Abstract:
AIM:To report on a study examining policy development for advanced practice nursing from intent of policy to realization in practice. BACKGROUND:Inclusion of advanced practice nursing roles in the healthcare workforce is a worldwide trend. Optimal advanced nursing practice requires supportive policies. Little is known about how policy is developed and implemented. DESIGN:Ethnography using an instrumental case study approach was selected to give an in-depth understanding of the experiences of one country (Singapore) to contribute to insight into development elsewhere. METHODS:The four-phase study was conducted from 2008-2012 and included document analysis (n = 47), interviews with key policy decision makers (n = 12), interviews with nursing managers and medical directors (n = 11), interviews and participant observation with advanced practice nurses (n = 15). RESULTS:Key policymakers in positions of authority were able to promote policy development. However, this was characterized by lack of strategic planning for implementation. A vague understanding by nursing managers and medical directors of policies, the role and its position in the healthcare workforce led to indecision and uncertainty in execution. Advanced practice nurses developed their role based on theory acquired in their academic programme but were unsure what role to assume in practice. Lack of clear guidelines led to unanticipated difficulties for institutions and healthcare systems. CONCLUSION:Strategic planning could facilitate integration of advanced practice nurses into the healthcare workforce. A Conceptual Policy Framework is proposed as a guide for a coordinated approach to policy development and implementation for advanced practice nursing.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Schober MM,Gerrish K,McDonnell Adoi
10.1111/jan.12915subject
Has Abstractpub_date
2016-06-01 00:00:00pages
1313-24issue
6eissn
0309-2402issn
1365-2648journal_volume
72pub_type
杂志文章abstract:AIMS:This paper reports a study to investigate the relationships between informal and formal care, changing relationships over time, impact of integrated care, and theoretical and methodological lessons that can be drawn from research on this topic. BACKGROUND:The ratio of informal to formal care provided in nursing h...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03299.x
更新日期:2005-02-01 00:00:00
abstract:AIMS:To describe the implementation process and fidelity of two versions of a guideline-based, multicomponent intervention to reduce physical restraints in nursing homes and to identify factors that might explain the heterogeneity of effects between different clusters. DESIGN:Mixed methods evaluation of the implementa...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14694
更新日期:2020-12-03 00:00:00
abstract:AIMS:To provide: (a) an overview of interventions aimed at improving mental health of student or novice nurses; and (b) an evaluation of their effectiveness on dropout-related outcomes. DESIGN:Systematic review. DATA SOURCES:Research papers published between January 1971-February 2019 were identified from the followi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.14453
更新日期:2020-10-01 00:00:00
abstract:AIM:This paper is a report of a systematic review to identify and analyse the main factors affecting the utilization of antenatal care in developing countries. BACKGROUND:Antenatal care is a key strategy for reducing maternal mortality, but millions of women in developing countries do not receive it. DATA SOURCES:A r...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2007.04532.x
更新日期:2008-02-01 00:00:00
abstract::The validity of studies using translated instruments may be questioned when there is a lack of attention to and/or minimal explanation of the procedures used for determining the equivalence between the primary and secondary language tool. Ensuring equivalence of a translated Chinese version of the Menstrual Distress Q...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.00891.x
更新日期:1999-02-01 00:00:00
abstract:AIM:To explore how Graduate Entry Nursing students present and position themselves in practice in response to anti-intellectualist stereotypes and assessment structures. BACKGROUND:A complex background turbulence exists in nurse education which incorporates both pro- and anti-intellectualist positions. This represents...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12673
更新日期:2015-09-01 00:00:00
abstract:AIM:This study examined the relationship between sex-role stereotypes, self-concept and the requisite personality characteristics of an ideal nurse in a cohort of Hong Kong nursing students. METHODS:To rate these concepts a measure of eight comprehensive dimensions of personality perception was administered to 177 nur...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02091.x
更新日期:2002-02-01 00:00:00
abstract::Reports of fear and psychological distress on the part of nurses when caring for AIDS patients have drawn attention to the real possibility that care for this very sick group of patients may be less than adequate. This paper reviews what is currently known about the attitudes of nurses and the care provided to HIV-inf...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1991.tb01648.x
更新日期:1991-03-01 00:00:00
abstract::Whilst ethics is now commonplace on nursing curricula in the United Kingdom there remains doubt as to how and what to teach. This doubt has its origins in interlinked uncertainties within nursing, ethics and education. In nursing there are uncertainties about whether we are teaching ethics to professionalize or becaus...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.22020374.x
更新日期:1995-08-01 00:00:00
abstract:AIM:To evaluate and summarize the current evidence on the effectiveness of complementary and alternative medicine for the management of low back pain and/or pelvic pain in pregnancy. BACKGROUND:International research demonstrates that 25-30% of women use complementary and alternative medicine to manage low back and pe...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.12360
更新日期:2014-08-01 00:00:00
abstract:AIMS:The aim of this study was to examine the weighed prevalence of self-harm and its correlates among Hong Kong nurses. BACKGROUND:Recent epidemiological data suggest that the weighted prevalence of past-year suicidality among Hong Kong nurses was found to be 14·9%. Deliberate self-harm was a significant correlate of...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12987
更新日期:2016-09-01 00:00:00
abstract:AIM:This article is a report of a grounded theory study of the influence of emotions on women's selection of a method of childbirth. BACKGROUND:There is substantial evidence to indicate that a pregnant woman's emotions play an important role in the decision-making process of selecting a child delivery method. Despite ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05656.x
更新日期:2011-10-01 00:00:00
abstract:AIM OF THE PAPER:To review the literature relating to emotional labour in the workplace and identify potential sources of emotion within midwifery work. RATIONALE:There is substantial evidence to indicate that the quality of the relationship between midwife and woman is significant in determining the quality of the ch...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2001.01772.x
