Aggarwal N. Empowering people with mental illness within health services. Acta Psychopathologica.. 2016; 2:(4)

Allan K, Killick J. Communication and relationships: an inclusive social world. Chapter 17, 2nd edn. In: Downs M, Bowers M (eds). Maidenhead: McGraw Hill Education, Open University Press; 2014

Baldwin AH. ‘Today's nurses must find time for the fluffy stuff.’ Comment. Nurs Times. 2013; 109:(33–34)

Baldwin C, Capstick A. Tom Kitwood on dementia: a reader and critical commentary.Maidenhead: McGraw Hill Education, Open University Press; 2007

Barker P. The nature of nursing. Chapter one, 2nd edn. In: Barker P (ed). London: Hodder Arnold; 2017

Barratt J, Thomas N. Nurse practitioner consultations in primary health care: patient, carer, and nurse practitioner qualitative interpretations of communication processes. Prim Health Care Res Dev. 2018; 20

Batchelor C, Owens DJ, Read M, Bloor M. Patient satisfaction studies: methodology, management and consumer evaluation. Int J Health Care Qual Assur.. 1994; 7:(7)22-30

Bauer JC. Nurse practitioners as an underutilized resource for health reform: evidence-based demonstrations of cost-effectiveness. J Am Acad Nurse Pract.. 2010; 22:(4)228-231

Bengtsson M. How to plan and perform a qualitative study using content analysis. NursingPlus Open. 2016; 2:8-14

Bentley M, Stirling C, Robinson A, Minstrell M. The nurse practitioner-client therapeutic encounter: an integrative review of interaction in aged and primary care settings. J Adv Nurs.. 2016; 72:(9)1991-2002

Berwick DM, Nolan TW, Whittington J. The triple aim: care, health, and cost. Health Aff.. 2008; 27:(3)759-769

Best practice in memory services: learning from across England. 2014. (accessed 18 August 2020)

Clibbens R, Depledge A, Hemingway S. Developing the advanced nurse practitioner role in a memory service. Br J Nurs.. 2019; 28:(19)1251-1255

Measuring patient experience. Evidence scan No 18. 2013. (accessed 18 August 2020)

Living well with dementia: a national dementia strategy.London: DH; 2009

Advanced level nursing: a position statement.London: DH; 2010

Prime minister's challenge on dementia 2020.London: DH; 2015

Donald F, Martin-Misener R, Carter N A systematic review of the effectiveness of advanced practice nurses in long-term care. J Adv Nurs.. 2013; 69:(10)2148-2161

Fortinsky RH. Diagnosis and post-diagnosis support. Chapter 19, 2nd edn. In: Downs M, Bowers M (eds). Maidenhead: McGraw Hill Education, Open University Press; 2014

Fung YL, Chan Z, Chien WT. Role performance of psychiatric nurses in advanced practice: a systematic review of the literature. J Psychiatr Ment Health Nurs.. 2014; 21:(8)698-714

Fung Y, Chan ZCY, Chien W. We are different: the voices of psychiatric advanced practice nurses on the performance of their roles. Contemp Nurse.. 2016; 52:(1)13-29

Griffiths P, Bridges J, Sheldon H, Thompson R. The role of the dementia specialist nurse in acute care: a scoping review. J Clin Nurs. 2014; 24:(9–10)1394-1405

Haidar E. Evaluating patient satisfaction with nurse practitioners. Nurs Times.. 2008; 104:(26)32-33

Health Education England. Multi-professional framework for advanced clinical practice in England. 2017. (accessed 19 August 2020)

Health Education England. Older persons' mental health competency framework. 2020. (accessed 28 August 2020)

International Council of Nurses Nurse Practitioner/Advanced Practice Nursing Network. Definition and characteristics of the role. 2020. (accessed 19 August 2020)

i5 Health. Non medical prescribing (NMP): an economic evaluation. 2015. (accessed 19 August 2020)

Kim SYH, Kim HM, Ryan KA How important is ‘accuracy’ of surrogate decision-making for research participation?. PLoS One.. 2013; 8:(1)

Lowe G, Plummer V, O'Brien AP, Boyd L. Time to clarify—the value of advanced practice nursing roles in health care. J Adv Nurs.. 2012; 68:(3)677-685

