References

Altmann TK An evaluation of the seminal work of Patricia Benner: theory or philosophy?. Contemp Nurse. 2007; 25:(1-2)114-23 https://doi.org/10.5172/conu.2007.25.1-2.114

Anders RL Engaging nurses in health policy in the era of COVID-19. Nurs Forum. 2021; 56:(1)89-94 https://doi.org/10.1111/nuf.12514

Bailey B, Donald F, Zubrinic M, McNabb K, Kelly H Practice patterns of nurse practitioners in a multi-site academic healthcare setting. Nurs Leadersh (Tor Ont). 2021; 34:(3)63-73 https://doi.org/10.12927/cjnl.2021.26592

Benner P: Pearson; 1984

Booth A ‘Brimful of STARLITE’: toward standards for reporting literature searches. J Med Libr Assoc. 2006; 94:(4)421-429

Brown D A Review of the PubMed PICO tool: using evidence-based practice in health education. Health Promot Pract. 2020; 21:(4)496-498 https://doi.org/10.1177/1524839919893361

Chau JPC, Lo SHS, Lam SKY, Saran R, Thompson DR Critical elements in nursing graduates' transition to advanced practice roles and their perceived impact on patient care: an exploratory, descriptive study of graduates' and their managers' perceptions. BMC Nurs. 2022; 21:(1) https://doi.org/10.1186/s12912-022-00907-0

Department of Health and Social Care. 2014. https://tinyurl.com/27c46952

Doherty DP, Hunter Revell SM, McCurry M, Asselin ME Exploring the charge nurse role transition: a qualitative study of the novice's perspective. J Nurses Prof Dev. 2022; 38:(4)196-205 https://doi.org/10.1097/NND.0000000000000780

Evans C, Pearce R, Greaves S, Blake H Advanced clinical practitioners in primary care in the UK: a qualitative study of workforce transformation. Int J Environ Res Public Health. 2020; 17:(12) https://doi.org/10.3390/ijerph17124500

Fothergill LJ, Al-Oraibi A, Houdmont J Nationwide evaluation of the advanced clinical practitioner role in England: a cross-sectional survey. BMJ Open. 2022; 12:(1) https://doi.org/10.1136/bmjopen-2021-055475

Guibert-Lacasa C, Vázquez-Calatayud M Nurses' clinical leadership in the hospital setting: a systematic review. J Nurs Manag. 2022; 30:(4)913-925 https://doi.org/10.1111/jonm.13570

Heinen M, van Oostveen C, Peters J, Vermeulen H, Huis A An integrative review of leadership competencies and attributes in advanced nursing practice. J Adv Nurs. 2019; 75:(11)2378-2392 https://doi.org/10.1111/jan.14092

Higgins A, Begley C, Lalor J, Coyne I, Murphy K, Elliott N Factors influencing advanced practitioners' ability to enact leadership: a case study within Irish healthcare. J Nurs Manag. 2014; 22:(7)894-905 https://doi.org/10.1111/jonm.12057

Hong QN, Fàbregues S, Bartlett G The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Education for Information. 2018; 34:(4)285-291 https://doi.org/10.3233/EFI-180221

Hooks C, Walker S An exploration of the role of advanced clinical practitioners in the East of England. Br J Nurs. 2020; 29:(15)864-869 https://doi.org/10.12968/bjon.2020.29.15.864

Hulse AL A multidisciplinary learning approach: training, preparation and role transition. Br J Nurs. 2022; 31:(8)430-440 https://doi.org/10.12968/bjon.2022.31.8.430

Kiger AJ Voices without volume:was the voice of nursing missing from the COVID-19 pandemic?. Nurse Lead. 2021; 19:(3)255-258 https://doi.org/10.1016/j.mnl.2021.02.011

Kouzes JM, Posner BZ, 7th edn. : Jossey-Bass; 2022

Lamb A, Martin-Misener R, Bryant-Lukosius D, Latimer M Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study. Nurs Open. 2018; 5:(3)400-413 https://doi.org/10.1002/nop2.150

Lawler J, Maclaine K, Leary A Workforce experience of the implementation of an advanced clinical practice framework in England: a mixed methods evaluation. Hum Resour Health. 2020; 18:(1) https://doi.org/10.1186/s12960-020-00539-y

Leicher B, Collins SK The transition from clinical staff member to manager. Radiol Manage. 2016; 38:(2)14-19

Ma C, Shang J, Bott MJ Linking unit collaboration and nursing leadership to nurse outcomes and quality of care. J Nurs Adm. 2015; 45:(9)435-442 https://doi.org/10.1097/NNA.0000000000000229

Manion A, Griffin PEJ, Van Dam PJ Nurses' perceptions of preparedness for acting as nurse unit managers: a cross-sectional study. Collegian. 2021; 28:(6)685-691 https://doi.org/10.1016/j.colegn.2021.02.007

