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Clinical nurse specialists define advanced nursing practice and describe their practice in relation to client health outcomes Cox, Katherine Margaret
Abstract
Advanced nursing practice (ANP) is a term well utilized in the literature and in nursing discussions, yet is not clearly understood. Recently, nursing authors have been strongly supporting the need to develop a clear definition of ANP. The current focus on outcome measures throughout health care has prompted efforts to examine discipline specific, as well as broad influences on client health outcomes (CHO). The need for nurses in ANP to be able to articulate their practice in relation to CHO has been heightened during the last few years. This is due to factors such as the examination of various nursing roles during times of decreasing health care resources inherent in health reform. The purpose of this study was to explore and describe how Clinical Nurse Specialists (CNSs) define ANP and describe their practice in relation to CHO. An exploratory- descriptive qualitative methodology was used for this study. Data were collected through semi-structured, audio-taped interviews with 6 female and 1 male CNSs who had a master's degree and had been in their role for a mean of 6.3 years. From the thematic analysis of the data, three broad categories or descriptors that were common to participants were identified and developed. Together these three broad categories represent participant attempts to define ANP and describe their practice in relation to CHO. The first category relates to difficulties in clearly defining ANP. The second category relates to descriptors of ANP. The third category relates to possible relationship between ANP and CHO. These findings revealed that ANP is a term that is broad and vague in nature and not amenable to a clear and concise definition. Furthermore, it was found that it may not be possible to articulate a direct relationship between ANP and CHO in an interdisciplinary collaborative practice environment. The implications for graduate education, policy and administration as well as research are identified in light of research findings.
Item Metadata
Title |
Clinical nurse specialists define advanced nursing practice and describe their practice in relation to client health outcomes
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Creator | |
Publisher |
University of British Columbia
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Date Issued |
1996
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Description |
Advanced nursing practice (ANP) is a term well utilized
in the literature and in nursing discussions, yet is not
clearly understood. Recently, nursing authors have been
strongly supporting the need to develop a clear definition of
ANP. The current focus on outcome measures throughout health
care has prompted efforts to examine discipline specific, as
well as broad influences on client health outcomes (CHO).
The need for nurses in ANP to be able to articulate their
practice in relation to CHO has been heightened during the
last few years. This is due to factors such as the
examination of various nursing roles during times of
decreasing health care resources inherent in health reform.
The purpose of this study was to explore and describe
how Clinical Nurse Specialists (CNSs) define ANP and describe
their practice in relation to CHO. An exploratory-
descriptive qualitative methodology was used for this study.
Data were collected through semi-structured, audio-taped
interviews with 6 female and 1 male CNSs who had a master's
degree and had been in their role for a mean of 6.3 years.
From the thematic analysis of the data, three broad
categories or descriptors that were common to participants
were identified and developed. Together these three broad
categories represent participant attempts to define ANP and
describe their practice in relation to CHO. The first
category relates to difficulties in clearly defining ANP.
The second category relates to descriptors of ANP. The third
category relates to possible relationship between ANP and
CHO.
These findings revealed that ANP is a term that is broad
and vague in nature and not amenable to a clear and concise
definition. Furthermore, it was found that it may not be
possible to articulate a direct relationship between ANP and
CHO in an interdisciplinary collaborative practice
environment. The implications for graduate education, policy
and administration as well as research are identified in
light of research findings.
|
Extent |
8869540 bytes
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Genre | |
Type | |
File Format |
application/pdf
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Language |
eng
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Date Available |
2009-02-11
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Provider |
Vancouver : University of British Columbia Library
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Rights |
For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.
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DOI |
10.14288/1.0087145
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URI | |
Degree | |
Program | |
Affiliation | |
Degree Grantor |
University of British Columbia
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Graduation Date |
1996-05
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Campus | |
Scholarly Level |
Graduate
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Aggregated Source Repository |
DSpace
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Item Media
Item Citations and Data
Rights
For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.