Healthcare professionals' perspectives towards the role of ward‐based advanced practice nurses: A cross‐sectional study
Authors: Lin Xue Li Shayna , Tan See Woon , Wang Hwee Yi Stella , Ang Kwang Hwee Marcus , Maniya Sivagame , Woo Brigitte F. Y. 
Published: August 2024

Aims

1. To explore the perceptions of physicians, registered nurses (RN) and allied health professionals (AHP) towards the role of ward‐based advanced practice nurse (APN). 2. To examine healthcare professionals' perception of APN role expansion in inpatient care.

Design

Cross‐sectional study.

Methods

A 43‐item survey comprising of five domains was conducted on healthcare professionals' perceptions towards ward‐based APNs in five medical wards of a tertiary hospital from November 2022 to February 2023. The participants were recruited using convenience sampling via email and cross‐platform messaging service.

Results

A total of 181 completed respondents including 26 physicians, 102 nurses and 45 AHPs. Statistical analysis was performed with IBM SPSS Version 28.0. APNs were perceived to be spending a great extent of time across all five domains, namely, ‘direct comprehensive care’, ‘support of systems’, ‘research’, ‘education’ and ‘publication and professional leadership’. Significant differences were noted in perceptions based on prior experience with APNs and between different healthcare professions. The majority recognized APNs' positive impact on patient safety, efficiency and patient‐centeredness.

Conclusion

This study offers valuable insights into ward‐based APNs' practice patterns, roles and impact, revealing a positive shift in their acceptance and expanding roles within inpatient general wards. It also highlights the valuable roles and impact of ward‐based APNs in direct patient care, system support, research, education and leadership, despite ongoing challenges in role clarity, particularly in treatment planning and ward rounds.

Implications for the Profession

APNs are highly regarded as competent and a consistent personnel in the wards. However, there are divided views on clinical activities that APNs undertake.

Impact (Addressing)

What problem did the study address?

Role ambiguity for ward‐based APNs.

Healthcare professionals' readiness and acceptance of APNs.

What were the main findings?

APNs are perceived to have a strong involvement in direct patient care, support of system, research, education and leadership.

APNs are recognized for their significant impact on patient safety, efficiency and patient‐centredness, but there were varied perceptions on the extent of time they spend in different practice domains.

The critical roles of APNs participating in daily ward rounds and initiating discharge plans were highlighted, emphasizing their importance in timeliness and continuity of care.

Where and on whom will the research have an impact?

It will affect healthcare professionals including physicians, nurses, allied health professionals and healthcare administrators by providing insights into the roles and contributions of ward‐based APNs.

The findings will guide policymakers and nurse leaders in making informed decisions about the implementation and development of APN roles, ultimately improving patient care and outcomes.

Patient or Public Contribution

No Patient or Public Contribution.