Senior and Advanced Practitioners as part of the multidisciplinary team The Reality of Practice Ms J Corcoran- Lead practitioner for professional & Role Development. Aims of Session. To present the findings of a qualitative study. To provide a theoretical understanding on current barriers
Senior and Advanced Practitioners as part of the multidisciplinary team The Reality of PracticeMs J Corcoran- Lead practitioner for professional & Role Development
(Firth -Cozens 1998; Finch 2000; Zwarenstein & Reeves 2000; Kavanagh &Cowan 2004).
Thomas (nurse) illuminates one of issues in relation to communication and professional cultures when he states
“I mean it’s all very hierarchical, and I think we …are very aware of that because we are lower down in the hierarchy than them and that naturally breeds a resentment, you know, ‘Oh why should I clean up after them, they earn more than me!’
All participants outlined that a barrier to these roles was due to differences in professional cultures.
In words of George (Medic)
“We are from different professional cultures maybe that’s why it doesn’t work””.
Whilst Mickey (Medic) further elaborates,
“I think for the junior doctors that’s much more difficult, there is still kind of ‘I’m a doctor you’re a nurse, you’re below me”.
“It’s like some sort of doctor and nurse game and then you’ve got the nurse and nurse practitioner game”.
All medics (n=8) highlighted that there is a lot of resistance towards NP’s as they are undertaking roles that they would never have been “allowed” to do previously.
Michael a junior surgeon outlined that there is still resistance to these roles, when he stated
“There comes a point where, sort of, a boundary may well have to be drawn where if somebody would say you know essentially this is the kind of thing that medical school might prepare you for, and not nursing school”.
“Some of the medical staff focus on the negative component. Whether that be that they’re threatened because of their roles changing or a general blurring of roles in departments”.
“The bigger issue that there is nurses not medics and I’ve had this where … nurses have phoned up and said ‘I need to speak to the doctor and refused to speak to the nurse practitioners. … but those are the people who make some nurse practitioners lives miserable‘you think you’re something special now’
In the words of George (Medic)
The nurses say who’s this jumped up so and so coming and telling me how to do my job”
Louise (Nurse) illustrates,
“Nurses are hard on nurses…Other staff will do things for a doctor but won’t help if it’s a nurse practitioner…something in the hierarchy of nursing.”
As Thomas (Nurse) states,
“These roles were forced upon us”.
Whilst Rosie (Medic) illustrates,
“You know the nurses in the ward don’t seem to accept them, it’s like they’re deserting their kind, you know and going off to the dark side as such “