How do CNCs construct their after hours support role in a major metropolitan hospital.
Collegian
; 16(2): 85-97, 2009.
Article
em En
| MEDLINE
| ID: mdl-19583178
ABSTRACT
AIM:
To explore how CNCs who provide hospital wide support after hours (AHCSs) construct their role.METHODS:
This is an ethnographic study involving two AHCSs as participants. Audio visual data was collected in 2007 at a Major Metropolitan Hospital, Sydney during after hours shifts. The data was coded using the standards defined in the Nurse Practitioner (NP) competencies.RESULTS:
Four hours of videotape (observed clinical practice) and 2 h of audio tape (interviews) were coded. They performed procedures (22%), gathered information to identify at risk patients (21%), conducted patient assessments (20%) and relayed information/findings to ward nurses (12%) and doctors (12%). The roles/responsibilities of AHCSs were similar to those defined for NPs. For the domain "dynamic practice" 388 activities were identified. The two participants used advanced and comprehensive assessment skills and demonstrated a high level of proficiency in performing procedures/interventions. For the domain "professional efficacy" 174 activities were coded, for "clinical Leadership" there were 135 activities. "Pro-actively identifying at risk patients in general wards" was added as a new performance indicator within the domain "clinical leadership". An analysis of the interviews corroborated the results derived from the visual data.CONCLUSION:
A significant capacity for critical thinking and clinical decision making were the hallmarks of the performance of the two AHCSs; their style of practice was collaborative, flexible and autonomous. While their formal role were as CNCs the two participants operationalised their roles/responsibilities as would a Nurse Practitioner. Their practice demonstrated a new competency "the pro-active identification of at risk patients".
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Competência Clínica
/
Plantão Médico
/
Enfermeiros Clínicos
/
Profissionais de Enfermagem
/
Recursos Humanos de Enfermagem Hospitalar
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Qualitative_research
Limite:
Humans
País/Região como assunto:
Oceania
Idioma:
En
Revista:
Collegian
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Austrália