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Exploring the relationship between nursing identity and advanced nursing practice: An ethnographic study

Helen Anderson, Yvonne Birks, Joy Adamson · Journal of Clinical Nursing · 2020

AbstractAims and objectivesTo consider the relationship between professional nursing identity and advanced practice by exploring intra‐professional relationships between advanced nurse practitioners (ANPs) and nursing colleagues.BackgroundAdvanced nursing practice continues to develop internationally. Previous studies suggest advanced practice may lack support within nursing, which may lead to underutilisation, retention and patient safety issues. However, the relationship between the wider nursing profession and advanced practice is poorly understood and the theory that professional identity creates cultural barriers to advanced practice has received little empirical attention.DesignEthnographic methodology was used.MethodsFieldwork methods were participant observation and semi‐structured interviews. Participants were ANPs (n = 9) and nursing colleagues (n = 5) across two primary care general practice organisations. Data were analysed thematically using framework analysis, underpinned a priori by professional identity theories. Reporting was guided by COREQ.ResultsThree themes were identified which indicated how intra‐professional relationships were conducted: Conciliating Nursing

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