The quality of a research study is key issue for clinical practitioners committed to the delivery 'best-practice' patient care. With increasing use grounded theory in nursing research, attention now focusing on studies using this methodology. Indeed, within growing body some methodological problems are emerging that raise questions about research.This paper recognises need be critical readers so they recognise 'quality' and can develop their practice based sound findings.Grounded should...

Abstract Aim To report a study designed comparing the roles, responsibilities, and perceived outcomes of Clinical Nurse Specialists, Midwife Advanced Practitioners in I reland. Background A clinical career pathway that encompasses progression from staff nurse or midwife through specialist to advanced practitioner level was introduced reland 2000. Such roles are common internationally, but little evaluation has been conducted few comparisons have made between roles. Design mixed‐method...

Abstract Aim To report a case study that identifies how leadership is enacted by advanced practitioners in nursing and midwifery differentiates between clinical professional practice. Background A national evaluation of was commissioned to inform policy makers' decision‐making about future developments Ireland. Leadership key aspect the practitioner role. However, practice context under researched lacks empirical evidence on enact their function Design multiple methodology used identify...

Aim To report the factors that influence clinical specialists' and advanced nurse practitioners' ability to enact their professional leadership roles; findings from SCAPE study. Background The importance of for specialist practitioners is highlighted in international literature considered an important factor provision improved patient outcomes. Despite many studies identifying barriers developing integrating new specialist/advanced practice roles into health services, little known about...

Adrian Fox and Naomi Elliott report on nurses' experience of using the tool problems they encountered

Aim To highlight the organisation-level management's role in building leadership capacity advanced nurse practitioners and need for appropriate supports to increase their becoming leaders. Background Little is published about of management developing next generation In times economic constraint, organisations focus efforts on targeted initiatives. Advanced are ideally positioned act as leaders both within beyond health care organisation. Evaluation From available research evidence, several...

Naomi Elliott and Joanne Jordan offer ways to develop integrated concepts practice-based theory

The role of the clinical nurse/midwife specialist and advanced practitioner is complex not least because diversity in how roles are operationalised across health settings within multidisciplinary teams. This aim this paper to use SCAPE Study: Specialist Clinical Advanced Practitioner Evaluation Ireland illustrate case study was used strengthen a Sequential Explanatory Design. In Phase 1, clinicians identified indicators practice which were then guide instrumental design formed second phase...

Abstract Aims To report a secondary analysis of data collected from the case study phase national advanced practitioners and to develop leadership outcome‐indicators appropriate for practitioners. Background In many countries, in nursing midwifery have responsibility as leaders health care development, but without having outcome measures available they are unable demonstrate results their activities. Ireland, sequential mixed method research was used validated tool evaluation clinical...

Clinical specialist (CS) and advanced practitioner (AP) roles have increased in nursing midwifery internationally. This study explored clinical practice sites with without nurse or midwife specialists practitioners Ireland. Using a case design, interview, observational documentary data from postholding (CSs APs employed) were compared non-postholding (no CSs employed). Interviews observations conducted postholders (n = 23), healthcare professionals (nurses midwives, doctors) 23) matched...

This paper reports a study conducted to explore how nurses working at advanced practice level in chronic and acute care outpatient contexts responded decision-making concerns clinical practice.Current theoretical explanations of judgement offer insight into healthcare professionals process information; however, they are incomplete as do not consider psychosocial issues. Research evidence informing is based largely on hospital settings. Consequently, little known about practitioners make...

To describe how epilepsy specialist nurses in Ireland enact the evidence-based practice dimension of their role.The importance (ESNs) delivering care to people experiencing is unquestionable, yet research into this aspect role relatively sparse.A qualitative design was used, involving 12 working five units Ireland, 24 multidisciplinary team members with them and 35 family members. Data were collected using individual focus group interviews, observation documentary analysis.These ESNs active...

Background: Investigation of the leadership capabilities physiotherapy managers found that they report predominantly demonstrating associated with human resource and structural frames. However, little is known about clinical specialists advanced practitioners (APPs) who also are identified as having responsibility for leadership. Objective: To explore specialists´ APPs' perceptions their compare them reported managers. Methods: Semi-structured interviews were conducted a purposive sample 17...

Abstract Background Research to support the added value of including Epilepsy Specialist Nurses as members multidisciplinary team is developing, yet little information exists on factors influencing translation these roles into practice. Aim To describe enabling and inhibiting implementation Nurse role in Republic Ireland. Methods A qualitative design involving semi‐structure interviews, observation analysis documents, such portfolios was used. The sample included 12 Nurses, 24 members, 35...

Objectives: The objectives of this study were to ascertain whether clinical specialists in Ireland fulfilling role expectations terms their involvement audit, evidence-based practice, and research activities; examine the perceived impact on practice specialists’/advanced practitioners’ audit roles compare activity sites with without specialists/advanced practitioners. Design: This was a sequential, mixed-methods case study. Setting: performed hospital community settings, matched no...

Abstract Objective To generate evidence‐based knowledge about the strategies that adult people with epilepsy (PWEs) use in process of telling others their epilepsy. Methods In‐depth, one‐to‐one interviews explored PWEs’ first‐hand experiences self‐disclosure (or not), and grounded theory methods inductive‐deductive analysis were used to identify disclosing. Interviews audio‐recorded, transcribed, coded, independently recoded by two researchers using a coding framework specifically developed...