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Advanced clinical practice

The ethics of clinically assisted nutrition and hydration in adults and the role of the advanced clinical practitioner

ACPs play a pivotal role in CANH decision-making processes by using their advanced clinical skills and expertise to assess patients' nutritional needs, evaluate the appropriateness of CANH...

Assessing the benefits of advanced clinical practice for key stakeholders

The discussion below is based on the findings of a mixed-methods systematic literature review (Table 1), using the STARLITE (sampling strategy, type of study, approaches, range of years, limits,...

Septic pulmonary emboli: a case discussion

It is estimated that there are over 15.6 million intravenous drug users worldwide, although it is acknowledged that this may be a gross underestimation due to the illegality and stigma associated with...

The role of the advanced clinical practitioner in arthroplasty care

Despite being well-established for a number of years there has been very little written about the role of the ACP in arthroplasty care, reflecting a dearth of evidence to support the efficacy of the...

The diagnosis and management of acute hyponatraemia in critical care

The recognised normal range for serum sodium concentration (SNa) in adults is accepted as 135-145 millimoles per litre (mmol/litre). Hyponatraemia is more commonly an excess of total body water rather...

Adult liver transplantation for the advanced clinical practitioner: an overview

Seven LT units offer assessment and subsequent LT services in the UK (see Box 1). These units are often associated or combined with other organ transplant services due to significant crossover in the...

The impact of clinical simulation on the development of advanced practice skills

Simulation has been used in medical, nursing and dental education for the past 60 years (DH, 2011). It is defined as:.

Assessing the impact of introducing trainee advanced clinical practitioners onto an acute oncology triage unit

The acute oncology triage unit at The Royal Wolverhampton NHS Trust sees oncology and haematology patients presenting with various side effects of systemic anti-cancer therapy (SACT) and complications...

Critical thinking and diagnostic reasoning for advanced clinical practitioners in sexual health

As highlighted in the previous article (McPhillips and Wood, 2022) consent is critical when pursuing any sexual health examination and/or investigation. It may be given either orally, in writing or...

Consultation and clinical assessment for advanced clinical practitioners in sexual health

History taking and examination should always be undertaken with the patient's comfort in mind. While all consultation episodes should be undertaken in a sensitive and professional manner, this is...

Renal and ureteric stones: a clinical review

Stones form in the presence of increased urinary supersaturation, which occurs when the urine solvent contains more solutes than it can hold in solution (Khan et al, 2016). Supersaturation results in...

A multidisciplinary learning approach: training, preparation and role transition

A cross-section mixed-methods design survey was developed to explore learner experiences of ANP/ACP training and role transition. Evaluation research methodologies and their application were examined...

A multidisciplinary learning approach: a narrative review

The SPIDER (sample, phenomenon of interest, design, evaluation and research type) was used to develop eligibility criteria, develop a search strategy and facilitate rigour in the research (Cooke et...

Research as part of the advanced clinical practitioner role

Healthcare is constantly changing, with the evidence base expanding exponentially (Tsay and Yang, 2005). As independent practitioners, ACPs need research capability to keep abreast of the developing...

Chronic kidney disease and renal replacement therapy: an overview for the advanced clinical practitioner

The following broad definition of CKD from the Kidney Disease Improving Global Outcomes group (KDIGO) has been widely adopted:.

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