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Domains of practice and Advanced Practice Nursing in Australia

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  • Michael Roche
  • Christine Duffield
  • Sarah Wise
  • Richard Baldwin
  • Margaret Fry
  • Annette Solman

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.

Suggested Citation

  • Michael Roche & Christine Duffield & Sarah Wise & Richard Baldwin & Margaret Fry & Annette Solman, 2013. "Domains of practice and Advanced Practice Nursing in Australia," Nursing & Health Sciences, John Wiley & Sons, vol. 15(4), pages 497-503, December.
    • Handle: RePEc:wly:nuhsci:v:15:y:2013:i:4:p:497-503
    DOI: 10.1111/nhs.12062
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    References listed on IDEAS

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    1. Margaret Fry & Christine Duffield & Richard Baldwin & Michael Roche & Helen Stasa & Annette Solman, 2013. "Development of a tool to describe the role of the clinical nurse consultant in Australia," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(11-12), pages 1531-1538, June.
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    Cited by:

    1. Michelle Giles & Vicki Parker & Rebecca Mitchell, 2016. "Examining Nurse Consultant connectivity: An Australian mixed method study," Nursing & Health Sciences, John Wiley & Sons, vol. 18(2), pages 154-162, June.
    2. Sonia Sevilla Guerra & Josep Miranda Salmerón & Adelaida Zabalegui, 2018. "Profile of advanced nursing practice in Spain: A cross‐sectional study," Nursing & Health Sciences, John Wiley & Sons, vol. 20(1), pages 99-106, March.
    3. Kaye Knight & Amanda Kenny & Ruth Endacott, 2015. "Assessing clinical urgency via telephone in rural Australia," Nursing & Health Sciences, John Wiley & Sons, vol. 17(2), pages 201-207, June.

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