Designing the future in wound care: the role of the nurse practitioner

MacLellan, L., Gardner, G. and Gardner, Anne 2002, Designing the future in wound care: the role of the nurse practitioner, Primary intention: the Australian journal of wound management, vol. 10, no. 3, pp. 97-112.

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Title Designing the future in wound care: the role of the nurse practitioner
Author(s) MacLellan, L.
Gardner, G.
Gardner, Anne
Journal name Primary intention: the Australian journal of wound management
Volume number 10
Issue number 3
Start page 97
End page 112
Publisher Ink Press International
Place of publication Subiaco, W.A
Publication date 2002
ISSN 1323-2495
Summary The nurse practitioner is emerging as a new level and type of health care. Increasing specialisation and advanced educational opportunities in nursing and the inequality in access to health care for sectors of the community have established the conditions under which the nurse practitioner movement has strengthened both nationally and internationally. The boundaries of responsibility for nurses are changing, not only because of increased demands but also because nurses have demonstrated their competence in varied extended and expanded practice roles. The nurse practitioner role reflects the continuing development of the nursing profession and substantially extends the career path for clinical nurses.

This paper describes an aspect of a large-scale investigation into the feasibility of the role of the nurse practitioner in the Australian Capital Territory (ACT) health care system. The paper reports on the trial of practice for a wound care nurse practitioner model in a tertiary institution. In the trial the wound care nurse practitioner worked in an extended practice role for 10 months. The nurse practitioner practice was supported, monitored and mentored by a clinical support team. Data were collected relating to a range of outcomes including definition of the scope of practice for the model, description of patient demographics and outcomes and the efficacy of the nurse practitioner service.

The findings informed the development of clinical protocols that define the scope of practice and the parameters of the wound care nurse practitioner model and provided information on the efficacy of this model of health care for the tertiary care environment. The findings further suggest that this model brings expert wound care and case management to an at-risk patient population. Recommendations are made relating to ongoing research into the role of the wound care nurse practitioner model in the ACT health care system.
Language eng
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
HERDC Research category C1.1 Refereed article in a scholarly journal
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Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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