McDonnell A, Goodwin E, Kennedy F, Hawley K, Gerrish K, Smith C An evaluation of the implementation of advanced nurse practitioner (ANP) roles in an acute hospital setting. J Adv Nurs. 2015; 71:(4)789-799 https://doi.org/10.1111/jan.12558

Membrive-Jiménez MJ, Pradas-Hernández L, Suleiman-Martos N Burnout in nursing managers: a systematic review and meta-analysis of related factors, levels and prevalence. Int J Environ Res Public Health. 2020; 17:(11) https://doi.org/10.3390/ijerph17113983

Morley DA, Kilgore C, Edwards M The changing role of advanced clinical practitioners working with older people during the COVID-19 pandemic: a qualitative research study. Int J Nurs Stud. 2022; 130 https://doi.org/10.1016/j.ijnurstu.2022.104235

NHS Improving Quality. 2014. https://tinyurl.com/3ydmkyed

NHS England. 2023. https://tinyurl.com/5472r843

Nieminen AL, Mannevaara B, Fagerström L Advanced practice nurses' scope of practice: a qualitative study of advanced clinical competencies. Scand J Caring Sci. 2011; 25:(4)661-670 https://doi.org/10.1111/j.1471-6712.2011.00876.x

Oxtoby K From peer to manager. Nurs Stand. 2016; 31:(9)37-38 https://doi.org/10.7748/ns.31.9.37.s42

Climbing the leadership ladder: why female nurses can struggle to reach the top. 2022. https://tinyurl.com/2usrsnhm

Page MJ, McKenzie JE, Bossuyt PM The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021; 372 https://doi.org/10.1136/bmj.n71

Sherman RO Growing our future nursing leaders. Nurs Adm Q. 2005; 29:(2)125-132 https://doi.org/10.1097/00006216-200504000-00006

Stewart-Lord A, Beanlands C, Khine R The role and development of advanced clinical practice within allied health professions: a mixed method study. J Multidiscip Healthc. 2020; 13:1705-1715 https://doi.org/10.2147/JMDH.S267083

Williamson S, Twelvetree T, Thompson J, Beaver K An ethnographic study exploring the role of ward-based advanced nurse practitioners in an acute medical setting. J Adv Nurs. 2012; 68:(7)1579-1588 https://doi.org/10.1111/j.1365-2648.2012.05970.x

Wise S Wanted: the next generation of nurse and midwifery managers. International Journal of Public Sector Management. 2007; 20:(6)473-483 https://doi.org/10.1108/09513550710818368

Wood C Leadership and management for nurses working at an advanced level. Br J Nurs. 2021; 30:(5)282-286 https://doi.org/10.12968/bjon.2021.30.5.282

Wong CA, Cummings GG, Ducharme L The relationship between nursing leadership and patient outcomes: a systematic review update. J Nurs Manag. 2013; 21:(5)709-724 https://doi.org/10.1111/jonm.12116

Woo BFY, Lee JXY, Tam WWS The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review. Hum Resour Health. 2017; 15:(1) https://doi.org/10.1186/s12960-017-0237-9

Advanced clinical practitioners' untapped potential to become managers

06 February 2025
Volume 34 · Issue 3

Abstract

Background:

Leadership and management is one of the four pillars of advanced practice, which implies that advanced clinical practitioners (ACPs) would be well positioned to take on these roles.

Aim:

This study aimed to explore whether ACPs' management responsibilities would support their transition into a clinical management role.

Method:

This mixed-method narrative literature review uses reflective thematic analysis and a deductive approach to generate themes based on the six critical tasks of a manager mapped to the four pillars of advanced clinical practice. The Mixed Methods Appraisal Tool was used to assess research quality.

Findings:

Eleven articles of varying quality were identified. Research suggests that, although ACPs can demonstrate they already have the skills to fulfil management roles, there is limited evidence that they take on these positions.

Conclusion:

ACPs have the clinical background and training to transition into management roles more easily than staff without these prerequisites. Nevertheless, there remains insufficient evidence that this is happening in practice. By promoting and encouraging this role transition, ACPs could use their breadth of skills to become future managers.

Nursing is a progressive, innovative profession that provides an opportunity for many career prospects and promotions. Given there are a multitude of work positions in the NHS, role transition offers many opportunities for career advancement in healthcare. The development of roles such as advanced clinical practitioner (ACP) allows health professionals to remain predominantly clinical by becoming experts in their fields (Health Education (HEE), 2022). Many health professionals consider these roles more attractive and better for career advancement than solely management positions.

Nevertheless, managers are needed in health. Proficient, effective managers are crucial to the NHS's ability to provide high-quality services in the face of growing demand for care. It is recognised that developing and educating future managers in the NHS is key to collaborative and accomplished working (Hulks et al, 2017). This results in high-quality health and care standards being maintained for the population (NHS Leadership Academy, 2013).

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content