McDonnell, A, Goodwin, E, Kennedy, FR et al. (3 more authors) (2015) An evaluation of the implementation of Advanced Nurse Practitioner (ANP) roles in an acute hospital setting. Journal of Advanced Nursing, 71 (4). 789 - 799. ISSN 0309-2402
Abstract
Aim: To evaluate the impact of implementing Advanced Nurse Practitioner roles on patients, staff members and organizational outcomes in an acute hospital. Background: The worldwide development of advanced practice roles in nursing has been influenced by increasing demands and costs of health care. A key issue in the UK has been the reduction in hours junior doctors can work. While there is evidence these roles can have a positive impact in a variety of clinical specialties, little is known about the impact advanced nurses substituting for junior doctors can have on patients, staff members and organizational outcomes in general hospital care settings. Design: Collective case study. Methods: A collective case study in a district general hospital in England was undertaken in 2011–2012. Interviews with strategic stakeholders (n = 13) were followed by three individual case studies. Each case study represented the clinical area in which the roles had been introduced: medicine, surgery and orthopaedics and included interviews (n = 32) and non-participant observation of practice. Findings: The ANPs had a positive impact on patient experience, outcomes and safety. They improved staff knowledge, skills and competence and enhanced quality of working life, distribution of workload and team-working. ANPs contributed to the achievement of organizational priorities and targets and development of policy. Conclusion: ANPs undertaking duties traditionally performed by junior doctors in acute hospital settings can have a positive impact on a range of indicators relating to patients, staff members and organizational outcomes which are highly relevant to nursing.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | (c) 2014, John Wiley & Sons Ltd. This is the peer reviewed version of the following article: McDonnell A., Goodwin E., Kennedy F., Hawley K., Gerrish K. & Smith C. (2015) An evaluation of the implementation of Advanced Nurse Practitioner (ANP) roles in an acute hospital setting. Journal of Advanced Nursing 71(4), 789–799. doi: 10.1111/jan.12558, which has been published in final form at http://dx.doi.org/10.1111/jan.12558. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. |
Keywords: | advanced nurse practitioner; advanced nursing roles; case study; mixed methods; nurses |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 28 Sep 2015 11:40 |
Last Modified: | 23 Oct 2015 16:17 |
Published Version: | http://dx.doi.org/10.1111/jan.12558 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/jan.12558 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:88366 |