The role of the nurse in the UK continues to develop in response to the changing healthcare needs of our population and the challenges that these present. These challenges include: an aging population, many of whom feel isolated; an increase in the incidence and prevalence of long term conditions, growing public demand, an increase in the availability of new health technologies and treatments, inefficient health systems and rising health costs; all at a time of financial austerity. The focus of national policy on finding innovative solutions to long standing problems, cost effectiveness, assessing the effectiveness of health interventions on patient outcomes, health protection and prevention, quality improvement and cutting costs by improving safety is therefore unsurprising. Nurses have always responded to the healthcare needs of their patients and clients and developed their roles accordingly; and the advanced nurse practitioner is no different. The concept of what is advanced practice has understandably changed over time, and will continue to do so. This is because it is dependent on what is understood to be the normal scope of practice of a nurse at the point of registration.
Nurse practitioner prescribing in Australia: A comprehensive literature review
Role of advanced practitioners in primary care – a literature review | Nursing Times
There has been an expansion of advanced practitioner roles, such as advanced clinical practitioners, in emergency departments EDs in recent years, with the assumption that they will positively affect the provision and quality of emergency care. This article presents a literature review which aimed to identify the evidence on the effects of advanced practitioners in emergency care. The search revealed only four papers, but these studies did identify a need for the role, and highlighted positive attitudes towards it and its potential to improve patient care. The studies also raised concerns about the lack of clarity about titles, education, skills and competence, issues that must be addressed before implementation of such roles. There is clearly an urgent need for further research, but with careful consideration and implementation, advanced clinical practitioners, like the established emergency nurse practitioner role, can positively affect emergency care provision and help address the challenges faced by EDs across the UK. Emergency Nurse. This article has been subject to external double-blind peer review and checked for plagiarism using automated software.
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Background: In Australia, the nurse practitioner NP obtained prescriptive authority in some jurisdictions in One of the key aspects in which the scope of NPs differs from Registered Nurses RNs relates to the legal privilege to prescribe medications. Although NPs have had prescriptive authority in Australia since , with access to the Commonwealth subsidy scheme PBS since , little is known about NPs prescriptive patterns or outcomes of prescriptive practice. Aim: The aim of this scoping review was to examine the extent, range and nature of research conducted in relation to NP prescribing in the Australian health context as well as identify gaps in the existing literature.