Advanced practice toolkit | Turas (2024)

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Collected learning resources and training to support advanced practitioners.

Introduction

Welcome to the NHS Education for Scotland Multiprofessional Advanced Practice (AP) Toolkit.

Watch this short welcome video from Jane Harris, Head of Programme, Workforce Education and Career Development Team, NHS Education for Scotland.

A transcript of the video can be found here

The Advanced Practice Toolkit is a repository for credible and supportive resources and information on issues relating to advanced practice within NHS Scotland. This toolkit can be used by anyone working in or aspiring to work in advanced practice. Practitioners, educators and managers will find this a useful resource that provides easy to access relevant information and links in one place.

The toolkit aims to facilitate the professional development of advanced practitioners and provides easy to navigate links to useful information across four pillars of practice.

In this section you will find:

  • Welcome and introduction
  • Toolkit Overview
  • Site navigation
  • What’s New
  • Quick links
  • Advanced Practice Toolkit Editorial Board and Advanced Practice User Forum information
  • Advanced Practice Academies
  • Feedback
  • Advanced Practice Academies
  • Feedback

Advanced Practice Toolkit Overview

Advanced practice is a level of practice that incorporates the four pillars of practice. The four pillars of practice originated from work undertaken by Kim Manley in 1997. (Reference: Manley, K. (1997) A conceptual framework for advanced practice: an action research project operationalizing an advanced practitioner/nurse consultant roleJournal of Clinical Nursing;6:3, 179-190).

The pillars were articulated in the advanced practice toolkit which was developed in 2008 as a Scottish education resource. The toolkit was seen as relevant UK wide and consequently endorsed by Chief Nursing Officers across the UK. Exact terminology regards the pillars varies slightly across the UK.

This toolkit uses the four pillars of practice to organise information and resources that are relevant to advanced practice.

    The four pillars are:

    • Clinical Practice – knowledge, skills and behaviours needed to provide high quality healthcare that is safe, effective and person centred.
    • Facilitating Learning – knowledge, skills and behaviours needed to enable effective learning in the workplace.
    • Leadership – knowledge, skills and behaviours needed to lead and to fulfil management responsibilities.
    • Evidence, Research and Development – knowledge, skills and behaviours needed to use evidence to inform practice and improve services.

      Within the pharmacy profession the pillars are described differently with the clinical pillar divided into two domains

      • Person-centred care and Collaboration
      • Professional Practice.

      Overall, the fundamental principles and values are consistent across the professions.

      Site Navigation

      To help you navigate the site please watch this short video guide.

      Toolkit User Pathway

      To individualise your experience try using our toolkit userpathway. All you need to do is answer a few questions and you will be sent a list of sections/resources that you might find helpful.

      Watch this video to see how it works.

      What's New

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      In this section we will keep you up to date on what is new for advanced practice and anything we have added to the site. This will be updated on a quarterly basis.

      February 2024

      The Scottish Advanced Practice newsletter is produced for practitioners working in Scotland in advanced practice roles and for those who aspire to become an advanced practitioner.This newsletter will provide detail of advanced practice developments across professional groups in Scotland and is published twice annually. If you would like to join the mailing list, please contact Colette Hendersonc.m.j.henderson@dundee.ac.uk

      November 2023

      Advanced Practice Review

      The Nursing and Midwifery Council (NMC) are currently carrying out a review of advanced nursing and midwifery practice, including consideration of whether additional regulation is needed. For more information and to sign up to the community of interest to be kept up to date visit the NMC website.

      New to the toolkit

      We now have a navigation tool and learner pathway live on the landing page. We are also adding a range advanced practitioner case studies and recordings to the site like in the prescribing section.

      Previous updates and information is available by month here

      Quick Links

      The quick links below will take you to the relevant section of the advanced practice toolkit.

      Please note that some of these pages are still in development and may not be accessible yet.

      Advanced Practice Toolkit Editorial Board and Advanced Practice User Forum Information

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      Editorial Board

      The role of the editorial board is to provide governance, expert advice, and subject matter expertise to refine, develop and maintain the quality of the advanced practice toolkit. The toolkit content has been reviewed by the editorial board and has gone through a process to ensure information is appropriate, relevant and of high quality for advanced practitioners working in Scotland. . Advanced practice will continually evolve, as consensus forms and as there is greater clarity the toolkit will continue to be updated.

      The editorial board meets on a quarterly basis.

      User Forum

      The advanced practice user forum is represented by advanced practitioners and educators across a range of professional backgrounds who:

      • Provide advice and guidance on the user experience.
      • Review and provide feedback on the toolkit content.
      • Support any testing and development of new content and resources for the toolkit.

