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Advanced clinical practice

The diagnosis and management of acute hyponatraemia in critical care

The recognised normal range for serum sodium concentration (SNa) in adults is accepted as 135-145 millimoles per litre (mmol/litre). Hyponatraemia is more commonly an excess of total body water rather...

Adult liver transplantation for the advanced clinical practitioner: an overview

Seven LT units offer assessment and subsequent LT services in the UK (see Box 1). These units are often associated or combined with other organ transplant services due to significant crossover in the...

The impact of clinical simulation on the development of advanced practice skills

Simulation has been used in medical, nursing and dental education for the past 60 years (DH, 2011). It is defined as:.

Assessing the impact of introducing trainee advanced clinical practitioners onto an acute oncology triage unit

The acute oncology triage unit at The Royal Wolverhampton NHS Trust sees oncology and haematology patients presenting with various side effects of systemic anti-cancer therapy (SACT) and complications...

Critical thinking and diagnostic reasoning for advanced clinical practitioners in sexual health

As highlighted in the previous article (McPhillips and Wood, 2022) consent is critical when pursuing any sexual health examination and/or investigation. It may be given either orally, in writing or...

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...

Renal and ureteric stones: a clinical review

Stones form in the presence of increased urinary supersaturation, which occurs when the urine solvent contains more solutes than it can hold in solution (Khan et al, 2016). Supersaturation results in...

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...

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:.

Taking advanced clinical practice to the streets: an evaluation of the benefits and challenges in homeless health care

The definition of homelessness includes people sleeping rough, sofa-surfing or living in squats, emergency shelters or hostels (Homeless Link, 2014). Socially excluded people are 10 times more likely...

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..

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...

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