Exploring factors affecting the rollout of a policy on registered advanced nurse practitioners in Ireland

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dc.contributor.authorElliott, Naomien
dc.contributor.authorDaly, Louiseen
dc.contributor.authorBryant-Lukosius, Deniseen
dc.contributor.authorFleming, Sandraen
dc.contributor.authorVarley, Jarlathen
dc.contributor.authorCotter, Patricken
dc.contributor.authorLehane, Elaineen
dc.contributor.authorRogerson, Shaunaen
dc.contributor.authorO'Reilly, Daviden
dc.contributor.authorDrennan, Jonathanen
dc.contributor.authorBrady, Anne-Marieen
dc.date.accessioned2025-05-13T08:54:14Z
dc.date.available2025-05-13T08:54:14Z
dc.date.issued2025en
dc.description.abstractAim: To identify the barriers and enablers to the implementation of a national policy to increase and develop the advanced nurse practitioner (ANP) workforce in Ireland. Background: The Department of Health (Ireland) introduced a policy to increase the number of ANPs to 2% of the nursing workforce. Evaluation provides information to inform successful policy implementation and development of ANP roles in healthcare services. Methods: Qualitative descriptive design. Twenty candidate ANPs participated in four focus groups. Nine key stakeholders were also interviewed. Results: Analysis identified four barriers: lack of infrastructural resources; delay in releasing and arranging replacements for candidate ANPs; role resistance from administration, allied healthcare professionals and other nurses; and lack of organisational readiness. The five enablers were: supportive physicians; Nursing and Midwifery Practice Development Units; supportive directors of nursing; role awareness and clarity; and educational preparation. Conclusions: This evaluation identifies barriers and enablers to the implementation of a national policy to increase the critical mass of advanced practitioners within the healthcare services. Evaluation at the implementation phase informed the roll-out of future advanced practice initiatives. Implications for Nursing Management. To support advanced practice development, leadership, infrastructure, and resource planning are needed to harness known enablers and address identified barriers to the implementation and sustainability of these posts.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid6681576
dc.identifier.citationElliott, N., Daly, L., Bryant-Lukosius, D., Fleming, S., Varley, J., Cotter, P., Lehane, E., Rogerson, S., O'Reilly, D., Drennan, J. and Brady, A. M. (2024) 'Exploring factors affecting the rollout of a policy on registered advanced nurse practitioners in Ireland', Journal of Nursing Management, 2024(1), 6681576 (8pp). https://doi.org/10.1155/2024/6681576en
dc.identifier.doi10.1155/2024/6681576en
dc.identifier.endpage8
dc.identifier.issn13652834en
dc.identifier.journaltitleJournal of Nursing Managementen
dc.identifier.startpage1
dc.identifier.urihttps://hdl.handle.net/10468/17427
dc.identifier.volume2024
dc.language.isoenen
dc.publisherJohn Wiley and Sons Incen
dc.rights© 2025, the Author(s). Tis is an open access article distributed under the Creative Commons Attribution License,which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectFocus groupsen
dc.subjectHealth policyen
dc.subjectHumansen
dc.subjectIrelanden
dc.subjectNurse practitionersen
dc.subjectQualitative researchen
dc.titleExploring factors affecting the rollout of a policy on registered advanced nurse practitioners in Irelanden
dc.typeArticle (peer reviewed)en
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