Domains of practice and Advanced Practice Nursing in Australia

Roche, M; Duffield, C; Wise, S; Baldwin, R; Fry, M; Solman, A

Domains of practice and Advanced Practice Nursing in Australia

Roche, M

Duffield, C

Wise, S

Baldwin, R

Fry, M

Solman, A

Permalink

Publication Type:: Journal Article
Citation:: Nursing and Health Sciences, 2013, 15 (4), pp. 497 - 503
Issue Date:: 2013-12-01

Closed Access

	Filename	Description	Size
	2012002710OK.pdf		219.08 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Roche, M https://orcid.org/0000-0002-3831-537X	en_US
dc.contributor.author	Duffield, C https://orcid.org/0000-0001-6534-8743	en_US
dc.contributor.author	Wise, S https://orcid.org/0000-0003-3513-3471	en_US
dc.contributor.author	Baldwin, R https://orcid.org/0000-0002-1292-5639	en_US
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096	en_US
dc.contributor.author	Solman, A https://orcid.org/0000-0002-2906-8880	en_US
dc.date.available	2013-03-13	en_US
dc.date.issued	2013-12-01	en_US
dc.identifier.citation	Nursing and Health Sciences, 2013, 15 (4), pp. 497 - 503	en_US
dc.identifier.issn	1441-0745	en_US
dc.identifier.uri	http://hdl.handle.net/10453/27650
dc.description.abstract	A key component of workforce reform is the international growth in Advanced Practice Nursing (APN) roles. This study evaluated one APN role in Australia, the Clinical Nurse Consultant (CNC). All 56 CNCs employed in a tertiary hospital in New South Wales took part in the study. Demographic and work activity data were collected by an online questionnaire. Face-to-face interviews included the administration of a 50-point tool to score the level of practice of each CNC against five domains. The domains of practice did not appear to have played a central role in the design of these CNC roles despite being defined in the industrial legislation and linked to a pay structure. There was widespread variability in the level of practice both within and between the CNC grades as well as significant differences in job content. Few CNCs managed to achieve a moderate level of practice across all five domains. The findings suggest that the distinctive features of the CNC roles as articulated in the domains of practice are often not realized in practice. © 2013 Wiley Publishing Asia Pty Ltd.	en_US
dc.relation.ispartof	Nursing and Health Sciences	en_US
dc.relation.isbasedon	10.1111/nhs.12062	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Career Mobility	en_US
dc.subject.mesh	Curriculum	en_US
dc.subject.mesh	Nurse Clinicians	en_US
dc.subject.mesh	Nurse Practitioners	en_US
dc.subject.mesh	Hospitals, Public	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Queensland	en_US
dc.title	Domains of practice and Advanced Practice Nursing in Australia	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	15	en_US
utslib.for	111099 Nursing not elsewhere classified	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Faculty of Business/Management Discipline
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	15	en_US

Abstract:

A key component of workforce reform is the international growth in Advanced Practice Nursing (APN) roles. This study evaluated one APN role in Australia, the Clinical Nurse Consultant (CNC). All 56 CNCs employed in a tertiary hospital in New South Wales took part in the study. Demographic and work activity data were collected by an online questionnaire. Face-to-face interviews included the administration of a 50-point tool to score the level of practice of each CNC against five domains. The domains of practice did not appear to have played a central role in the design of these CNC roles despite being defined in the industrial legislation and linked to a pay structure. There was widespread variability in the level of practice both within and between the CNC grades as well as significant differences in job content. Few CNCs managed to achieve a moderate level of practice across all five domains. The findings suggest that the distinctive features of the CNC roles as articulated in the domains of practice are often not realized in practice. © 2013 Wiley Publishing Asia Pty Ltd.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/27650