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Experiences of working as an advanced practice nurse in Finland - the substance of advanced nursing practice and promoting and inhibiting factors.

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Title: Experiences of working as an advanced practice nurse in Finland - the substance of advanced nursing practice and promoting and inhibiting factors.
Authors: Wisur‐Hokkanen, Carola, Glasberg, Ann‐Louise, Mäkelä, Carita, Fagerström, Lisbeth
Source: Scandinavian Journal of Caring Sciences. Dec2015, Vol. 29 Issue 4, p793-802. 10p. 1 Diagram, 1 Chart.
Subjects: Clinical competence, Conceptual structures, Content analysis, Decision making, Experiential learning, Focus groups, Interviewing, Research methodology, Nurse practitioners, Nurses, Nursing models, Nursing specialties, Patient satisfaction, Questionnaires, Research, Research funding, Work, Teams in the workplace, Qualitative research, Occupational roles, Medical coding
Geographic Terms: Finland
Abstract: Background: Evaluation of new advanced practice nursing roles, from different angles, is strongly recommended in the literature. New nurses' experiences of working in an advanced role may highlight problems and/or factors that promote or inhibit a successful implementation of new advanced nursing roles. Aim: To explore advanced practice nurses' experiences of the content of their nursing care and to describe promoting or inhibiting factors for working with a full scope of advanced nursing practice. Methods: The study design was explorative and descriptive. A total of 24 advanced practice nurses participated in focus group interviews (two were interviewed individually) about the processes, structure and outcome of working as advanced practice nurses. Qualitative manifest content analysis was used for data analysis. Findings: The substance of advanced practice nursing can be described with three main themes: a broader and deeper holistic view of patients' state of health, an independent and responsible manner of working and knowing own limits. Promoting factors were an identity as a nurse with advanced competency, feedback from satisfied patients and fruitful teamwork is a necessity. Inhibiting factors were a lack of organisational understanding for advanced nursing practice, poor planning leads to unsatisfactory advanced practice nursing models and advanced practice nurses' lack of courage in adopting new advanced roles. Conclusion: The participants experienced both a personal inner transition and a role transition that were either supported or opposed. Vague or nonexistent definitions and concepts, insufficient knowledge, insufficient support and undefined roles hindered participants' role transition. Two main strategies should be employed. The first is the realisation of more strategic leadership and support from organisations on all management levels, including nursing organisations/unions, while the second is to more realistically prepare future advanced practice nurses for the challenges they will face, through mentorship programmes and continuous further training. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Experiences of working as an advanced practice nurse in Finland - the substance of advanced nursing practice and promoting and inhibiting factors.
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Caring+Sciences%22">Scandinavian Journal of Caring Sciences</searchLink>. Dec2015, Vol. 29 Issue 4, p793-802. 10p. 1 Diagram, 1 Chart.
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  Data: <searchLink fieldCode="DE" term="%22Finland%22">Finland</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Background: Evaluation of new advanced practice nursing roles, from different angles, is strongly recommended in the literature. New nurses' experiences of working in an advanced role may highlight problems and/or factors that promote or inhibit a successful implementation of new advanced nursing roles. Aim: To explore advanced practice nurses' experiences of the content of their nursing care and to describe promoting or inhibiting factors for working with a full scope of advanced nursing practice. Methods: The study design was explorative and descriptive. A total of 24 advanced practice nurses participated in focus group interviews (two were interviewed individually) about the processes, structure and outcome of working as advanced practice nurses. Qualitative manifest content analysis was used for data analysis. Findings: The substance of advanced practice nursing can be described with three main themes: a broader and deeper holistic view of patients' state of health, an independent and responsible manner of working and knowing own limits. Promoting factors were an identity as a nurse with advanced competency, feedback from satisfied patients and fruitful teamwork is a necessity. Inhibiting factors were a lack of organisational understanding for advanced nursing practice, poor planning leads to unsatisfactory advanced practice nursing models and advanced practice nurses' lack of courage in adopting new advanced roles. Conclusion: The participants experienced both a personal inner transition and a role transition that were either supported or opposed. Vague or nonexistent definitions and concepts, insufficient knowledge, insufficient support and undefined roles hindered participants' role transition. Two main strategies should be employed. The first is the realisation of more strategic leadership and support from organisations on all management levels, including nursing organisations/unions, while the second is to more realistically prepare future advanced practice nurses for the challenges they will face, through mentorship programmes and continuous further training. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=111812002
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1111/scs.12211
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 10
        StartPage: 793
    Subjects:
      – SubjectFull: Clinical competence
        Type: general
      – SubjectFull: Conceptual structures
        Type: general
      – SubjectFull: Content analysis
        Type: general
      – SubjectFull: Decision making
        Type: general
      – SubjectFull: Experiential learning
        Type: general
      – SubjectFull: Focus groups
        Type: general
      – SubjectFull: Interviewing
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      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Nurse practitioners
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      – SubjectFull: Nurses
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      – SubjectFull: Nursing models
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      – SubjectFull: Nursing specialties
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      – SubjectFull: Patient satisfaction
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      – SubjectFull: Qualitative research
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      – SubjectFull: Occupational roles
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      – SubjectFull: Medical coding
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      – SubjectFull: Finland
        Type: general
    Titles:
      – TitleFull: Experiences of working as an advanced practice nurse in Finland - the substance of advanced nursing practice and promoting and inhibiting factors.
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              M: 12
              Text: Dec2015
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              Y: 2015
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