Abstract

The development of advanced practice nursing (APN) roles has become a worldwide trend as healthcare planners explore innovative options for the provision of healthcare services. The integration of these new nursing roles presents a dynamic change for healthcare professionals and the systems in which they practice. Suitable policies should ideally support the inclusion of APN roles and their practice potential, however, a review of the literature found no evidence that demonstrated relevant policymaking, these policy processes and subsequent implementation of the intent of policy. The aim of the research was to investigate APN policy development from the beginning periods of discussion through various stages of decision making to realisation in practice. An ethnographic design with an instrumental case study approach selecting Singapore as the case was chosen to examine policy development associated with the processes of integrating APN roles into the healthcare workforce. The study consisted of four phases. The first phase involved a review of Singapore documents associated with APN development (N=47). The second phase consisted of interviews with government officials, university dignitaries and academic staff (N=12) who had knowledge of the APN initiative. The third phase included interviews with nursing managers, medical directors and medical consultants (N=11) who were associated with APN implementation. The fourth phase was comprised of interviews and participant observation with APNs (N=15) to ascertain the realities of putting the intent of policy into practice.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10020431; ProQuest document ID: 1774245184. The author still retains copyright.

Author Details

Madrean M. Schober, PhD, MSN, APN, FAANP, FAAN, President - Schober Global Healthcare Consulting

Sigma Membership

Alpha

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Ethnography

Research Approach

Qualitative Research

Keywords:

Policy Development, Advanced Practice Nurses, Pratice Potential

Advisor

Kate Gerrish

Second Advisor

Ann McDonnell

Degree

PhD

Degree Grantor

Sheffield Hallam University

Degree Year

2013

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2023-04-13

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