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Advanced Clinical Practice

Consultation and clinical assessment for advanced clinical practitioners in sexual health

History taking and examination should always be undertaken with the patient's comfort in mind. While all consultation episodes should be undertaken in a sensitive and professional manner, this is...

A multidisciplinary learning approach: training, preparation and role transition

A cross-section mixed-methods design survey was developed to explore learner experiences of ANP/ACP training and role transition. Evaluation research methodologies and their application were examined...

A multidisciplinary learning approach: a narrative review

The SPIDER (sample, phenomenon of interest, design, evaluation and research type) was used to develop eligibility criteria, develop a search strategy and facilitate rigour in the research (Cooke et...

Research as part of the advanced clinical practitioner role

Healthcare is constantly changing, with the evidence base expanding exponentially (Tsay and Yang, 2005). As independent practitioners, ACPs need research capability to keep abreast of the developing...

The diagnostic reasoning involved in interpreting blood results

The body produces blood cells by a process called haemopoiesis in the bone marrow, which is a spongy tissue found in the centre of the bones. Infants produce bone marrow in most of their skeleton but,...

History taking in patients with suspected haematological disease

Blood is essential for many roles, including oxygen synthesis, transportation of nutrients and fighting infection. There are many diagnoses that can arise from changes within blood components, some...

Observed structured clinical examination as a means of assessing clinical skills competencies of ANPs

OSCEs were primarily introduced in medical education as a means of assessing the skills and ability of surgical students, rather than a test of factual knowledge (Cuschieri et al, 1979). The use of...

Chronic kidney disease and renal replacement therapy: an overview for the advanced clinical practitioner

The following broad definition of CKD from the Kidney Disease Improving Global Outcomes group (KDIGO) has been widely adopted:.

The management of delirium in the older adult in advanced nursing practice

Delirium is broadly described as a neuropsychiatric disorder of cognition, attention, consciousness or perception (Maldonado, 2018). These symptoms generally develop over a short period and can...

Critical thinking and diagnostic reasoning when advanced practitioners assess and treat skin conditions

The possible list of differential diagnoses within the integumentary system is vast (Lynch, 1994). Although it is unlikely that those working outside the dermatology specialty will have a depth of...

Consultation and clinical assessment of the genitourinary system for advanced clinical practitioners

The quality of the communication during nurse–patient consultations can have a considerable impact on patient outcomes (O’Hagan et al, 2014). Therefore, the nurse should use a combination of verbal...

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