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Latest Content from International Journal of Advancing Practice

What is the lived experience of advanced nurse practitioners of managing risk and patient safety in acute settings? A phenomenological perspective

Phenomenology is an inductive, qualitative research method for investigating the lived experience of a phenomenon; it can be used to understand what something is like for an individual (Leedy and...

Should advanced practitioners consider critical realism as a distinctive epistemological position for social scientific enquiry?

The author's perspective is based on her general worldview, or Weltanschauung—the worldview of an individual. These are the underpinning beliefs and assumptions associated with the author's general...

Exploring the role of advanced clinical practitioners in the UK

The role of nurses with advanced practice skills was originally acknowledged in the US in the 1960s (Swaby et al, 2022). The recognition of the need for advanced practice development in the UK is...

The co-delivery of advanced clinical practice programmes: promoting equitable student experiences

The introduction of the ACP programme accreditation aims to maintain a level of consistency and quality assurance to uphold patient safety and clinical excellence (NHS England, 2021). Traditional ACP...

Exploring the effectiveness of advanced practice physiotherapist roles in assessing patients with frailty in the emergency department

The aim of this study investigates the impact of a tAPP review of patients with frailty in the acute setting, as part of the physiotherapist role extension.

Exploring ontological and epistemological foundations for advanced clinical practitioners: bridging research and practice

Ontology, the branch of philosophy dealing with the nature of existence, provides the conceptual framework for understanding reality and the nature of being (Berryman, 2019). Within the realm of...

Alternative format doctorate: an exploration of the role of PhD by publication in developing research skills to advance practice

Research, including its creation, understanding, and dissemination, is identified as the fourth fundamental pillar of the advanced practitioner role in the UK. (Health Education England, 2017)....

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Insights on advanced nurse practitioner-led coronary CT angiogram referrals: medicolegal, competence and governance in Ireland

The evolution of advanced practice nursing in Ireland is a testament to progressive legislation and stakeholder collaboration (Government of Ireland, 1998; National Council for the Professional...

Reflection on the sustainability of newly implemented nurse practitioner roles in Switzerland: a case study

There is a lack of literature regarding sustainability in newly implemented nurse practitioner roles. However, both hindering and supporting factors concerning the sustainability of the APN roles have...

Bridging the expectation–reality gap in advanced clinical practice

Scott's mixed-methods study gathered insights from UK-based ACPs, identifying five key themes that illustrate the gap between ACPs' expectations and reality: clinical and non-clinical balance; full...

More from IJAP

What are advanced clinical practitioners' expectations of the benefits of pursuing the role, and are these being realised?

This cross-sectional study uses a sequential, mixed-methods, exploratory design, in which themes identified during focus groups were used to construct a follow-up questionnaire. Using maximum...

Malnutrition in frail older adults and the risk of refeeding syndrome: a clinical review

In those that are malnourished, the risk of refeeding syndrome (RFS) should be considered. RFS is ill-defined, but broadly recognised as a severe fluid and electrolyte shift when malnourished patients...

Physiotherapy advanced clinical practitioners in an inpatient medical team: opportunities and challenges

Community hospitals, which support inpatients that require less acute intervention but are unable to return home safely (Gladman et al, 2017), face unprecedented demand and strain (NHS Digital, 2021;...

Advanced practitioners working with older people in primary care and community settings: a survey of roles and use of technology

The aim of this study was to understand current roles and practice of APs working with older people living with frailty in primary care and community settings in the UK. The objectives were to:.

Developing the clinical nurse specialist role in Indonesia: increasing high-quality nursing care

In 1900, Indonesia was a Dutch colony and known as the Dutch East Indies. Over time, and in response to nursing workforce shortages, Dutch colonists trained local Indonesians to become nurses....

Advanced practice nursing in the United States: autonomy and full practice authority

Practice authority variation exists by state, with some states allowing FPA and others restricting or reducing NPs' ability to practice. There are three levels of practice:.

A mixed-method review of the efficacy of a virtual fracture clinic: an 8-year follow up

This study aimed to explore the benefits, challenges and outcomes of a VFCs over a 8-year period. The objectives were to evaluate the:.

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