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Title: An exploratory study on exemplary practice of nurse consultants
Authors: Wong, FKY 
Lau, ATY 
Ng, R
Wong, EWY
Wong, SM
Kan, ECY
Liu, E
Bryant-Lukosius, D
Keywords: Nurse consultant
Advanced practice nursing
Career laddering
Issue Date: 2017
Publisher: Wiley-Blackwell
Source: Journal of nursing scholarship, 2017, v. 49, no. 5, p. 548-556 How to cite?
Journal: Journal of nursing scholarship 
Abstract: PurposeTo examine the exemplary practice of nurse consultants (NCs) and derive a model to illustrate the highest level of advanced nursing practice. DesignA descriptive study was conducted to examine the practice and outcomes of seven NC roles in varied clinical specialties in Hong Kong. Exemplary practice was examined in relation to competencies for advanced practice nursing in Hong Kong and the United Kingdom. MethodsData about NC characteristics and their practices were collected using a structured questionnaire and analyzed using descriptive statistics. Health service documents and clinical notes were analyzed using the framework approach. FindingsAll NCs demonstrated the competence expected of an advanced practice nurse with impacts on patients, nursing profession, and the organization as identified in the advanced nursing practice framework in Hong Kong. NCs also performed at the highest level of practice delineated by Skills for Health in the United Kingdom. They were involved in diagnostic and therapeutic practice, and identified patient satisfaction and symptom management as key outcomes. ConclusionsThis study provides new insight into levels of advanced practice and illustrates the exemplary work of NCs to demonstrate how they have developed and shaped services to bring about positive patient and organizational outcomes. Career laddering that places NCs at the highest level of advanced practice is important for making the best use of nursing expertise to achieve optimal patient and organizational outcomes. Clinical RelevanceThis study addresses a knowledge gap to enrich our current understanding of the impact of advanced practice nursing roles by linking NC role practices and competencies to key outcomes.
ISSN: 1527-6546
EISSN: 1547-5069
DOI: 10.1111/jnu.12324
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