Advanced Practice in Nursing and the Allied Health Professions enables nurses and members of allied health professions to effectively diagnose and treat patients, in a wide variety of settings. It is especially relevant in regions where access to other health providers is limited. This new, completely revised, third edition shows how advanced practice continues to develop in response to the impact of health service reforms, the introduction of health policies aimed at developing a patient-led service based in primary care and changes in working conditions. Advanced Practice in Nursing and the Allied Health Professions presents an examination of the potential for advanced practitioners, at all levels, to have a significant effect on the health of the population and provide holistic care for the sick. Practice is identified as the central and most important feature of the advanced role in nursing and allied health professions. Advanced Practice in Nursing and the Allied Health Professions also considers: The development of advanced practice in nursing and the allied health professions and the implications for future health and social care services; Challenging professional boundaries that hinder the provision of care and pioneering innovation within a diverse society; The relationship between health policy and service reforms, current and future advanced roles; International developments in advanced practice; Leadership, management in relation to advanced roles; The responsibilities of advanced practitioners in meeting healthcare needs in a diverse society; Educating advanced practitioners and tracking their career development; The future possibilities for advanced practice and an agenda for research.
Contributors. Introduction. 1 The Development of Advanced Nursing Practice in the United Kingdom ( Paula McGee ). Introduction. Health policies and reforms. The UKCC and higher-level practice. The interface with medicine. The introduction of new roles. Modern matrons. Nurse consultants. Physicians' assistants. Nurse practitioners and the Royal College of Nursing. The Nursing and Midwifery Council. Conclusion. Key questions for Chapter 1. References. 2 UK Health Policy and Health Service Reform ( Alistair Hewison ). Introduction. The policy process. Labour health policy since 1997. UK health policy and its implications for advanced nursing practice. Advanced nursing practice. Advanced nurses as policy implementers. Conclusion. Key questions for Chapter 2. References. 3 Advanced Practice in Allied Health Professions ( Paula McGee and David Cole ). Introduction. The introduction of the consultant allied health professional. Physiotherapy. Radiography and sonography. Sonography: an example of advanced radiography role. Are these new roles in physiotherapy and radiography/sonography advanced? Conclusion. Key questions for Chapter 3. References. 4 The Conceptualisation of Advanced Practice ( Paula McGee ). Introduction. The context of the development of advanced practice. The nature of advanced practice. Professional maturity. Challenging professional boundaries. Pioneering innovations. Is advanced practice a generic term?. Conclusion. Key questions for Chapter 4. References. 5 Advanced Assessment and Differential Diagnosis ( Paula McGee ). Introduction. The nature of advanced assessment. Types of advanced assessment. Conducting an advanced assessment. Limitations of advanced assessment. Formulating a differential diagnosis. Conclusion. Key questions for Chapter 5. References. 6 Prescribing and Advanced Practice ( Sue Shortland and Katharine Hardware ). Introduction. Recent developments in non-medical prescribing. Preparation for prescribing. Who may prescribe what?. Nurses. Allied health professionals. Controlled medicines. Patient group directions. Emergency situations. The principles of safe prescribing. Safety and clinical governance. The future of non-medical prescribing. Conclusion. Key questions for Chapter 6. References. 7 Advanced Practice in Dietetics ( Linda Hindle ). Introduction. Reasons for the development of consultant roles in dietetics. The consultant role. Working as a consultant in obesity management. Role development. Clinical practice. Professional leadership. Education, training and professional development. Service development, research and evaluation. Setting up a consultant post. Examples of dietetic consultant roles. Conclusion - the future for consultant dietitians. Key questions for Chapter 7. Acknowledgements. References. 8 Advanced Practice in Occupational Therapy ( Lynne Frith and Janette Walsh ). Introduction. Advanced practice in occupational therapy. Specialist roles in occupational therapy. Clinical caseload and expertise. Clinical leadership. Clinical teaching and mentoring. Specialist advisory role. Consultant roles in occupational therapy. Expert clinical practice. Practice and service development. Professional leadership and consultancy. Research audit and evaluation. Education, training and development. The clinical specialist and consultant occupational therapist as advanced roles. Current issues for consultant occupational therapists. The future for occupational therapists. Conclusion. Key questions for Chapter 8. References. 9 Working as an Advanced Nurse Practitioner ( Mark Radford ). Introduction. Defining a need. Organisational preparation. Job planning. Maintaining focus and delivery. Developing strategic influence. Consultancy and entrepreneurship. Review and evaluation. Career progression. Conclusion. Key questions for Chapter 9. Acknowledgements. References. 10 Pioneering New Practice ( Kate Gee ). Introduction. Background to the quadrant model. The quadrant model. Quadrant 1: pioneering innovations in technical acute cure cultures. Quadrant 2: pioneering innovations in high-technology/care cultures. Quadrant 3: pioneering innovation in low-technology/cure cultures - strategies for patient education and rehabilitation. Development of ICD nursing expertise. Development of heart failure nursing expertise. Quadrant 4: pioneering innovations in low-technology/care quadrant. Conclusion. Key questions for Chapter 10. References. 11 Cultural Competence in Advanced Practice ( Paula McGee ). Introduction. Culture and equality. Cultural relationships among health, illness, treatment and care. Theoretical approaches to culturally competent practice. Papadopoulos, Tilki and Taylor's theory of cultural competence. Purnell and Paulanka's theory of cultural competence. McGee's theory of cultural competence. Relevance of theory to advanced practice. Conclusion. Key questions for Chapter 11. References. 12 Leadership in Advanced Practice: Challenging Professional Boundaries ( Sally Shaw ). Introduction. Leadership in advanced practice. Theories and characteristics of leadership. What leadership is not. Leadership can be learned. What is leadership? Theories of leadership. Key elements of leadership. Other important leadership characteristics. The setting for leadership. The followers. Leadership styles and their relevance for advanced practice. Sustaining and nurturing leaders. Indicators of effective leadership. Conclusion. Key questions for Chapter 12. Acknowledgements. References. 13 Management Issues in Advanced Practice ( Paula McGee and Mark Radford ). Introduction. Managing the self. Management issues and their implications for advanced practitioners. Current health service priorities. Modernising health professionals' careers. Patient and public involvement in health care. The strategic and business plans. Managing advanced practice roles. The advanced practitioner as manager. Conclusion. Key questions for Chapter 13. References. 14 The Preparation of Advanced Practitioners ( Paula McGee ). Introduction. The concept of competence. Competencies for advanced practice. The educational preparation of advanced practitioners. Clinical doctorates. Conclusion. Key questions for Chapter 14. References. 15 The Careers of Advanced Practitioners ( Chris Inman and Paula McGee ). Introduction. Context of the survey. Findings. Employment issues. Perceptions of the role and its effects on practice. Evaluation of the advanced practice role. Perceived helpfulness of the preparation for the advanced practice role. Career development. Consultant practitioners. Discussion. Conclusion. Key questions for Chapter 15. References. 16 An International Perspective of Advanced Nursing Practice ( Madrean Schober ). Introduction. Factors contributing to the emergence of advanced nursing practice globally. Extent of international presence. An international presence marked by confusion. Advanced nursing practice defined: an international view. Characteristics. Country illustrations of development. The role of international organisations. Scope of practice, regulation and standards. Practice settings. Interaction with health professionals. Future directions in advanced nursing practice. Conclusion. Key questions for Chapter 16. Acknowledgements. References. 17 The Future for Advanced Practice ( Paula McGee ). Introduction. An agenda for research. Direct practice. Collaboration with service users. Diversity and inclusiveness. Professional regulation and control. Education and assessment. Recording developments. Conclusion. References. Index.
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