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Measuring the impact of the advanced practitioner role: a practical approach


Lillian Neville
University of Salford
School of Nursing and Midwifery
Frederick Road Campus
Salford M60 6PU


neville l. & swift j. (2012) Journal of Nursing Management 20, 382–389
Measuring the impact of the advanced practitioner role: a practical approach

Aim  This paper aims to illuminate difficulties in evaluating the advanced practitioner role and to offer a practical solution.

Background  The advanced practice role has been part of the workforce strategy in the Northwest of England since 2005. However capturing hard evidence of the impact of this role has been problematic. Current restrictions on resources require the provision of evidence of the value of roles and services.

Evaluation  Critical analysis of literature has identified challenges in evaluating the advanced practice role. The case study design takes account of current policy initiatives, notably QIPP.

Key issues  There is no common approach to evaluating the role of advanced practitioners. The case study has the potential to be a useful tool to organise evidence of the impact of advanced practitioner roles.

Conclusions  Advanced practitioners need to have appropriate knowledge and skills to provide evidence of the impact of their role. There is potential for this work to be applied to other roles across the NHS.

Implications for Nursing Management  Managers need to work in partnership with workforce planners and educationalists to support advanced practitioners to utilise their skills in methods of providing evidence that they do work of value. Clear strategic direction for advanced practitioners is advised as part of the workforce strategy.