Minstrell M, Bentley M, Bucher H Open referral policy within a nurse-led memory clinic: patient demographics, assessment scores, and diagnostic profiles. Int Psychogeriatr.. 2015; 27:(6)967-979

Morilla-Herrera JC, Garcia-Mayor S, Martín-Santos FJ A systematic review of the effectiveness and roles of advanced practice nursing in older people. Int J Nurs Stud. 2016; 53:290-307

Standards for memory services, 6th edn. London: Royal College of Psychiatrists; 2018

National Institute for Health and Care Excellence. Dementia: assessment, management and support for people living with dementia and their carers. NICE guideline [NG97]. 2018. (accessed 19 August 2020)

National Institute for Health and Care Excellence. Dementia. Quality standard [QS184]. 2019. (accessed 19 August 2020)

Page S, Hope K, Bee P, Burns A. Nurses making a diagnosis of dementia—a potential change in practice?. Int J Geriatr Psychiatry.. 2008; 23:(1)27-33

Page S, Hope K. Towards new ways of working in dementia: perceptions of specialist dementia care nurses about their own level of knowledge, competence and unmet educational needs. J Psychiatr Ment Health Nurs.. 2013; 20:(6)549-556

Parker JM, Hill MN. A review of advanced practice nursing in the United States, Canada, Australia and Hong Kong Special Administrative Region (SAR), China. Int J Nurs Sci.. 2017; 4:(2)196-204

Royal College of Nursing. Advanced nurse practitioner: an RCN guide to advanced nursing practice, advanced nurse practitioners and programme accreditation. 2012. (accessed 27 August 2020)

Royal College of Nursing. RCN standards for advanced level nursing practice. 2018. (accessed 19 August 2020)

Royal Colleage of Nursing. Advanced nursing practice. 2020. (accessed 19 August 2020)

Shattell MM, Starr SS, Thomas SP. ‘Take my hand, help me out’: mental health service recipients' experience of the therapeutic relationship. Int J Ment Health Nurs.. 2007; 16:(4)274-284

Sheer B, Wong FKY. The development of advanced nursing practice globally. J Nurs Scholarsh.. 2008; 40:(3)204-211

Stirling C, Campbell B, Bentley M, Bucher H, Morrissey M. A qualitative study of patients' experiences of a nurse-led memory clinic. Dementia.. 2016; 15:(1)22-33

Service user and carer experiences of the advanced nurse practitioner role in a memory assessment team

10 September 2020
Volume 29 · Issue 16



Advanced nurse practitioners (ANPs) within memory services can support prompt diagnoses of dementia. Further understanding of the role is necessary as evidence on its effectiveness is limited.


To assess service user and carer satisfaction with the ANP role within Kirklees memory assessment team.


A cross-sectional survey was undertaken to evaluate carer and patient perceptions of the ANP role in a local memory assessment team. The survey was developed using the Royal College of Nursing's four pillars as a structure: clinical/direct care practice, leadership and collaborative practice, improving quality and developing practice, and developing self and others.


One hundred and fifteen surveys were sent out, and 85 were completed, a response rate of 73.9%. Patients expressed significant satisfaction with the ANP, in particular in the areas of direct clinical practice (84%) and quality of care received (87%).


Patients and families are highly satisfied with the service provided by the ANP. High-quality research is needed on the cost effectiveness and outcomes of ANP interventions.

Nurses are increasingly extending their scope of practice beyond initial registration in all healthcare settings. In areas such as general practice and community health, acute care and mental health, nurses are now working at an advanced practice level (Lowe et al, 2012; Royal College of Nursing (RCN), 2012; Health Education England (HEE), 2017; RCN, 2018). Advanced practice is a level of practice rather than a type or specialty of practice and relates to a range of professional backgrounds such as nursing, pharmacy, paramedics and occupational therapy (RCN, 2020). Advanced practitioners often have different titles, including advanced practice nurse, advanced nurse practitioner and clinical nurse specialist (Sheer and Wong, 2008; RCN, 2018). In keeping with the International Council of Nurses' Nurse Practitioner/Advanced Practice Nursing Network's (ICN) definition of nurse practitioner/advance practice nursing (ICN, 2020) and the RCN (2018) definition, as well as for ease of reading, this study uses use the term advanced nurse practitioner (ANP) to describe advanced-level roles; this is the term used by the healthcare trust where this study was undertaken (Clibbens et al, 2019).

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