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Advanced practice

Advanced airway management and drug-assisted intubation skills in an advanced critical care practitioner team

The ACCP team has developed over an 8-year period within a conglomerate of three district general hospitals (Heartlands, Goodhope and Solihull hospitals, HGS) comprising 26 critical care beds. The...

Surgical care practitioners: an audit across the surgical specialties

Surgical care practitioners (SCPs) are permanent members of the surgical team and therefore maintain service provision and provide continuity of care to the patient (Nicholas, 2010). According to the...

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...

Exploring the role of the nutrition nurse specialist in an intestinal failure tertiary referral centre

Intestinal failure is described as a reduction in gut function, to the extent that adequate absorption of nutrients and/or water and electrolytes is impeded, leading to the need for intravenous (IV)...

Prescribing practice: an overview of the principles

UK prescribing law is ever changing, so it is important that prescribers consistently update their knowledge of legislation. There are several legal, professional, and regulatory frameworks to support...

An exploratory study into the teaching of clinical examination skills in advanced practice

‘Most errors in the physical examination … [which lead to adverse outcomes] … are related to not performing an examination.’ .

Advanced practice: critical thinking and clinical reasoning

As detailed in the table, multiple themes surrounding the cognitive and meta-cognitive processes that underpin clinical reasoning have been identified. Central to these processes is the practice of...

Critiquing a published healthcare research paper

For those embarking on a higher degree such as a master's, taught doctorate, or a doctor of philosophy, the relationship between research, knowledge production and knowledge utilisation becomes clear...

Undertaking consultations and clinical assessments at advanced level

Communication with patients is key to all aspects of clinical practice. Seminal NHS frameworks and policy drivers place effective communication at the core of providing a person-centred approach in...

The role of the registered nurse first assistant within the perioperative setting

An RNFA is a non-medical practitioner who performs surgical interventions during surgery and provides medical care to the perioperative patient under the supervision of a consultant surgeon (AORN,...

The knowledge and skills required of advanced level practitioners for accreditation and safe practice

The advanced level practice role started within the nursing profession in the 1960s in the USA. In the UK, advanced practice has had a mixed history since the role was first defined in 1993 by the...

Introducing advanced level practice and the scope of developing new roles

According to HEE (2017), advanced clinical practice is delivered by experienced, registered health and care practitioners. HEE (2017) defines it as ‘a level of practice characterised by a high degree...

An exploration of providing mental health skills in a generic advanced clinical practice programme

The aim of this research was to investigate the efficacy of mental health-specific content within an MSc ACP generic programme designed for healthcare disciplines including adult nurses, paediatric...

Non-medical prescribing of systemic anticancer therapy in a multidisciplinary team oncology clinic

As Lead Nurse of the Royal Free London NHS Foundation Trust Neuroendocrine Tumour Unit (a European Neuroendocrine Tumour Society (ENETS) centre of excellence), the author wanted to help improve the...

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