From expert to advanced clinical practitioner and beyond

‘Health professionals working at the level of advanced clinical practice will exercise autonomy and decision making in a context of complexity, uncertainty and varying risk, holding accountability...

Introducing an ANP-led temporal artery biopsy service for patients with suspected giant cell arteritis

GCA is associated with several potentially insidious symptoms; however, none of them are specific enough (pathognomonic) to the disease to be definitively diagnostic. Typically, patients will present...

Advanced practice: critical thinking and clinical reasoning

As detailed in the table, multiple themes surrounding the cognitive and meta-cognitive processes that underpin clinical reasoning have been identified. Central to these processes is the practice of...

Evaluation of the safety of inter-hospital transfers of critically ill patients led by advanced critical care practitioners

An ACCP-led transfer service has replaced an ad hoc process of transfer, with one of a consistent team combined with a process of training, governance and continual review. Data collection has allowed...

Clinical supervision for advanced practitioners

Clinical supervision is clearly an important factor in the development of ACPs. With the advent of the HEE (2020) workplace supervision document, it can only be hoped that its necessity and importance...

Workforce issues: the blurring of boundaries in surgical care

The management of urinary tract infections in older patients within an urgent care out-of-hours setting

UTI is defined as an infection of the urinary system, involving lower tract, upper tract or both (NICE, 2020a). The pathogens responsible for UTI include Escherichia coli (E. coli), which accounts for...

Critiquing a published healthcare research paper

For those embarking on a higher degree such as a master's, taught doctorate, or a doctor of philosophy, the relationship between research, knowledge production and knowledge utilisation becomes clear...