There is indication here that the role of the nurse practitioner
is not fully understood. When understanding of the
role was measured on a scale of 1–5, both nurses and doctors
rated their understanding lower than allied health staff
(means of 388, 387 and 433, respectively). Furthermore,
there was reported confusion around role clarity between
different advanced practice nursing roles. This role ambiguity
is the topic of discussion in the international literature
and is the basis of ongoing Australian research (Gardner
et al. 2007, Chang et al. 2010). That role ambiguity influenced
implementation of nurse practitioner service in this
audit supports the international call (Currie et al. 2007,
Brook & Rushforth 2011, Lowe et al. 2012) for
clarity around advanced practice nursing roles and service
models.
The results relating to role clarity signal a potential problem
for health facilities in terms of implementing nurse
practitioner service. It is clear that more consultation across
all disciplines is necessary in the planning and implementation
of the nurse practitioner role. This is supported in the
literature (Considine & Fielding 2010). Furthermore, clarity
is needed around the scope of practice and targeted engagement
of this with diagnostic services. There is a need to
address role differentiation between nurse practitioners and
other advanced practice nursing roles.
There is indication here that the role of the nurse practitioner
is not fully understood. When understanding of the
role was measured on a scale of 1–5, both nurses and doctors
rated their understanding lower than allied health staff
(means of 388, 387 and 433, respectively). Furthermore,
there was reported confusion around role clarity between
different advanced practice nursing roles. This role ambiguity
is the topic of discussion in the international literature
and is the basis of ongoing Australian research (Gardner
et al. 2007, Chang et al. 2010). That role ambiguity influenced
implementation of nurse practitioner service in this
audit supports the international call (Currie et al. 2007,
Brook & Rushforth 2011, Lowe et al. 2012) for
clarity around advanced practice nursing roles and service
models.
The results relating to role clarity signal a potential problem
for health facilities in terms of implementing nurse
practitioner service. It is clear that more consultation across
all disciplines is necessary in the planning and implementation
of the nurse practitioner role. This is supported in the
literature (Considine & Fielding 2010). Furthermore, clarity
is needed around the scope of practice and targeted engagement
of this with diagnostic services. There is a need to
address role differentiation between nurse practitioners and
other advanced practice nursing roles.
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