[NPInfo] Please translate

[David Mittman]

Exploring new advanced practice roles in community nursing: a critique
Authors: Aranda, Kay1; Jones, Andrea2
Source: Nursing Inquiry, Volume 15, Number 1, March 2008 , pp. 3-10(8)


Abstract:
ARANDA K. Nursing Inquiry 2008; 15: 3-10

Exploring new advanced practice roles in community nursing: a critique

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.