Specialist Nurse an Investigation of Common and Distinct Aspects of Practice
Abstract
Over the past decade the discipline of nursing has been reviewing its practice, especially in relation to specialty areas. There has been an appreciation by nursing leaders that specialisation brings with it concerns related to a disuniting effect on the discipline and a fragmentation of nursing's traditional generalist practice. Accompanying these concerns is a debate over what is a specialty and how to define a specialist. This qualitative study drew upon a constructivist methodology, to explore how nurses, working in specialty areas, define and give meaning to their practice. Three groups of nurses (n=20) from the specialty of critical care were interviewed using a focus group technique. The data were analysed to build constructions of specialty practice. A distinct and qualitative difference was recognised in the practice behaviours of nurses working in the specialty area. The qualitatively different practice behaviours have been identified as 'nursing-in-a-specialty' and 'specialist nurse'. Two constructions emerged to differentiate the skill behaviours, these were 'practice' and 'knowledge'. The specialist nurse practices were based on two distinct types of practice, that of 'discretion' and 'incorporation'. 'Knowledge' was constructed as a synthesis of propositional and practice knowledge. By Carrie Fairweather and Glenn Gardner.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Experience provides opportunities for feedback-governed practice, that is, the application of previously acquired feedback into subsequent clinical procedures.
“Experience provides opportunities for feedback-governed practice, that is, the application of previously acquired feedback into subsequent clinical procedures (Ericsson et al 1993, Radwin 1995, 1998, Fairweather & Gardner 2000).”
From The acquisition and exercise of nephrology nursing expertise: a grounded theory study (2006) · cites this paper as Fairweather & Gardner 2000
Cites
The problem of rigor in qualitative research
Sandelowski, M. (1986) · Advances in Nursing Science · doi:10.1097/00012272-198604000-00005 · Cited by 2,772 · see citing works
Constructivist, interpretivist approaches to human inquiry.
Schwandt, T. A. (1994) · Cited by 2,465 · see citing works
Establishing rigour in qualitative research: the decision trail
Koch, T. (1994) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.1994.tb01177.x · Cited by 1,127 · see citing works
A phenomenological investigation into the role the clinical nurse specialist
Bousfield, C. (1997) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1997.1997025245.x · Cited by 115 · see citing works
Clarification of Advanced Nursing Practice
Davies, B. I., & Hughes, A. M. (1995) · Clinical Nurse Specialist · doi:10.1097/00002800-199505000-00011 · Cited by 89 · see citing works
The theory‐theory gap: the challenge for nurse teachers
Dale, A. E. (1994) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.1994.tb02390.x · Cited by 62 · see citing works
The evolving role of the clinical nurse specialist
McSharry, M. (1995) · British Journal of Nursing · doi:10.12968/bjon.1995.4.11.641 · Cited by 34 · see citing works
Competency through being: the enemy within?
Gee, K. (1995) · British Journal of Nursing · doi:10.12968/bjon.1995.4.11.637 · Cited by 23 · see citing works
The development of advanced nursing practice: 1
Elliott, P. A. (1995) · British Journal of Nursing · doi:10.12968/bjon.1995.4.11.633 · Cited by 20 · see citing works
McGee, P. (1993) · British Journal of Nursing · doi:10.12968/bjon.1993.2.20.1022 · Cited by 20 · see citing works
Clinical nurse specialist: walking the wire
Bull, R., & Hart, G. (1995) · Contemporary Nurse · doi:10.5172/conu.4.1.25 · Cited by 16 · see citing works
The politics of specialist/advanced practice: conflict or confusion?
