Abstract:
OBJECTIVES:To understand the challenges and opportunities associated with the introduction of assistant practitioner (AP) roles supporting the work of ward-based registered nurses (RNs) in National Health Service (NHS) acute hospital trusts in England. METHODS:Three case studies of NHS acute hospital trusts. This paper presents qualitative findings, drawing on documentary data sources and data generated through interviews and focus group discussions. RESULTS:Introduction of APs into ward-based nursing teams has been variable, and often driven by external pressures rather than perceived organizational need. This, along with little national guidance, has created some confusion about the role, but at the same time has permitted flexible role development through 'negotiated compromise' at local level. While there are various areas of potential improvement in policy and practice, APs are generally perceived to have the potential to make a valuable contribution to patient care. CONCLUSIONS:Findings from this study will help policy-makers, organizations and practitioners understand factors that enable and/or inhibit the integration of new assistant roles within existing occupational structures to develop innovative services and enhance patient care. These factors are important when considering how care will be delivered to maximize the skills of the entire nursing workforce.
journal_name
J Health Serv Res Policyjournal_title
Journal of health services research & policyauthors
Spilsbury K,Adamson J,Atkin K,Bloor K,Carr-Hill R,McCaughan D,McKenna H,Wakefield Adoi
10.1258/jhsrp.2011.010106subject
Has Abstractpub_date
2011-04-01 00:00:00pages
50-6eissn
1355-8196issn
1758-1060pii
16/suppl_1/50journal_volume
16 Suppl 1pub_type
杂志文章abstract:OBJECTIVES:To examine the influence of the English National Health Service (NHS) South and West (S&W) region Development and Evaluation Committee (DEC) technology appraisal reports on purchasing and clinical decisions in the S&W and elsewhere in the NHS, and to estimate the cost of the DEC process. METHODS:Two postal ...
journal_title:Journal of health services research & policy
pub_type: 杂志文章
doi:10.1177/135581960300800106
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journal_title:Journal of health services research & policy
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journal_title:Journal of health services research & policy
pub_type: 杂志文章,评审
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journal_title:Journal of health services research & policy
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更新日期:2004-07-01 00:00:00
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journal_title:Journal of health services research & policy
pub_type: 杂志文章
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abstract:OBJECTIVES:to determine the extent and nature of the decisions individuals are asked to make as in-patients, and whether doctors, nurses, other health care practitioners, and housekeepers engaged in routine (non-emergency) medical assessments, investigations and treatments, or acts of personal care observe the Referenc...
journal_title:Journal of health services research & policy
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journal_title:Journal of health services research & policy
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journal_title:Journal of health services research & policy
pub_type: 杂志文章
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journal_title:Journal of health services research & policy
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pub_type: 杂志文章
doi:10.1258/jhsrp.2009.009025
更新日期:2009-07-01 00:00:00
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journal_title:Journal of health services research & policy
pub_type: 杂志文章,评审
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更新日期:2004-01-01 00:00:00
abstract::We summarise and evaluate Harris' criticisms of cost-effectiveness analysis (CEA) and the alternative processes he commends to health care decision makers. In contrast to CEA, Harris' asserts that individuals have a right to life-saving treatment that cannot be denied on the basis of their capacity to benefit. We conc...
journal_title:Journal of health services research & policy
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journal_title:Journal of health services research & policy
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更新日期:2019-01-01 00:00:00
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journal_title:Journal of health services research & policy
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更新日期:1996-07-01 00:00:00
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journal_title:Journal of health services research & policy
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2005-07-01 00:00:00
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journal_title:Journal of health services research & policy
pub_type: 杂志文章
doi:10.1177/1355819615599014
更新日期:2016-04-01 00:00:00
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journal_title:Journal of health services research & policy
pub_type: 杂志文章
doi:10.1258/jhsrp.2008.008012
更新日期:2008-10-01 00:00:00
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journal_title:Journal of health services research & policy
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journal_title:Journal of health services research & policy
pub_type: 杂志文章
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更新日期:2002-10-01 00:00:00
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journal_title:Journal of health services research & policy
pub_type: 杂志文章
doi:10.1258/jhsrp.2008.008048
更新日期:2008-10-01 00:00:00
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更新日期:2013-10-01 00:00:00
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journal_title:Journal of health services research & policy
pub_type: 杂志文章
doi:10.1258/135581903321466058
更新日期:2003-04-01 00:00:00
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journal_title:Journal of health services research & policy
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2008-01-01 00:00:00
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journal_title:Journal of health services research & policy
pub_type: 杂志文章
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更新日期:1997-10-01 00:00:00
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journal_title:Journal of health services research & policy
pub_type: 杂志文章
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更新日期:2010-07-01 00:00:00
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journal_title:Journal of health services research & policy
pub_type: 杂志文章
doi:10.1258/jhsrp.2008.008085
更新日期:2009-04-01 00:00:00