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Advanced Practice

Advanced clinical practitioners in haematology and oncology

As well as the ability to autonomously conduct history taking and physical examination skills, the ACPs in the team complete several clinical procedures including bone marrow biopsies, central venous...

General practice nurses' experiences of participation in an advanced nursing practice education programme

‘Enhanced and expanded healthcare services and interventions provided by nurses who, in an advanced capacity, influence clinical healthcare outcomes and provide direct healthcare services to...

Providing post-lung transplant care during the time of COVID-19

The Mater hospital had been preparing for the COVID-19 pandemic since December 2019 because it houses the national isolation unit for infectious diseases. This facility is designed to admit, isolate...

Exploring the benefits of structured medication reviews for frail older patients in advanced clinical practice

Frailty is a complex, multidimensional, dynamic process that is still not fully understood or clearly defined (Clegg et al, 2013). Many depict frailty as a health status related to the ageing process...

Perceptions of competency in advanced clinical practice

This study aimed to explore ACPs' perceptions of the term competency and how they evidence competency in their practice..

A study of the role and educational needs of ophthalmic specialist nurses

A survey was undertaken with questions targeted around respondent demographics, roles and educational needs based on a previous RCN ophthalmic workforce survey (Table 1). This opportunistic survey was...

In-hours acute home visits by advanced nurse practitioners in primary care: a qualitative study

The aim was to evaluate the perspectives of ANPs performing acute in-hours home visits in primary care. This enabled investigation of the ANP role in relation to the distinctive nature of the home as...

An exploratory study into the teaching of clinical examination skills in advanced practice

‘Most errors in the physical examination … [which lead to adverse outcomes] … are related to not performing an examination.’ .

From expert to advanced clinical practitioner and beyond

‘Health professionals working at the level of advanced clinical practice will exercise autonomy and decision making in a context of complexity, uncertainty and varying risk, holding accountability...

North Tyneside initiative to introduce a new nursing role in care homes

In North Tyneside, the recruitment and retention of nurses in care homes is challenging, with staff frequently moving between care providers. There is also a lack of career structure for nurses...

Introducing an ANP-led temporal artery biopsy service for patients with suspected giant cell arteritis

GCA is associated with several potentially insidious symptoms; however, none of them are specific enough (pathognomonic) to the disease to be definitively diagnostic. Typically, patients will present...

Advanced practice: critical thinking and clinical reasoning

As detailed in the table, multiple themes surrounding the cognitive and meta-cognitive processes that underpin clinical reasoning have been identified. Central to these processes is the practice of...

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