Case study: the development of specialist nurse roles in Malta.

Br J Nurs

Senior Academic, Centre for Public Health, Bournemouth University, Bournemouth.

Published: December 2023

Unlabelled: Specialist nurses play a significant role in healthcare. This study investigated and evaluated the primary and extended roles and the development of specialist nurses in Malta.

Methods: A qualitative case study design and purposive sampling techniques were used to gain a deep understanding of the complex issues surrounding specialist nurses from multiple data sets. A survey of the total specialist nurse population in 2013 (=27), in-depth interviews with a group of specialist nurses (=9) and four focus groups with key professionals and policy stakeholders (total =28) were carried out. Data were collected between 2013 and 2015 and analysed using thematic analysis.

Findings: Three themes emerged: the roles and attributes of specialist nurses in Malta; the development of specialist nurses; and the influences on the advancement of specialist nursing practice in Malta. Although these data are nearly a decade old, no further research has been carried out.

Conclusions: A legally accepted set of definitions as well as preparation and evaluation of the specialist nurse role from a national policy perspective is needed. Attitudes and systems that limit specialist nurses need to be challenged.

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http://dx.doi.org/10.12968/bjon.2023.32.22.1086DOI Listing

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