General nursing in Ireland has experienced tremendous change and
development within the acute healthcare sector over the last decade
in response to changes in health policy, demographics, technology,
and the need to contain healthcare costs. Nurse's roles are
developing and expanding to enhance patient care, promote job
satisfaction and achieve cost effectiveness within the healthcare
services. The study explored nurse's perceptions of role expansion
in the acute hospital setting in Ireland in order to gain a deeper
understanding of how nurses perceived both the concept and
application of expanded roles in their area of practice. A multi
method approach utilising both qualitative and quantitative data
collection and analysis methods was used in order to widen the
scope of the research approach and add breath and depth to the
study. Confusion emerged in relation to conceptual distinctions
relating to extended and expanded roles. Participants expressed
willingness to accept new roles where they could see added value to
the patient experience, the organisation and the profession.
Implications of these findings are discussed in relation to
evolving practice and policy.
General
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