Brown, R. A. (1995) · British Journal of Nursing · doi:10.12968/bjon.1995.4.16.944 · Cited by 13 · see citing works
Education for specialist and advanced practice
Brown, R. A. (1995) · British Journal of Nursing · doi:10.12968/bjon.1995.4.5.266 · Cited by 12 · see citing works
The development of the paediatric nurse specialist
Jones, S. (1995) · British Journal of Nursing · doi:10.12968/bjon.1995.4.1.34 · Cited by 6 · see citing works
Defining Advanced Practice Nursing Role Diversity is Essential in Meeting Nursing's Social Mandate
Lyon, B. L. (1996) · Clinical Nurse Specialist · doi:10.1097/00002800-199611000-00001 · Cited by 6 · see citing works
Specialist nurses must form their own professional body
Castledine, G. (1995) · British Journal of Nursing · doi:10.12968/bjon.1995.4.11.632 · Cited by 3 · see citing works
Specialisation in nursing comes of age
Castledine, G. (1995) · British Journal of Nursing · doi:10.12968/bjon.1995.4.5.295 · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Thomas, A., Menon, A., Boruff, J. T., Rodríguez, A. M., & Ahmed, S. (2014) · Implementation Science · doi:10.1186/1748-5908-9-54 · Cited by 328 · see citing works
Theraputic relationships in specialist palliative care nursing practice
Canning, D., Rosenberg, J. P., & Yates, P. M. (2007) · International Journal of Palliative Nursing · doi:10.12968/ijpn.2007.13.5.23492 · Cited by 44 · see citing works
Competency Standards and Educational Requirements for Specialist Breast Nurses in Australia
Yates, P. M., Evans, A., Moore, A., Heartfield, M., Gibson, T., & Luxford, K. (2007) · Collegian Journal of the Royal College of Nursing Australia · doi:10.1016/s1322-7696(08)60542-9 · Cited by 41 · see citing works
The acquisition and exercise of nephrology nursing expertise: a grounded theory study
Bonner, A., & Greenwood, J. (2006) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2006.01361.x · Cited by 27 · see citing works
Overview of emergency nursing in Australasia
Fry, M. (2008) · International Emergency Nursing · doi:10.1016/j.ienj.2008.01.003 · Cited by 15 · see citing works
Rasmussen, P. (2015) · The Journal of Mental Health Training Education and Practice · doi:10.1108/jmhtep-10-2014-0032 · Cited by 12 · see citing works
Makowska, M., Hoffmann-Aulich, J., Lato-Pawłowska, M. S., & Szczepek, A. J. (2024) · BMC Medical Education · doi:10.1186/s12909-024-06079-6 · Cited by 2 · see citing works
Evaluation of eleven Phase 1 demonstration projects
Parker, J., & Dunt, D. R. (2000) · Cited by 1 · see citing works
- Authors
- Fairweather, C., & Gardner, G.
- Affiliations
- University of Canberra (AU)
- ORCID
- Gardner, Glenn
- Venue
- Collegian
- Publisher
- Elsevier BV
- Published
- 2000-01
- Volume
- 7
- Issue
- 2
- Pages
- 26-33
- ISSN
- 1322-7696 (ISSN-L)
- OpenAlex
- W70258884
- Cited by
- 8
- References
- 17
- Citations by year
- 2024: 1 · 2015: 1 · 2014: 1
- FWCI
- 0.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Collegian Journal of the Royal College of Nursing Australia (publishedVersion)
- PubMed (publishedVersion)
- QUT ePrints (Queensland University of Technology) (submittedVersion)
- Faculty of Health; Institute of Health and Biomedical Innovation; School of Nursing
- Topics
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Keywords
- nursing specialties, critical care nursing, nursing specialization, nursing knowledge, practice knowledge, propositional knowledge, discretion, incorporation
- MeSH terms
- Attitude of Health Personnel, Clinical Competence, Critical Care, Humans, Job Description, Health Knowledge, Attitudes, Practice, Nurse Clinicians, Nursing Staff, Hospital, Philosophy, Nursing, Queensland, Surveys and Questionnaires, Specialties, Nursing, Nursing Methodology Research, Focus Groups, Knowledge, Nurse's Role
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review