decision-making (e.g. a paramedic working in a GP
Practice assessing patients with undifferentiated acute problems). As a result, there is currently no
consistency in role title, scope of advanced practice, necessary underpinning education
or professional accreditation across the HCPC registered professions. This study was undertaken to
explore these issues and seek opinion on the need for additional regulatory measures for persons
working at an advanced practice level.
NB: For the purposes of this study, advanced practice was considered to encompass all roles,
regardless of role title, where the level of practice undertaken was considered to be advanced.
Method
Three approaches to data collection were undertaken to ensure the differing opinions across all
HCPC registered professions, different stakeholders and the four nations of the UK were collected.
Data were collected through:
1. A UK wide survey of HCPC registered healthcare professionals;
2. A UK wide survey of organisations delivering AHP & scientific advanced practice education;
3. A series of focus groups and interviews across a range of stakeholder groups.
Findings
The concept of advanced level practice was not consistently understood or interpreted across the
different stakeholder groups. Those participants identifying as working at an advanced practice level
undertook a range of activities both within and out with the traditional scope of practice of the
registered profession adding a further layer of complexity. Educational support and availability for
advanced level practice varied across professional groups and inequity of accessibility and
appropriateness of content were raised as concerns. There is no consensus across participant groups
on the need for regulation of advanced level practice. Perceived advantages to additional regulation
were the consistent and equal educational and employer governance expectations, particularly
where multiple professional groups are undertaking the same role, all be it with a differing
professional educational foundation and lens. However, while some voices across the participant
groups felt regulation was essential to assure practice standards and reduce risk of role title misuse,
there was equally a lack of appetite for regulation that inhibited agility to respond to, and reflect,
the rapidly changing healthcare environment and evolving scope of advanced level practice.
Importantly, no evidence was presented from any participant group that advanced level practice
within HCPC regulated professions presents a risk to the public.
Conclusion
The study data presented in this report reflect the complexity of the concept of advanced practice
within the HCPC regulated professions. Much of this is a consequence of the differing speeds of
professional role development across healthcare organisations and professional groups, often
related to service capacity gaps and locally developed education to support local initiatives. Despite
this, there is no clear evidence, based on the findings of this research, that additional regulation of
advanced level practice is needed, or desired, to protect the public. However, as the HCPC is one of
the few organisations with a UK wide remit, it may have a central role in achieving unification across
the 4 nations in relation to the future role expectations, educational standards, and governance of
advanced level practice.
|
58 |
Implementing Radiographic CT Head Reporting: The Experiences of Students and ManagersClarke, R., Allen, D., Arnold, Paul M., Snaith, Beverly January 2014 (has links)
No / In the face of growing demand in radiology, skill mix initiatives have sought to improve and expand service provision. Within the UK radiographer reporting is now widespread, although the growth in computerised tomography (CT) head reporting has not been as rapid as anticipated. The literature in this area is limited, but case studies have highlighted the successful implementation of this training through new radiographer roles in practice.
Method
A cross-sectional survey was developed to elicit information from radiographers and managers on their experiences before, during and after post-graduate training in CT head reporting.
Results
Seventy one responses were received comprising 48 past students (n = 48/111; 43.2%) and 23 service managers (n = 23/67; 34.3%). Key factors for the development were personal continual professional development for students and departmental need for managers. Challenges during training included a lack of study time due to staff shortages and access to radiologist mentors. Only 48.8% of students responding have gone on to use the new skills in practice cited reasons include staff shortages, resistance from radiologists and increase in radiological staffing.
Conclusions
This qualitative study has demonstrated that those trusts who have implemented CT head reporting have evidenced perceptible benefits for both the department and individuals. Those radiographers who are successfully reporting have shown themselves to be highly motivated and persistent in their development.
|
59 |
Does radiography advanced practice improve patient outcomes and health service quality? A systematic reviewHardy, Maryann L., Johnson, Louise, Sharples, Rachael, Boynes, Stephen, Irving, Donna 15 April 2016 (has links)
Yes / Objectives
To investigate the impact of radiographer advanced practice on patient outcomes and
health service quality.
Methods
Using the World Health Organisation definition of quality, this review followed the
Centre for Reviews and Dissemination guidance for undertaking reviews in healthcare.
A range of databases were searched using a defined search strategy. Included studies
were assessed for quality using a tool specifically developed for reviewing studies of
diverse designs and data were systematically extracted using electronic data extraction
proforma.
Results
407 articles were identified and reviewed against the inclusion/exclusion criteria. Nine
studies were included in the final review, the majority (n=7) focussing on advanced
radiography practice within the UK. Advanced practice activities considered were
radiographer reporting, leading patient review clinics and barium enema examinations.
The papers were generally considered to be of low to moderate quality with most
evaluating advanced practice within a single centre. With respect to specific quality
dimensions, included studies considered cost reduction, patient morbidity, time to
treatment and patient satisfaction. No papers reported data relating to time to
diagnosis, time to recovery or patient mortality.
Conclusions
Radiographer advanced practice is an established activity both in the UK and
internationally. However, evidence of the impact of advanced practice in terms of
patient outcomes and service quality is limited.
Advances in knowledge
This systematic review is the first to examine the evidence base surrounding advanced
radiography practice and its impact on patient outcomes and health service quality.
Powered by
|
60 |
How to achieve consultant practitioner status: A discussion paperHardy, Maryann L., Snaith, Beverly 05 March 2020 (has links)
No / Non-medical consultant posts are a relatively new addition to the National Health Service (NHS) workforce, the role first being announced for nurses in 1998 followed by the Allied Health Professions in 2000. They have been described as multidimensional positions that encompass the four core functions of consultant practice: expert clinical practice; professional leadership and consultancy; practice and service development, research and evaluation; education and professional development. Consequently, the purpose of non-medical consultants is to promote and develop practice at the clinical, strategic and policy level.
Despite the professional drive to develop consultant radiographer roles, by the end of 2005 only 15 were in post. One of the reasons for this poor appointment rate is the deficiency in suitably qualified and experienced candidates, a finding acknowledged to be an issue across all the non-medical professions. Further, the development of potential consultant practitioners has been hampered by the lack of clearly defined clinical and educational pathways. This paper acknowledges the limited published material available to radiographers wishing to advance to consultant positions. Yet while recognising the need to establish a true consultant career pathway underpinned by an appropriate education and research strategy, it explores the requirements of consultant practice, identifying some opportunities available to radiographers to develop appropriate consultant level skills.
|
Page generated in 0.057 seconds