Domination of Clinical Practice in ACP

Within my systematic literature review on the benefits of Advanced Clinical Practice, I noted there was consensus on the definition of ACP, and this broadly reflected the ‘four pillars’ of clinical practice, leadership & management, education, and research. However, I also found that whilst there is a consensus that ACP reflects the 4 pillars, itContinue reading “Domination of Clinical Practice in ACP”

Substitution/ Supplementation in ACP

A major feature I found in my systematic literature review regarding the benefits of Advanced Clinical Practice related to whether the definition, nomenclature, and scope of the ACP role is a substitution or a supplementation.

Advanced Clinical Practice; Patient Outcomes & Clinical Effectiveness

It is fitting that at the end of this year’s advanced practice week, that I am focussing on the topic of clinical effectiveness and patient outcomes; arguably the most important aspect of ACP. In my systematic literature review I had in fact specifically excluded this from the search criteria as the purpose of this researchContinue reading “Advanced Clinical Practice; Patient Outcomes & Clinical Effectiveness”

Barriers/ Facilitators of Advanced Clinical Practice

Despite knowing about the barriers to effective implementation of ACP, they are still prevalent, and the facilitators are often not considered when planning development of an ACP role.

Regulation of ACP- perceptions, evidence and the problems trying to be solved.

A report has been published regarding the work undertaken on behalf of the HCPC to review whether to provide additional regulation of Advanced Practice for its registrants. The conclusion drawn is “there is no clear evidence, based on the findings of this research, that additional regulation of advanced level practice is needed, or desired, to protect the public”. This is despite the research revealing that 78.2% of participants believed that the HCPC should regulate ACP.

Reflections on Advanced Practice Week

This month I have been reflecting on the various activities and conversations that happened in the ‘Advanced Practice Week’ that occurred between the 9th-13th November. This includes credentialing, confusion, communication, collaboration and country lanes.

ACP- Bureaucratic Blockages?

Have bureaucratic blockages been removed to allow ACP to be implemented effectively?

Advanced Clinical Practice- Map Finding

There has been a long history of calls for definitions of, and agreement on, what it means to be an Advanced Clinical Practitioner.  Several notable ones have emerged such as the statement of NHS employers which references the Multi-Professional Framework for ACP in England or the International Council of Nursing’s Advanced Practitioner Nursing Network definitionContinue reading “Advanced Clinical Practice- Map Finding”

Advanced Clinical Practitioner education- does previous experience count?

The Multi-Professional Framework for Advanced Clinical Practice in England has set out an agreed definition and scope of ACP for the first time. It has done this, at least in part, by looking at what is already happening. This highlights that ACP, in its various guises, is not new and there are people currently working in ACP roles without formal recognition. So will previous experience count now that we are moving toward standardised routes of recognition for ACP? The answer is likely to be…well it depends!