Development of a tool to describe the role of the clinical nurse consultant in Australia

Authors

  • Margaret Fry,

    1. Authors:Margaret Fry, BAppSci, BEd, PhD, Associate Professor, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Christine Duffield, RN, DipNEd, BScN, MHP, PhD, Professor, Associate Dean (Research) and Director of Centre for Health Services Management, Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, Broadway, NSW; Richard Baldwin, RN, AssDipNursAdmin, BHlthAdmin, MBA, Senior Lecturer, Director of Studies, Health Services Management Programs and Course Coordinator, Grad Cert Clinical Management, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Michael Roche, DepApplSc Nurs, BSc Nurs, MHSc, PhD, Senior Lecturer, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Helen Stasa, BA, PhD, Research Assistant, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Annette Solman, Diploma HSc, BHSc, ICU Clinical Teaching Cert, MNurs, RN, Adjunct Professor, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW, Australia
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  • Christine Duffield,

    1. Authors:Margaret Fry, BAppSci, BEd, PhD, Associate Professor, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Christine Duffield, RN, DipNEd, BScN, MHP, PhD, Professor, Associate Dean (Research) and Director of Centre for Health Services Management, Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, Broadway, NSW; Richard Baldwin, RN, AssDipNursAdmin, BHlthAdmin, MBA, Senior Lecturer, Director of Studies, Health Services Management Programs and Course Coordinator, Grad Cert Clinical Management, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Michael Roche, DepApplSc Nurs, BSc Nurs, MHSc, PhD, Senior Lecturer, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Helen Stasa, BA, PhD, Research Assistant, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Annette Solman, Diploma HSc, BHSc, ICU Clinical Teaching Cert, MNurs, RN, Adjunct Professor, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW, Australia
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  • Richard Baldwin,

    1. Authors:Margaret Fry, BAppSci, BEd, PhD, Associate Professor, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Christine Duffield, RN, DipNEd, BScN, MHP, PhD, Professor, Associate Dean (Research) and Director of Centre for Health Services Management, Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, Broadway, NSW; Richard Baldwin, RN, AssDipNursAdmin, BHlthAdmin, MBA, Senior Lecturer, Director of Studies, Health Services Management Programs and Course Coordinator, Grad Cert Clinical Management, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Michael Roche, DepApplSc Nurs, BSc Nurs, MHSc, PhD, Senior Lecturer, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Helen Stasa, BA, PhD, Research Assistant, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Annette Solman, Diploma HSc, BHSc, ICU Clinical Teaching Cert, MNurs, RN, Adjunct Professor, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW, Australia
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  • Michael Roche,

    1. Authors:Margaret Fry, BAppSci, BEd, PhD, Associate Professor, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Christine Duffield, RN, DipNEd, BScN, MHP, PhD, Professor, Associate Dean (Research) and Director of Centre for Health Services Management, Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, Broadway, NSW; Richard Baldwin, RN, AssDipNursAdmin, BHlthAdmin, MBA, Senior Lecturer, Director of Studies, Health Services Management Programs and Course Coordinator, Grad Cert Clinical Management, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Michael Roche, DepApplSc Nurs, BSc Nurs, MHSc, PhD, Senior Lecturer, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Helen Stasa, BA, PhD, Research Assistant, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Annette Solman, Diploma HSc, BHSc, ICU Clinical Teaching Cert, MNurs, RN, Adjunct Professor, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW, Australia
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  • Helen Stasa,

    1. Authors:Margaret Fry, BAppSci, BEd, PhD, Associate Professor, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Christine Duffield, RN, DipNEd, BScN, MHP, PhD, Professor, Associate Dean (Research) and Director of Centre for Health Services Management, Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, Broadway, NSW; Richard Baldwin, RN, AssDipNursAdmin, BHlthAdmin, MBA, Senior Lecturer, Director of Studies, Health Services Management Programs and Course Coordinator, Grad Cert Clinical Management, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Michael Roche, DepApplSc Nurs, BSc Nurs, MHSc, PhD, Senior Lecturer, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Helen Stasa, BA, PhD, Research Assistant, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Annette Solman, Diploma HSc, BHSc, ICU Clinical Teaching Cert, MNurs, RN, Adjunct Professor, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW, Australia
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  • Annette Solman

    1. Authors:Margaret Fry, BAppSci, BEd, PhD, Associate Professor, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Christine Duffield, RN, DipNEd, BScN, MHP, PhD, Professor, Associate Dean (Research) and Director of Centre for Health Services Management, Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, Broadway, NSW; Richard Baldwin, RN, AssDipNursAdmin, BHlthAdmin, MBA, Senior Lecturer, Director of Studies, Health Services Management Programs and Course Coordinator, Grad Cert Clinical Management, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Michael Roche, DepApplSc Nurs, BSc Nurs, MHSc, PhD, Senior Lecturer, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Helen Stasa, BA, PhD, Research Assistant, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW; Annette Solman, Diploma HSc, BHSc, ICU Clinical Teaching Cert, MNurs, RN, Adjunct Professor, Faculty of Nursing, Midwifery and Health, University of Technology, Broadway, NSW, Australia
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Errata

This article is corrected by:

  1. Errata: Corrigendum Volume 24, Issue 5-6, 882, Article first published online: 24 February 2015

Christine Duffield, Professor, Associate Dean (Research) and Director of Centre for Health Services Management, Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, Level 7, 235-253 Jones Street, PO Box 123, Broadway, NSW 2007, Australia. Telephone: +61 2 9514 4831.
E-mail:christine.duffield@uts.edu.au

Abstract

Aims and objectives.  To develop a tool for defining and measuring the role characteristics and responsibilities of an advanced practice nursing role in Australia.

Background.  Internationally, there is considerable confusion about the precise role responsibilities of advanced practice nursing positions. In Australia, the clinical nurse consultant is an advanced practice role with five nominated domains of practice. However, there are no tools for measuring the performance of clinical nurse consultants against the listed domains.

Design and methods.  Participants were 56 clinical nurse consultants at a tertiary public hospital. The existing literature, an online survey, and position descriptions were used to generate the a priori themes for the initial template. Semi-structured interviews were conducted (in 2010) to test the template characteristics. The template underwent multiple iterations in its development.

Results.  A 50-item tool was devised, which consisted of five domains with a ten-point hierarchical scale within each domain. In preliminary testing, the revised template was found to provide greater clarity regarding roles and grades than the original position descriptions.

Conclusions.  Further testing and refinement of the modified rating scale is needed, but it offers the possibility of a new tool that can be used by health service managers to determine the grade of a clinical nurse consultant position and for evaluating role performance.

Relevance to clinical practice.  This preliminary study suggests that the tool provides a useful means of measuring advanced nursing practice and responsibilities across different domains and levels of appointment. The tool may be able to be adapted for use with other advanced practice nursing roles both within Australia and internationally.

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