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dc.contributor.authorBegley, Cecily
dc.contributor.authorMurphy, Kathy
dc.contributor.authorHiggins, Agnes
dc.contributor.authorCooney, Adeline
dc.date.accessioned2018-09-20T16:00:47Z
dc.date.available2018-09-20T16:00:47Z
dc.date.issued2012-12-01
dc.identifier.citationBegley, Cecily; Murphy, Kathy; Higgins, Agnes; Cooney, Adeline (2012). Policy-makers' views on impact of specialist and advanced practitioner roles in ireland: the scape study. Journal of Nursing Management 22 (4), 410-422
dc.identifier.issn0966-0429
dc.identifier.urihttp://hdl.handle.net/10379/10393
dc.description.abstractAimTo ascertain and explore the views held by key healthcare policy-makers on the impact of clinical specialist and advanced practice nursing and midwifery roles. BackgroundSpecialist and advanced practice roles are common world-wide and were introduced in Ireland in 2000. After experiencing these roles for a decade, the views of healthcare policy-makers were sought as part of a national evaluation. MethodsA qualitative, descriptive design was used. Following ethical approval, 12 policy-makers were interviewed in 2010, using a six-part interview schedule. ResultsPolicy-makers believed that specialist and advanced practice roles resulted in better continuity of care, improved patient/client outcomes and a more holistic approach. These clinicians were also said to be leading guideline development, new initiatives in care, education of staff, audit and policy development. They lacked administrative support and research time. Budget cuts and a government-applied recruitment moratorium were said to hamper the development of specialist/advanced practice roles. ConclusionHealthcare policy-makers believe that specialists and advanced practitioners contribute to higher quality patient/client care, particularly at a strategic level. Implications for nursing managementThese roles could make an important contribution to future health service developments, particularly in relation to chronic-disease management and community care, where more advanced practitioner posts are required.
dc.publisherWiley-Blackwell
dc.relation.ispartofJournal of Nursing Management
dc.subjectadvanced practice
dc.subjectclinical midwife specialist
dc.subjectclinical nurse specialist
dc.subjectnurse practitioners
dc.subjectqualitative research
dc.subjectadvanced nursing practice
dc.subjecthealth-care
dc.subjectqualitative research
dc.subjectimplementation
dc.subjectboundaries
dc.subjectnurses
dc.titlePolicy-makers' views on impact of specialist and advanced practitioner roles in ireland: the scape study
dc.typeArticle
dc.identifier.doi10.1111/jonm.12018
dc.local.publishedsourcehttp://www.tara.tcd.ie/bitstream/2262/68458/1/jonm12018.pdf
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