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Service user and carer experiences of the advanced nurse practitioner role in a memory assessment team

10 September 2020
Professional
02 September 2020
Volume 29 · Issue 16

Abstract

Background:

Advanced nurse practitioners (ANPs) within memory services can support prompt diagnoses of dementia. Further understanding of the role is necessary as evidence on its effectiveness is limited.

Aim:

To assess service user and carer satisfaction with the ANP role within Kirklees memory assessment team.

Methods:

A cross-sectional survey was undertaken to evaluate carer and patient perceptions of the ANP role in a local memory assessment team. The survey was developed using the Royal College of Nursing's four pillars as a structure: clinical/direct care practice, leadership and collaborative practice, improving quality and developing practice, and developing self and others.

Results:

One hundred and fifteen surveys were sent out, and 85 were completed, a response rate of 73.9%. Patients expressed significant satisfaction with the ANP, in particular in the areas of direct clinical practice (84%) and quality of care received (87%).

Conclusion:

Patients and families are highly satisfied with the service provided by the ANP. High-quality research is needed on the cost effectiveness and outcomes of ANP interventions.

Nurses are increasingly extending their scope of practice beyond initial registration in all healthcare settings. In areas such as general practice and community health, acute care and mental health, nurses are now working at an advanced practice level (Lowe et al, 2012; Royal College of Nursing (RCN), 2012; Health Education England (HEE), 2017; RCN, 2018). Advanced practice is a level of practice rather than a type or specialty of practice and relates to a range of professional backgrounds such as nursing, pharmacy, paramedics and occupational therapy (RCN, 2020). Advanced practitioners often have different titles, including advanced practice nurse, advanced nurse practitioner and clinical nurse specialist (Sheer and Wong, 2008; RCN, 2018). In keeping with the International Council of Nurses' Nurse Practitioner/Advanced Practice Nursing Network's (ICN) definition of nurse practitioner/advance practice nursing (ICN, 2020) and the RCN (2018) definition, as well as for ease of reading, this study uses use the term advanced nurse practitioner (ANP) to describe advanced-level roles; this is the term used by the healthcare trust where this study was undertaken (Clibbens et al, 2019).

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Advanced nurse practitioner
Mental health
Memory services
Dementia
Diagnosis