更新日期:2001-05-01 00:00:00
abstract:AIM:This paper is a report of part of a study to investigate the burden experienced by families giving care to a relative with dementia, the consequences of care for the mental health of the primary caregiver and the strategies families use to cope with the care giving stressors. BACKGROUND:The cost of caring for peop...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2007.04250.x
更新日期:2007-06-01 00:00:00
abstract:BACKGROUND:The Nurses' Observation Scale for Inpatient Evaluation is a 30-item scale designed in 1965 for behavioural and observational rating of psychiatric inpatients. AIM:This paper reports a re-evaluation of the Nurses' Observation Scale for Inpatient Evaluation carried out to confirm that it remains reliable in a...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03006.x
更新日期:2004-05-01 00:00:00
abstract:AIM:The aim of the study was to explore the decision-making style and ethical approach of nurse supervisors by focusing on their priorities and interventions in the supervision process. BACKGROUND:Clinical supervision promotes ethical awareness and behaviour in the nursing profession. METHODS:A focus group comprised ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02573.x
更新日期:2003-03-01 00:00:00
abstract::This paper describes the hospital-to-home transition process as experienced by elderly people with a medical diagnosis of congestive heart failure. Qualitative data were collected in semi-structured interviews with a sample of 25 older adults within 2 weeks following discharge. Constant comparative data analysis proce...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1996.tb00054.x
更新日期:1996-04-01 00:00:00
abstract:BACKGROUND:Children with congenital heart disease (CHD) commonly experience delayed growth. Because growth and development are closely related, both should be considered when a child's progress is examined. PURPOSE:This paper reports a study to evaluate and compare the growth and development of preschool children with...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03090.x
更新日期:2004-08-01 00:00:00
abstract::Liver transplantation is now the treatment of choice for patients with end-stage chronic liver disease. However, few studies have examined the recovery of liver transplant patients and no qualitative research studies have examined the experiences of these patients. Therefore the purpose of this study was to explore an...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1995.tb03107.x
更新日期:1995-12-01 00:00:00
abstract:AIM:To evaluate the effectiveness of the application of topical heat, high pressure or a combination of both on antebrachial venous cannulation. DESIGN:A cross-over clinical trial blinded for haemolysis analysis. METHODS:This cross-over clinical trial with two periods was performed in the Clinical Trial Unit of Hospi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14655
更新日期:2020-11-20 00:00:00
abstract::Dyspnoea or breathlessness is a problem commonly encountered in the palliative care of many patients with advanced cancer, although its impact on the patient is frequently under-estimated. In advanced cancer, the aim of effective management is to minimize the patient's perception of breathlessness which, in turn, depe...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1995.tb02647.x
更新日期:1995-11-01 00:00:00
abstract::Although sleep has been identified as an activity generally considered necessary for normal functioning, the nursing literature on the subject is relatively scanty. This paper is an attempt to review sleep and its relationship to nursing practice. A discussion of nursing interventions that are likely to ensure that ad...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1986.tb01272.x
更新日期:1986-07-01 00:00:00
abstract:AIM:This paper is a report of an assessment of the construct validity of the Chinese version of the Edinburgh Feeding Evaluation in Dementia scale. BACKGROUND:The Edinburgh Feeding Evaluation in Dementia scale has previously been translated and back-translated and to determine the equality of the Chinese and English v...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2008.04596.x
更新日期:2008-04-01 00:00:00
abstract:AIM:This paper is a discussion of practical wisdom (phronesis) and spirituality in holistic caring and strategies to facilitate their application in nurse education. BACKGROUND:Phronesis, with its inherent spiritual qualities, is an established aspect of the persona of excellent clinical leaders. There is a strong cas...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2008.04949.x
更新日期:2009-06-01 00:00:00
abstract::As families maintain the primary responsibility for the care of the chronic pain sufferer, this paper examines the family's aetiological role in chronic pain, the ways in which the family influences and maintains pain, and the impact that chronic pain has on the family unit. Although some of the research is contentiou...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1990.tb01905.x
更新日期:1990-07-01 00:00:00
abstract::In response to recent national changes in United Kingdom (UK) nurse education (e.g. devolution of assessment, moves to higher education, revision of the aims) and to local concerns (e.g. fairness to students, validity and reliability of written assessments, helping staff with less experience of assessment, student lea...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00690.x
更新日期:1998-08-01 00:00:00
abstract::Health and well-being are basic concepts to nursing science and also important to practical nursing care: to provide effective nursing we need to have a good understanding of both health and well-being. Experienced health has been studied quite extensively at the individual level, but the family's point of view has be...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.21810.x
更新日期:1996-09-01 00:00:00
abstract::The contexts of adherence for African Americans with high blood pressure African American men between the ages of 18 and 49 years have the lowest rates of awareness, treatment and control of high blood pressure (HBP) of all age/race/gender groups in the United States. A qualitative study was done to gain an understand...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01538.x
更新日期:2000-09-01 00:00:00
abstract:AIM:This paper is a report of a study to identify the occupational burnout profiles of a sample of nurses in Turkey and to examine alternative developmental models of burnout based on these profiles. BACKGROUND:Previous findings on causal links between components of occupational burnout have largely been inconclusive....
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2008.04818.x
更新日期:2008-12-01 00:00:00
abstract::The aim of the study reported in this paper was to examine the effect of postnatal stay on breast-feeding rates at one month using a randomized control trial. Participants were recruited during parent-craft classes at a large teaching hospital in the north of England. Nulliparous women in the last trimester of pregnan...
journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1365-2648.2000.01586.x
更新日期:2000-11-01 00:00:00