Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/20655
Title: Understanding Nurse Consultant role engagement in metropolitan and rural contexts
Contributor(s): Giles, Michelle (author); Parker, Vicki T  (author)orcid ; Mitchell, Rebecca (author)
Publication Date: 2016
DOI: 10.1016/j.colegn.2016.04.002
Handle Link: https://hdl.handle.net/1959.11/20655
Abstract: Background: Role ambiguity is known to impact negatively on role effectiveness. Nurse Consultants (NCs) are clinical leaders in Australia and similar roles exist internationally. Factors that lead to role ambiguity for NCs include dynamic and complex health care contexts and roles. To reduce ambiguity there is an urgent need to demonstrate NCs' contribution to health care outcomes. Aim: This paper reports findings of a study exploring the role, scope and level of engagement of the NC across metropolitan and rural context in New South Wales, Australia. Design: This study used a cross sectional sequential mixed method design examining the complex and multifaceted nature of the NC's work. Method: NCs were recruited across rural and metropolitan services in a large local health district in New South Wales, Australia. Phase one used a validated questionnaire to gather work engagement and activity data, phase two involved interviews with NCs and others stakeholders. Phase one findings are presented in this paper. Results: Work engagement patterns were influenced by role grade (1, 2 or 3), higher grades engaging at higher levels across domains and health sectors. NCs in rural locations had greater emphasis on education, clinical leadership and clinical consultancy and significantly more direct patient contact in their roles. Conclusion: NCs engage consistently across domains of practice, contributing across multiple health sectors with flexibility to fulfilling health service needs. Findings highlight the relevance of the role in meeting dynamic workplace needs for high level nursing expertise and inform role application, implementation and workforce planning initiatives.
Publication Type: Journal Article
Source of Publication: Collegian, 23(4), p. 329-340
Publisher: Elsevier BV
Place of Publication: The Netherlands
ISSN: 1876-7575
1322-7696
Field of Research (FOR): 111099 Nursing not elsewhere classified
Socio-Economic Objective (SEO): 920210 Nursing
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
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