Surfacing the tensions in the advanced nurse practitioner role in a secondary care hospital: a situational analysis study

Jenkins, Marianne 2024. Surfacing the tensions in the advanced nurse practitioner role in a secondary care hospital: a situational analysis study. Cardiff University. Item availability restricted.

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Abstract

Advanced Nurse Practitioner roles have developed over the past thirty years in response to changes in healthcare services and lack of medical staff. Despite an increasing body of evidence regarding advanced nurse practitioner roles there remains challenges and misunderstanding regarding training, skills, scope of practice and safety. The aim of this study is to increase the understanding of this role (Advanced Nurse Practitioner) within an organisation (secondary care hospital). In recognition of the complexity of healthcare systems a method and methodology that can capture this complexity has been applied. Situational analysis is an evolution of grounded theory and uses a cartographic approach to illustrate the situation being examined, there are three types of maps produced from data analysis to provide an in depth understanding of the situation: • Situational map – sets out the major discursive human, nonhuman, and any other elements in the situation of inquiry. • Social world/arenas map – a meso-level interpretation of the negotiations that the collective actors and key nonhuman elements are engaged in. • Positional map – lays out the positions taken or not taken in the data as per key axes of contention within the situation of inquiry and its identified issues. A post-modern lens was applied to analyse data gathered from focus groups, interviews, and discourse within the organisation. The positional maps laid out the points of tension regarding the advanced nurse practitioner role in secondary care with the overarching concept of professional identity recognised as the source of this tension. The tension was underpinned by a lack of career pathway and conflicts between scope to practice and barrier to practice. This study has laid out the advanced nurse practitioner role in a secondary care hospital to better understand the tensions in this role. This new knowledge can better inform higher education institutes to ensure concepts of professional identity are addressed during advanced practice training. It will also inform workforce policies by providing more understanding of the Advanced Nurse Practitioner role, scope of practice and need for visibility of the role. The results of this study will provide a foundation for further research into the professional identity of Advanced Nurse Practitioners.

Item Type:	Thesis (Other)
Date Type:	Completion
Status:	Unpublished
Schools:	Healthcare Sciences
Date of First Compliant Deposit:	1 November 2024
Last Modified:	04 Nov 2024 08:37
URI:	https://orca.cardiff.ac.uk/id/eprint/173608

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