      Advanced practice toolkit | Turas (12)

      If you would like further information about the Editorial Board or the Advanced Practice User Forum please contact the mail box: postreg.nmahp@nes.scot.nhs.uk

      Advanced Practice Academies

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      Advanced Practice Academies

      The Advanced Practice Academies are a multi-disciplinary body that unites NHS Boards and Higher Education Institutions (HEIs) across Scotland to support the professional development of advanced practice roles within healthcare professions and disciplines.

      For more information follow this link.

      Feedback

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      We are interested to find out if there is anything we can do to improve the toolkit.

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      Please complete this short survey or email us via postreg.nmahp@nes.scot.nhs.uk

      Thank you!

      Advanced practice toolkit  | Turas (2024)

      FAQs

      What are the 4 pillars of advanced practice framework? ›

      Advanced clinical practice definition

      This is underpinned by a master's level award or equivalent that encompasses the four pillars of clinical practice, leadership and management, education and research, with demonstration of core capabilities and area specific clinical competence.

      What is the concept of advanced nursing practice? ›

      Advanced nursing practice is an umbrella term describing an advanced level of clinical nursing practice that maximizes the use of graduate education preparation, in-depth nursing knowledge and expertise in meeting health needs of individuals, families, groups, communities and populations.

      What is the background of advanced practice nursing? ›

      The roots of advanced practice nursing (APN) can be traced back to the 1890s, but the nurse practitioner (NP) emerged in Western countries during the 1960s in response to the unmet healthcare needs of populations in rural areas. These early NPs utilized the medical model of care to assess, diagnose and treat.

      What is an example of advanced practice nursing? ›

      APRNs include nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives, and all play a pivotal role in the future of health care.

      What are the 6 C's in midwifery? ›

      The 6 Cs – care, compassion, courage, communication, commitment, competence - are a central part of 'Compassion in Practice', which was first established by NHS England Chief Nursing Officer, Jane Cummings, in December 2017.

      What are the 4 pillars of accountability in nursing? ›

      According to Caulfield (2005) there are four pillars of accountability: professional, ethical, legal and employment.

      What is the difference between an APN and a nurse practitioner? ›

      Although there is a ton of confusion surrounding these two specialties in nursing, they are not very different. The simple version: an NP is a type of APRN. An APRN is a nurse who has obtained at least a master's degree in nursing, furthering their specialization within one of the APRN categories mentioned above.

      What is the difference between an advanced practice nurse and a nurse practitioner? ›

      The primary difference for NPs vs. APRNs lie in their specialty focus. APRNs deliver a particular type of care in a role such as CNA, CNM, CNS, or NP.

      What is the difference between APN and ANP? ›

      The APN roles have clearly defined education, regulation, and practice requirements such as the Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), and Advanced Practice Nurse (APN*). ANP roles are not as prescriptive.

      What is the strong model of advanced practice? ›

      According to the Strong Model, 5 domains of practice comprise the role of the APN1: direct comprehensive care, support of systems, education, research, and publication and professional leadership.

      What is another name for an advanced practice nurse? ›

      Clinical Nurse Specialist (CNS) Certified Registered Nurse Anesthetist (CRNA) Certified Nurse-Midwife (CNM) Certified Nurse Practitioner (CNP)

      What are the elements of advanced practice nursing? ›

      The ANP framework includes a standardized job description that details competencies under five role. components: clinical practice; consultation; research; education; and, leadership.

      What is advanced practice skills? ›

      Advanced Practice defines a level of practice that utilizes extended and expanded skills, experience and knowledge in assessment, planning, implementation, diagnosis and evaluation of the care required.

      What are the four pillars of the healthcare environment? ›

      These pillars are essential elements that enable the health care system to function. They include everything from a well-managed civil service to an extensive communications system. This section highlights four of these pillars: information, management, human resources, and financing.

      What are the 4 pillars of physiotherapy practice? ›

      Scope for the profession and the Four Pillars

      The first definition of physiotherapy was based on the following: massage, exercise, electrotherapy and 'kindred forms of treatment'. These four elements are known as the four pillars.

      What are the four concepts central to nursing that are used as a framework in the community as partner model? ›

      Based on Neuman's model of a total-person approach to viewing patient problems, the CAP model was developed to illustrate the definition of public health nursing as the synthesis of public health and nursing by defining the four concepts central to nursing: person, environment, health and nursing.

      What are the common components of practice frameworks? ›

      Organisational structure, governance, capability framework, risk management, quality systems and human resources.

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