An Exploratory Study on Exemplary Practice of Nurse Consultants

• Published in: Journal of nursing scholarship 2017-09, Vol.49 (5), p.548-556
• Main Authors: Wong, Frances Kam Yuet, Lau, Ada Tak Yin, Ng, Rebecca, Wong, Elaine Wing Yee, Wong, So Man, Kan, Eva Ching Yee, Liu, Eva, Bryant‐Lukosius, Denise
• Format: Article
• Language: English
• Subjects: Advanced practice nurses; advanced practice nursing; Advanced Practice Nursing - standards; career laddering; Careers; Clinical Competence; Competence; competencies; Consultants; Education; Experts; Health Care Surveys; Health sciences; Health services; Hong Kong; Humans; Midwifery; Models, Nursing; Nurse consultant; Nurse practitioners; Nurse specialists; Nurse's Role; Nurses; Nursing; Nursing Evaluation Research; Occupational roles; outcomes; Patient Satisfaction; Practice Patterns, Nurses' - standards; Professional practice; Qualitative research; Questionnaires; Roles; Symptom management; Treatment methods; Treatment Outcome; United Kingdom
• ISSN: 1527-6546; 1547-5069
• DOI: 10.1111/jnu.12324

Purpose To examine the exemplary practice of nurse consultants (NCs) and derive a model to illustrate the highest level of advanced nursing practice. Design A descriptive study was conducted to examine the practice and outcomes of seven NC roles in varied clinical specialties in Hong Kong. Exemplary practice was examined in relation to competencies for advanced practice nursing in Hong Kong and the United Kingdom. Methods Data about NC characteristics and their practices were collected using a structured questionnaire and analyzed using descriptive statistics. Health service documents and clinical notes were analyzed using the framework approach. Findings All NCs demonstrated the competence expected of an advanced practice nurse with impacts on patients, nursing profession, and the organization as identified in the advanced nursing practice framework in Hong Kong. NCs also performed at the highest level of practice delineated by Skills for Health in the United Kingdom. They were involved in diagnostic and therapeutic practice, and identified patient satisfaction and symptom management as key outcomes. Conclusions This study provides new insight into levels of advanced practice and illustrates the exemplary work of NCs to demonstrate how they have developed and shaped services to bring about positive patient and organizational outcomes. Career laddering that places NCs at the highest level of advanced practice is important for making the best use of nursing expertise to achieve optimal patient and organizational outcomes. Clinical Relevance This study addresses a knowledge gap to enrich our current understanding of the impact of advanced practice nursing roles by linking NC role practices and competencies to key outcomes.