PMID: 9652257Jul 4, 1998Paper

Role extension or expansion: a qualitative investigation of the perceptions of senior medical and nursing staff in an adult intensive care unit

Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
S Bowler, M Mallik

Abstract

The Scope of Professional Practice (UKCC 1992) has significantly altered the interpretation of nurses' roles, emphasizing individual professional accountability and clinical decision-making. However, 5 years after the issue of the document, uncertainties remain regarding interprofessional legal accountability between medicine and nursing. To investigate issues surrounding role extension or expansion in intensive care nursing, a small qualitative study was conducted centred on one intensive care unit (ICU) within a large teaching hospital. Data were collected by semi-structured interviews from a purposive sample of five senior intensive care nurses and three consultant anaesthetists. Four major categories emerged, identified as: interpretation confusion; education for change; struggles for power and task versus autonomy. The findings revealed that the senior critical care nurses identified themselves as independent, autonomous practitioners involved in clinical decision-making. However, there was evidence of a reluctance to empower more junior staff to perform extended or expanded roles. Medical respondents viewed extended or expanded roles as taking on mechanical tasks for which anyone could be trained to perform. In conclusion...Continue Reading

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Citations

Feb 27, 2001·International Journal of Nursing Studies·W ChaboyerS Dunn
Sep 11, 2003·International Journal of Nursing Studies·N BakalisD Porock
Aug 14, 2003·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Debra Fairley
Mar 1, 2002·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·H G Goldman
Dec 23, 2004·Journal of Nursing Management·Majd Tawfeeq Mrayyan
Jun 2, 2007·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·Majd T Mrayyan
Nov 7, 2007·Nursing in Critical Care·Trudy DwyerKerry Mummery
Mar 2, 2012·Health Services Research·Rebecca LawtonRosie R C McEachan
Oct 16, 2004·Journal of Critical Care·Wendy ChaboyerMichelle Foster
Apr 12, 2013·Langmuir : the ACS Journal of Surfaces and Colloids·Danqing LiuDirk J Broer
Jan 22, 2004·Dimensions of Critical Care Nursing : DCCN·Jacinta Kelly
May 20, 2004·British Journal of Nursing : BJN·Helen Rushforth, Heidi McDonald

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