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Enablers and challenges to advanced nursing and midwifery practice roles. | LitMetric
Aim : To describe the enablers and challenges to the development and implementation of advanced nursing and midwifery practice roles in Ireland.Background : Leadership strategies need to be put in place to enhance the development and implementation of advanced nursing and midwifery practice roles.Method : A descriptive qualitative approach using semi-structured interviews with key stakeholders (n = 15) was undertaken with nurses and midwives working in specialist and advanced practice roles and participants from other areas such as legislative, regulatory, policy, pharmacy, medicine and education.Results : Participant's perspectives on the enablers and challenges to enacting specialist and advanced practice roles resulted in the generation of three themes: organisational factors; collegial, interprofessional and interpersonal support; and role clarity, economic and regulatory contexts.Conclusion : Addressing organisational factors, encouraging collegial and interprofessional support and establishing role clarity contribute to the effective development and implementation of the role of advanced practitioners.Implications For Nursing And Midwifery Management : Managers of nursing services need to provide leadership in developing strategies to enhance the enablers and overcome the challenges to advanced practice role development in their own organisation.
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