Factors that influence advanced practice nurses in the影响高级实践护士的因素.pptVIP

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Factors that influence advanced practice nurses in the影响高级实践护士的因素.ppt

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Factors that influence advanced practice nurses in the影响高级实践护士的因素

* * * * * * Capacity building e.g. shadowing, link nurse schemes Clinical problem solving e.g. working with frontline staff to solve clinical problems and using this as an opportunity to promote evidence-based practice Facilitating change We can take (research into silver coated catheters) to the trust board and say ‘look if we go with this we can reduce UTIs (urinary tract infections) by this amount’ and argue about balancing cost with effectiveness Personal attributes Clinically credible street wise Political acumen Interpersonal skills Transformational leadership style – compliment rather than substitute for FLS Support from senior manager and doctors Characteristics of role Organisational commitment Professional networks – internal and external Educational implications for APNs Need to develop skills to become effective evidence-brokers Educational implications for frontline staff Need to develop knowledge and skills in evidence-based practice and critical thinking Infrastructure to support APNs in knowledge-brokering Practical assistance (e.g. clinical audit) and resources (e.g. IT need to be available Impact of APNs is hard to capture Project Team: Kate Gerrish, Ann McDonnell, Fiona Kennedy(funded by the Burdett Trust for Nursing) Nurse consultants (NC) introduced into the NHS in England in 2000 Set up to achieve better outcomes for patients by improving quality and services and to provide an alternative career pathway for experienced practitioners to remain in clinical practice rather than move into education, management or research Impact of these multi-faceted roles is inherently hard to capture (Guest et al. 2004). To identify a range of indicators to demonstrate the impact of nurse consultants on patient, staff and organisational outcomes To develop a toolkit/guidance to help nurse consultants to demonstrate their impact on patient, staff and organisational outcomes 2 year project; commenced May 2009 Stage 1 - Systematic literature revie