| Título: | Review of the Clinical Nurse/Midwife Consultant Role Within Hunter New England Health |
| Autores: |
Parker, Vicki; University of New England Giles, Michelle; Hunter New England Local Health District |
| Fecha: | 2013-05-16 |
| Publicador: | Hunter New England Local Health District |
| Fuente: |
Ver documento |
| Tipo: |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| Tema: | Nursing; Midwifery; Advanced Practice Nursing; |
| Descripción: | Background: Advanced practice nursing and midwifery roles are integral to the provision of high quality health care across a range of clinical contexts and health care sectors. The continued relevance and importance of these roles requires that they be systematically evaluated and revised where necessary to ensure maximum effectiveness and career satisfaction for incumbents. Aim: The aim of this study was to better understand how the Clinical Nurse Consultant (CNC)/Clinical Midwife Consultant (CMC) role is distributed, enacted and integrated within service delivery programs and units across contexts within the Hunter New England Local Health District (HNELHD). Method: This study employed mixed methods incorporating an online survey of CNC/CMCs; and, focus groups with all stakeholders including CNC/CMCs, nursing and service managers and clinical leaders. Quantitative data were analysed using categorical, factor and regression analysis and qualitative data were coded and themed to provide a description of experiences, concerns and issues. Results: Seventy three per cent of the total (n=192) HNELHD CNC/CMC workforce completed the online survey in full; and, 26 CNC/CMCs, 20 managers and 16 stakeholders participated in eight focus groups across the Local Health District. Qualitative findings indicated that Consultants are recognised and valued as clinical leaders who are central to the delivery of high quality care. However, there was concern expressed regarding role clarity and expectations. Most stakeholders focussed on the clinical leadership capacity of the role, identifying the role as dynamic in nature, constantly responding to changes in policy and practice, and service delivery needs. Conclusion: Diversity in the role is necessary to match the diversity of health care contexts and differing models of care across and within the Local Health District. Competing demands as well as the need for engagement across a range of disciplines, sectors and groups add to the challenges experienced by the Consultants and to the growing complexity of the role. |
| Idioma: | Inglés |