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Exploring new advanced practice roles in community nursing: a critique

journal contribution
posted on 2023-06-08, 18:07 authored by Kay Aranda, Andrea Jones
Attempts to ‘modernize’ the English National Health Service (NHS) have included significant workforce re-design, including the development of new, advanced roles in nursing. There is a wealth of evidence documenting and evaluating such roles in hospital and, to a lesser extent, in community settings. This paper builds on this work, drawing on recent post structural and sociological analyzes to theorize these roles, locating them within broader social and cultural changes taking place in healthcare and exploring how understandings of new roles in community nursing are in the process of being constructed. Building on a literature review, the paper draws out what an analysis of new advanced nursing roles in the community reveals about competing conceptualizations of the nursing mandate, the ambivalence and ambiguity that practitioners experience in shaping ‘new’ identities (the shaping of subjectivities), and the often implicit ideological positions that underpin such developments.

History

Publication status

  • Published

File Version

  • Published version

Journal

Nursing Inquiry

Publisher

Blackwell Publishing

Issue

1

Volume

15

Page range

1-79

Department affiliated with

  • Social Work and Social Care Publications

Full text available

  • No

Peer reviewed?

  • Yes

Legacy Posted Date

2014-08-18

First Compliant Deposit (FCD) Date

2014-08-15

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