References

Barton TD, Allan D. Advanced nursing practice: changing healthcare in a changing world.London: Palgrave; 2015

Benner P. From novice to expert: excellence and power in clinical nursing practice.San Francisco (CA): Addison-Wesley; 1984

Bryant-Lukosius D, DiCenso A, Browne G, Pinelli J. Advanced practice nursing roles: development, implementation and evaluation. J Adv Nurs. 2004; 48:(5)519-29 https://doi.org/10.1111/j.1365-2648.2004.03234.x

RN-to-NP role transition: facing the challenges and improving outcomes. 2015. https://www.elitecme.com/resource-center/nursing/rn-to-np-role-transition (accessed 18 January 2021)

Castledine G. Higher level practice is in fact advanced practice. Br J Nurs. 2002; 11:(17) https://doi.org/10.12968/bjon.2002.11.17.1166

Cooper N, Frain J. ABC of clinical reasoning.Chichester: Wiley and Sons; 2017

Daly WM, Carnwell R. Nursing roles and levels of practice: a framework for differentiating between elementary, specialist and advancing nursing practice. J Clin Nurs. 2003; 12:(2)158-67 https://doi.org/10.1046/j.1365-2702.2003.00690

Department of Health. The NHS plan: a plan for investment, a plan for reform. 2000. https://tinyurl.com/y5p9ptcf (accessed 18 January 2021)

Department of Health and Social Care. Advanced level nursing: a position statement. 2010. https://tinyurl.com/hflbv22 (accessed 18 January 2021)

Harris C. Bridging the gap between acute care nurse practitioner education and practice: the need for postgraduate residency programs. Journal for Nurse Practitioners. 2014; 10:(5)331-336 https://doi.org/10.1016/j.nurpra.2014.03.003

Health and Safety Executive. The working time regulations. 2003. https://www.hse.gov.uk/contact/faqs/workingtimedirective.htm (accessed 18 January 2021)

Health Education England. Multi-professional framework for advanced clinical practice in England. 2017. https://tinyurl.com/yc9scy5w (accessed 19 January 2021)

Health Education England. Workplace supervision for advanced clinical practice: an integral multi-professional approach for practitioner development. 2020. https://tinyurl.com/y6hdeu9b (accessed 19 January 2021)

Institute for Apprenticeships and Technical Education. Advanced clinical practitioner (integrated degree). 2018. https://tinyurl.com/yccndp4u (accessed 19 January 2021)

International Council of Nurses. Guidelines on advanced practice nursing. 2020. https://tinyurl.com/yb4kd439 (accessed 19 January 2021)

The King's Fund. Workforce and skills. 2020. https://www.kingsfund.org.uk/projects/nhs-in-a-nutshell/nhs-workforce (accessed 18 January 2021)

MacLellan L, Levett-Jones T, Higgins I. Nurse practitioner role transition: a concept analysis. J Am Assoc Nurse Pract. 2015; 27:(7)389-397 https://doi.org/10.1002/2327-6924.12165

Learning trajectories, innovation and identity for professional development. In: McKee A, Eraut M (eds). New York (NY): Springer; 2012

McKimm J, Swanwick T. Clinical teaching made easy: a practical guide to teaching and learning in clinical settings.Dinton: Quay Books; 2010

Morgan C, Barry C, Barnes K. Master's programs in advanced nursing practice: new strategies to enhance course design for subspecialty training in neonatology and pediatrics. Adv Med Educ Pract. 2012; 3:129-137 https://doi.org/10.2147/AMEP.S29270

Murphy K, Mortimore G. Overcoming the challenges of role transition for trainee advanced clinical practitioners. Gastrointestinal Nursing. 2020; 18:(5)35-41 https://doi.org/10.12968/gasn.2020.18.5.35

Nursing and Midwifery Council. Standards of proficiency for nurse and midwife prescribers. 2006. https://tinyurl.com/yyc5v96p (accessed 18 January 2021)

Ormond-Walshe SE, Newham RA. Comparing and contrasting the clinical nurse specialist and the advanced nurse practitioner roles. J Nurs Manag. 2001; 9:(4)205-207 https://doi.org/10.1046/j.0966-0429.2001.00277.277.x

Quality Assurance Agency. Characteristics statement. Masters degree. 2020. https://tinyurl.com/y2ms4cez (accessed 18 January 2021)

Royal College of Emergency Medicine. Emergency care advanced clinical practitioner curriculum. Version 2. 2019. https://tinyurl.com/y64r9mos (accessed 18 January 2021)

Royal College of General Practitioners. General practice. Advanced nurse practitioner competencies. 2015. https://tinyurl.com/y3q5hoh8 (accessed 18 January 2021)

Royal College of Nursing. RCN standards for advanced level nursing practice. 2018. https://tinyurl.com/yc5gqvcl (accessed 18 January 2021)

Scott I, Spouse J. Practice based learning in nursing health and social care: mentorship, facilitation and supervision.London: Wiley Blackwell; 2013

Sharu D. From nurse to advanced nurse practitioner. In: McKee A, Eraut M (eds). New York (NY): Springer; 2012

Sibbald B, Laurant MG, Reeves D. Advanced nurse roles in UK primary care. Med J Aust. 2006; 185:(1)10-12 https://doi.org/10.5694/j.1326-5377.2006.tb00440.x

Stilwell B, Greenfield S, Drury M, Hull FM. A nurse practitioner in general practice: working style and pattern of consultations. J R Coll Gen Pract. 1987; 37:(297)154-157

The scope of professional practice.London: UKCC; 1992

Standards for specialist education and practice.London: UKCC; 1994

Wenger E. Communities of Practice, a brief introduction.Cambridge: Cambridge University Press; 2006

The ascent to advanced practice: challenges, support and opportunities

28 January 2021
7 min read
Volume 30 · Issue 2

The challenges that have an impact on the journey to advanced clinical practice are many. However, with structured support the opportunity to develop to this level can be nurtured. This article will reflect on this development and discuss some of the difficulties for trainee advanced clinical practitioners (ACPs), such as imposter syndrome, feelings of inadequacy and role transition. The article will also consider the importance of clinical supervision, mentorship and support mechanisms that may assist in developing advanced clinical practice and facilitate its progression.

Advanced clinical practice has been primarily influenced and shaped by service need and has faced, and continues to face, several challenges during its development. To meet the growing demand for timely access to health care in the UK, the nursing profession has become a focus of attention for the development of advanced clinical practice, because it is one of the largest professional groups in the NHS (The King's Fund, 2020). Although the journey continues, there have been professional developments and studies that have helped to shape the progress of advanced nursing and continue to do so.

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