A Delphi study to validate an Advanced Practice Nursing tool

Authors

  • Anne M. Chang,

    1. Anne M. Chang PhD RN FRCNA Professor of Clinical Nursing Institute for Health & Biomedical Innovation, Queensland University of Technology, and Mater Health Services, Queensland, Australia
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  • Glenn E. Gardner,

    1. Glenn Gardner PhD RN FRCNA Professor of Clinical Nursing Institute for Health & Biomedical Innovation, Queensland University of Technology, and Royal Brisbane and Women’s Hospital, Queensland, Australia
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  • Christine Duffield,

    1. Christine Duffield RN PhD FRCNA Professor of Nursing and Health Services Management Centre for Health Services Management, University of Technology, New South Wales, Australia
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  • Mary-Anne Ramis

    1. Mary-Anne Ramis RN BN Grad Cert (Infect.Cont.) Research Assistant Institute for Health & Biomedical Innovation, Queensland University of Technology, and Mater Health Services, Queensland, Australia
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A.M. Chang: e-mail: am.chang@qut.edu.au

Abstract

chang a.m., gardner g.e., duffield c. & ramis m.-a. (2010) A Delphi study to validate an Advanced Practice Nursing tool. Journal of Advanced Nursing66(10), 2320–2330.

Abstract

Aim.  This paper is a report of a study conducted to validate an instrument for measuring advanced practice nursing role delineation in an international contemporary health service context using the Delphi technique.

Background.  Although most countries now have clear definitions and competency standards for nurse practitioners, no such clarity exists for many advanced practice nurse roles, leaving healthcare providers uncertain whether their service needs can or should be met by an advanced practice nurse or a nurse practitioner. The validation of a tool depicting advanced practice nursing is essential for the appropriate deployment of advanced practice nurses. This paper is the second in a three-phase study to develop an operational framework for assigning advanced practice nursing roles.

Method.  An expert panel was established to review the activities in the Strong Model of Advanced Practice Role Delineation tool. Using the Delphi technique, data were collected via an on-line survey through a series of iterative rounds in 2008. Feedback and statistical summaries of responses were distributed to the panel until the 75% consensus cut-off was obtained.

Results.  After three rounds and modification of five activities, consensus was obtained for validation of the content of this tool.

Conclusion.  The Strong Model of Advanced Practice Role Delineation tool is valid for depicting the dimensions of practice of the advanced practice role in an international contemporary health service context thereby having the potential to optimize the utilization of the advanced practice nursing workforce.

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