The Advanced Practitioner

The Editors
 
Ian Peate is Visiting Professor of Nursing at St George's University of London and Kingston University London; Visiting Professor, Northumbria University; Senior Clinical Fellow, University of Hertfordshire; Professorial Fellow, University of Roehampton; Editor-in-Chief of the British Journal of Nursing, Consultant Editor of the Journal of Paramedic Practice, and Consultant Editor of the International Journal of Advancing Practice.
 
Sadie Diamond-Fox is an Advanced Critical Care Practitioner (FICM member) at Newcastle upon Tyne Hospitals and Strategic Lead for Advanced Practice Programmes, Assistant Professor in Advanced Critical Care Practice (Fellow - HEA) and a PhD Candidate ('ImpACCPt' Study) at Northumbria University, UK. She is also a Training Programme Director for Critical Care within Health Education England's Advancing Practice Faculty in the North East & Yorkshire, UK and an Honorary Assistant Professor in Advanced Clinical Practice at Nottingham University, UK and External Examiner for Advanced Clinical Practice programmes at Southampton University. Sadie is also a council member and education committee member of the Intensive Care Society.
 
Barry Hill is an Associate Professor of Nursing Science and Critical Care at Northumbria University, UK. Barry has been a Registered Nurse for almost 20 years and is skilled in clinical settings and Higher Education in the area of acute and critical care, and advanced practice. He worked in general, cardiac and neuro trauma Intensive Care Units at Imperial College NHS Trust and progressed from staff nurse to charge nurse, senior charge nurse, to surgical and ENT matron. He is a certified Advanced Practitioner (MSc), Independent Prescriber (v300), and Senior Fellow with AdvanceHE. Barry is a Commissioning Editor for the British Journal of Nursing, and a Consultant Editor for the International Journal for Advancing Practice.

The Advanced Practitioner
 
An essential text for Advanced Practitioners
 
In The Advanced Practitioner: A Framework for Practice, a team of distinguished Advanced Practitioners (APs) and academics deliver the go-to text for trainee APs, with a strong focus on the four pillars that underpin advanced practice: clinical practice, education, research, and leadership.
 
The patient is at the core of this essential resource, which offers the knowledge required to care safely for people in a variety of care settings, as well as with a range of common and specialised holistic interventions. Readers will also find:
* A thorough introduction to the core principles of advanced practice, including the AP curriculum and the principles of physiology, pharmacology, and pathophysiology
* Comprehensive exploration of the clinical pillar, including discussions of clinical history taking and physical examination
* Practical discussion of the education and research pillars, including an exploration of research principles and education and learning
* Discussion of innovation in practice, the leadership pillar, and how to deal with difficult situations
 
Perfect for trainee advanced practitioners, The Advanced Practitioner: A Framework for Practice will also benefit healthcare students and trainee medical associate professionals.

Contributors xviii
 
Preface xxv
 
Acknowledgements xxvii
 
Chapter 1 Advanced Clinical Practice 1
Sadie Diamond-Fox and Vikki-Jo Scott
 
Learning Outcomes 1
 
Introduction 1
 
The Concept and History of Advanced-Level Practice 3
 
Frameworks and Toolkits for Advanced Clinical Practice 3
 
Ensuring Quality and Governance in Advanced Practice 3
 
How to Use this Book 5
 
Conclusion 5
 
References 7
 
Further Reading 8
 
Self-Assessment Questions 8
 
Glossary 8
 
Chapter 2 The Advanced Clinical Practice Curriculum 10
Rachael Daw and Ollie Phipps
 
Learning Outcomes 10
 
Introduction 10
 
Curriculum Development 12
 
Understanding the Context of ACP 14
 
The Clinical Practice Curriculum 14
 
The Leadership and Management Curriculum 15
 
The Education Curriculum 15
 
The Research Curriculum 16
 
Assessment for ACP 16
 
Specialist Curriculums, Credentials and Capability Frameworks 18
 
First Contact Practitioners and Advanced Practitioners - Roadmaps to Practice 19
 
Supervision and CPD Strategies 19
 
Conclusion 21
 
References 22
 
Further Reading 23
 
Self-Assessment Questions 24
 
Glossary 24
 
Chapter 3 Scope of Practice and Management of Patient Care 25
Ollie Phipps
 
Learning Outcomes 25
 
Introduction 25
 
The Multi-Professional Framework (MPFFACP) 26
 
Governance 27
 
Legal Issues 27
 
Regulation Statements of Standards and Code of Conducts 28
 
Nursing and Midwifery Council (NMC) 28
 
Health and Care Professions Council (HCPC) 28
 
General Pharmaceutical Council (GPhC) 28
 
Scope and Capability 28
 
Defining Scope of Practice 28
 
Competency vs Capability 29
 
Knowledge, Skills and Behaviours 29
 
Competence 29
 
Multiprofessional Registrations and Scope of Practice 30
 
Expanding Scope and Scope Creep 30
 
Responsibility and Accountability 30
 
Dunning-Kruger Effect 31
 
Imposter Syndrome 31
 
Professional Issues 31
 
Indemnity 33
 
Indemnity Insurance 33
 
Negligence 34
 
Duty of Care 34
 
Breach of Duty 34
 
Causation 34
 
Mental Health Act 1983 and Sections 35
 
Mental Capacity Act 36
 
Ethics 37
 
Autonomy 37
 
Non-maleficence 38
 
Beneficence 38
 
Justice 38
 
The Right to Life and the Right to Dignity 38
 
Consent 39
 
Gillick Competence 39
 
Confidentiality 39
 
Development and Regulation 39
 
Conclusion 40
 
References 40
 
Further Reading 42
 
Self-Assessment Questions 42
 
Glossary 43
 
Chapter 4 Principles of Physiology for Advanced Practice 44
Colin Chandler, Alison Wood, and Robin Hyde
 
Learning Outcomes 44
 
Introduction 45
 
How the Body Adapts to Different Situations 47
 
Key Concepts of the Cell 52
 
Contents vii
 
Control - How the Body Allows us to Achieve Action and Participation in Society 55
 
Changes to Physiology Through the Life Course 57
 
Microbiome/Microbiota and Interactions with the Microbiological Environment 61
 
Conclusion 62
 
References 63
 
Further Reading 64
 
Self-Assessment Questions 64
 
Glossary 64
 
Chapter 5 Principles of Pathophysiology 66
Sarah Ashelford and Vanessa Taylor
&nbs