Journal of Advanced Nursing

Cover image for Vol. 73 Issue 8

Edited By: Editor-in-Chief: Roger Watson; Editors: Robyn Gallagher, Mark Hayter, Jane Noyes, Rita Pickler & Brenda Roe

Impact Factor: 1.998

ISI Journal Citation Reports © Ranking: 2016: 12/114 (Nursing (Social Science)); 13/116 (Nursing (Science))

Online ISSN: 1365-2648

VI: New and Evolving Nursing Roles


Nursing roles are evolving and changing. At one end of the spectrum nurses are taking on more complex and advanced roles that incorporate many elements or tasks once undertaken by doctors. At the other end of the spectrum, to meet the global shortage of healthcare workers, especially in developing country contexts, nurses and midwives are shifting elements of their roles to lay health workers. In other areas such as health visiting, nurses are finding that their roles are being expanded ever wider to cover public health and health promotion on top of their current remit.

This selection of papers, published in JAN, shows some of the challenges and dilemmas created by role development and role substitution, and presents new evidence to inform the state of the art and science of this rapidly evolving area of global policy and practice.

Edited by Jane Noyes
November 2012

Interprofessional working or role substitution? A discussion of the emerging roles in emergency care
Rebecca Hoskins

Exploring the scope of expanding advanced nursing practice in nurse-led clinics: a multiple-case study
Ann T.Y. Shiu, Diana T.F. Lee, Janita P.C. Chau

Maintaining equilibrium in professional role identity: a grounded theory study of health visitors’ perceptions of their changing professional practice context
Alison I. Machin, Tony Machin, Pauline Pearson

Nurse practitioners and physician assistants in Dutch hospitals: their role, extent of substitution and facilitators and barriers experienced in the reallocation of tasks
Nicolien C. Zwijnenberg, Gerrie J. J. W. Bours

Time to clarify – the value of advanced practice nursing roles in health care
Grainne Lowe, Virginia Plummer, Anthony Paul O’Brien and Leanne Boyd

Clinical nurse research consultant: a clinical and academic role to advance practice and the discipline of nursing
Judy Currey, Julie Considine, Damien Khaw

Factors affecting nurse practitioner role implementation in Canadian practice settings: an integrative review
Esther Sangster-Gormley, Ruth Martin-Misener, Barbara Downe-Wamboldt, Alba DiCenso

Nurse prescribing roles in acute care: an evaluative case study
Kathryn Jones, Margaret Edwards, Alison While

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