Advanced Nursing Practice in Hk

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JAN
ORIGINAL RESEARCH

JOURNAL OF ADVANCED NURSING

Exploring the scope of expanding advanced nursing practice in nurse-led clinics: a multiple-case study
Ann T.Y. Shiu, Diana T.F. Lee & Janita P.C. Chau
Accepted for publication 24 September 2011

Correspondence to A.T.Y. Shiu: e-mail: annshiu@cuhk.edu.hk Ann T.Y. Shiu PhD RN Associate Professor The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong Diana T.F. Lee PhD RN Chair Professor of Nursing and Director The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong Janita P.C. Chau PhD RN Associate Professor The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong

S H I U A . T . Y . , L E E D . T . F . & C H A U J . P . C . ( 2 0 1 2 ) Exploring the scope of expanding advanced nursing practice in nurse-led clinics: a multiple-case study. Journal of Advanced Nursing 68(8), 1780–1792. doi: 10.1111/j.1365-2648.2011.05868.x

Abstract
Aim. This article is a report on a study to explore the development of expanding advanced nursing practice in nurse-led clinics in Hong Kong. Background. Nurse-led clinics serviced by advanced practice nurses, a common international practice, have been adopted in Hong Kong since 1990s. Evaluations consistently show that this practice has good clinical outcomes and contributes to containing healthcare cost. However, similar to the international literature, it remains unclear as to what the elements of good advanced nursing practice are, and which directions Hong Kong should adopt for further development of such practice. Methods. A multiple-case study design was adopted with six nurse-led clinics representing three specialties as six case studies, and including two clinics each from continence, diabetes and wound care. Each case had four embedded units of analysis. They included

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