Exploring the benefits of structured medication reviews for frail older patients in advanced clinical practice

Frailty is a complex, multidimensional, dynamic process that is still not fully understood or clearly defined (Clegg et al, 2013). Many depict frailty as a health status related to the ageing process...

Perceptions of competency in advanced clinical practice

This study aimed to explore ACPs' perceptions of the term competency and how they evidence competency in their practice..

A study of the role and educational needs of ophthalmic specialist nurses

A survey was undertaken with questions targeted around respondent demographics, roles and educational needs based on a previous RCN ophthalmic workforce survey (Table 1). This opportunistic survey was...

In-hours acute home visits by advanced nurse practitioners in primary care: a qualitative study

The aim was to evaluate the perspectives of ANPs performing acute in-hours home visits in primary care. This enabled investigation of the ANP role in relation to the distinctive nature of the home as...

An exploratory study into the teaching of clinical examination skills in advanced practice

‘Most errors in the physical examination … [which lead to adverse outcomes] … are related to not performing an examination.’ .

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