The University of Southampton
University of Southampton Institutional Repository

Determinants in the development of advanced nursing practice: A case study of primary-care settings in Hong Kong

Determinants in the development of advanced nursing practice: A case study of primary-care settings in Hong Kong
Determinants in the development of advanced nursing practice: A case study of primary-care settings in Hong Kong
Different factors have been shown to influence the development of models of advanced nursing practice (ANP) in primary-care settings. Although ANP is being developed in hospitals in Hong Kong, China, it remains undeveloped in primary care and little is known about the factors determining the development of such a model. The aims of the present study were to investigate the contribution of different models of nursing practice to the care provided in primary-care settings in Hong Kong, and to examine the determinants influencing the development of a model of ANP in such settings. A multiple case study design was selected using both qualitative and quantitative methods of data collection. Sampling methods reflected the population groups and stage of the case study. Sampling included a total population of 41 nurses from whom a secondary volunteer sample was drawn for face-to-face interviews. In each case study, a convenience sample of 70 patients were recruited, from whom 10 were selected purposively for a semi-structured telephone interview. An opportunistic sample of healthcare professionals was also selected. The within-case and cross-case analysis demonstrated four major determinants influencing the development of ANP: (1) current models of nursing practice; (2) the use of skills mix; (3) the perceived contribution of ANP to patient care; and (4) patients' expectations of care. The level of autonomy of individual nurses was considered particularly important. These determinants were used to develop a model of ANP for a primary-care setting. In conclusion, although the findings highlight the complexity determining the development and implementation of ANP in primary care, the proposed model suggests that definitions of advanced practice are appropriate to a range of practice models and cultural settings. However, the findings highlight the importance of assessing the effectiveness of such models in terms of cost and long-term patient outcomes.
autonomy of practice, Chinese patients, model of advanced nursing practice, primary-care settings
0966-0410
11-20
Twinn, S.
d2af6aa4-2846-4477-bc80-4cc8eb1807d2
Thompson, D.R.
1d9c2d44-fc82-4f30-a7c8-0563650852b9
Lopez, V.
ca4e10f2-c9d3-4c69-81ea-4e5e23c5b7ef
Lee, D.T.F.
54aff04c-735d-4d11-a97c-6de9c56b7e4f
Shiu, A.T.Y.
8a252129-4b2c-4a4b-833b-2ab30de2ad63
Twinn, S.
d2af6aa4-2846-4477-bc80-4cc8eb1807d2
Thompson, D.R.
1d9c2d44-fc82-4f30-a7c8-0563650852b9
Lopez, V.
ca4e10f2-c9d3-4c69-81ea-4e5e23c5b7ef
Lee, D.T.F.
54aff04c-735d-4d11-a97c-6de9c56b7e4f
Shiu, A.T.Y.
8a252129-4b2c-4a4b-833b-2ab30de2ad63

Twinn, S., Thompson, D.R., Lopez, V., Lee, D.T.F. and Shiu, A.T.Y. (2005) Determinants in the development of advanced nursing practice: A case study of primary-care settings in Hong Kong. Health & Social Care in the Community, 13 (1), 11-20. (doi:10.1111/j.1365-2524.2005.00524.x).

Record type: Article

Abstract

Different factors have been shown to influence the development of models of advanced nursing practice (ANP) in primary-care settings. Although ANP is being developed in hospitals in Hong Kong, China, it remains undeveloped in primary care and little is known about the factors determining the development of such a model. The aims of the present study were to investigate the contribution of different models of nursing practice to the care provided in primary-care settings in Hong Kong, and to examine the determinants influencing the development of a model of ANP in such settings. A multiple case study design was selected using both qualitative and quantitative methods of data collection. Sampling methods reflected the population groups and stage of the case study. Sampling included a total population of 41 nurses from whom a secondary volunteer sample was drawn for face-to-face interviews. In each case study, a convenience sample of 70 patients were recruited, from whom 10 were selected purposively for a semi-structured telephone interview. An opportunistic sample of healthcare professionals was also selected. The within-case and cross-case analysis demonstrated four major determinants influencing the development of ANP: (1) current models of nursing practice; (2) the use of skills mix; (3) the perceived contribution of ANP to patient care; and (4) patients' expectations of care. The level of autonomy of individual nurses was considered particularly important. These determinants were used to develop a model of ANP for a primary-care setting. In conclusion, although the findings highlight the complexity determining the development and implementation of ANP in primary care, the proposed model suggests that definitions of advanced practice are appropriate to a range of practice models and cultural settings. However, the findings highlight the importance of assessing the effectiveness of such models in terms of cost and long-term patient outcomes.

This record has no associated files available for download.

More information

Published date: January 2005
Keywords: autonomy of practice, Chinese patients, model of advanced nursing practice, primary-care settings

Identifiers

Local EPrints ID: 37522
URI: http://eprints.soton.ac.uk/id/eprint/37522
ISSN: 0966-0410
PURE UUID: ed459d0d-2b1c-4dad-bf78-317ddd89266b

Catalogue record

Date deposited: 22 May 2006
Last modified: 15 Mar 2024 07:59

Export record

Altmetrics

Contributors

Author: S. Twinn
Author: D.R. Thompson
Author: V. Lopez
Author: D.T.F. Lee
Author: A.T.Y. Shiu

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×