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Role Development and Performance Facilitators in Advanced Practice Nursing

  • Sofia LlahanaEmail author
Chapter

Abstract

The advanced practice nurse (APN) has a multifaceted role which includes many competencies and core components. As we saw in the previous chapter, APNs work independently and are highly skilled senior nurses. Their role however does not exist in isolation and it is important to understand factors that influence the role performance and development of the APN. This chapter will provide a general overview of the factors that influence role performance and development and will discuss the contextual and organisational factors salient to the APN role. The process of role development and strategies to facilitate this process will also be discussed based on a theoretical framework of developmental phases experienced by APNs throughout their career. The literature regarding the APN role is very broad and covers a wide area of various concepts, not all related to role performance. For these reasons, a theoretical framework derived from role theory and from the author’s previous empirical work has been adopted to guide the discussion in this chapter. There is very limited literature on the role of endocrine nurses practising at an advanced level and this is either observational work or expert opinion statements such as the competence frameworks. Therefore, this chapter provides a comprehensive overview of the APN concepts in relation to role performance and development aiming to stimulate critical thinking and to generate research questions for empirical work related to advanced practice in endocrinology nursing.

Keywords

Advanced practice nursing Role performance Role development Positive and negative developmental phases Personal characteristics Contextual factors Clinical nurse specialist Nurse practitioner 

Abbreviations

APN

Advanced practice nursing

CNS

Clinical nurse specialist

NP

Nurse practitioner

CN

Consultant nurse

UK

United Kingdom

DSN

Diabetes specialist nurse

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Key Reading

  1. 1.
    Tracy MF, O’Grady E. Hamric & Hanson’s advanced practice nursing: an integrative approach. St. Louis: Elsevier; 2018.Google Scholar
  2. 2.
    Llahana S. A theoretical framework for clinical specialist nursing: an example from diabetes. Salisbury: Fivepin Publishing; 2005. Complete book available on line at: www.books.google.co.uk/books? ISBN = 1903877369.Google Scholar
  3. 3.
    Hardy ME, Conway ME. Role theory: perspectives for health professionals. 2nd ed. Norwalk: Appleton & Lange; 1988.Google Scholar
  4. 4.
    Kieffer V, Davies K, Gibson C, Middleton M, Munday J, Shalet S, Shepherd L, Yeoh P. Competency framework for adult endocrine nursing: 2nd edition. Society for Endocrinology. Endocr Connect. 2015;4:W1–W17.PubMedPubMedCentralCrossRefGoogle Scholar
  5. 5.
    Llahana SV, Hamric AB. Developmental phases and factors influencing role development in diabetes specialist nurses: a UK study. Eur Diabetes Nurs. 2011;8(1):18–23.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.School of Health Sciences, City, University of LondonLondonUK

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