This study used mixed methods within a realistic evaluation design to evaluate the contribution of the Advanced Practice Regional Education Coordinators in supporting others to identify where advanced nursing practice roles will be appropriate to meet service needs; the perceived usefulness of resources, support and guidance delivered by the regional coordinators; the contribution of the regional coordinators in supporting succession planning and sustainability of advanced practice roles; the facilitators and barriers that have impacted on the role. Findings indicated The APRECS made most progress and had most impact in supporting others to identify where advanced nursing practice roles were appropriate to meet service needs, by liaising, networking, providing information, practical support and sharing ideas gathered from across their geographic region; however, this was tempered by access issues both in terms of access to the APREC by others and access by the APREC to the most relevant individuals across the NHS Boards. Significant contextual barriers existed, particularly the economic climate; limited dialogue with NHS boards in advance of the role being introduced; the challenge of delivering a ‘regional’ role from a ‘host’ board; and different stages of development within individual boards. Conversely, the personal attributes and knowledge of the APRECs, support from senior management, the Scottish Government guidance for advanced practice, and NES funding for a dedicated role were all identified as facilitators in delivering the role.
|Publisher||NHS Education for Scotland|
|Commissioning body||NHS Education for Scotland|
|Number of pages||54|
|Publication status||Published - 2011|
- nursing and midwifery
- NHS Education for Scotland