With reference to the literature and your own practice define the concept and nature of advanced nursing practice in your clinical area (oncology & haematology  I work as  an assistance head nurse

• Critically examine the nature and conceptualisation of advanced and specialist practice, clear definition and framework of advanced nursing practice( support it with references)

• Explore and critically analyse existing and new roles of advanced nursing practice.
• Critically appraise theoretical and practical aspect of advanced practice( support it with references)

• giving rationale for the choice and context ( support your rational with references)

• Identifies the need for change, debating on the opportunities and threads of the proposed change( support it with references)

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Main body: 1400 words

With reference to the literature and your own practice critically explore how you can potentially advance in your clinical area (             )

In this part you are required to focus on your specific area of practice and examine possible opportunities, challenges and barriers towards advanced nursing practice. Think ahead of thegeneral skills, knowledge and clinical competencies you hold and how you can utilize them further in order to improve practice.

• Demonstrates a critical examination of advanced nursing practice and understanding of issues related to the advancement of nursing practice e.g. leadership, risk management
• Provide the different betweenadvanced nursing practice and specialist nurse.

• Discuss current local and national policies governing practice area and their impact on clinicalProvides a well constructed and balanced argument with a critical use of current & relevant evidence and healthcare policies
• Articulate the skills, knowledge and competencies required in order to manage change and advance your clinical area ( )
• Reflect on the challenges and opportunities pursuing such an idea and change in your practice give example her please.

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Conclusion:350 words

Restate the aim of this essay and Summarize your point with Critical evaluation on personal professional role and contribution towards implementing change. And a review of approach to be taken to implement idea.

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Language and presentation :

Presents essay in an academic style of writing showing logical structure with a progression , using compare and contrast and arguments style when you discuss the literature reviewing .

This is postgraduate level and i will attached the level 7 criteria please follow the criteria.

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Referencing technique:

• use Harvard technique
• Minimum number of references: 45
• up to date referencesno less than 10 years old

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Provides appropriate appendices:

Such as charts and tables from which was written in the introduction and the main body.

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Word limit: 2750 words no more than this please

(introduction 1000, mainbody 1400.conclusion 350)

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In this essay I want to answer these  questions

1. what sort of skills I have or I want to gain ?

My skills is am a  good communicator ,leading in the small task and I have qualification in total quality and  management, a good speaker in conference related to oncology and haematology topic  and I want to gain the

knowledge and skills of leadership,

2. What currently I am going to do and what I want to do and why ?

Currently I am  studying Master degree in Nursing studies  I worked as an assistance head nurse before I start my Master degree and  I want to

Changing the nursing structure within my organization to be more similar to the NHS nursing structure, e.g. having nursing consultants.

Having new policies and procedures which will reflect the changes in nursing structure and responsibilities.

1. Putting in place a comprehensive nursing management team oversee all nursing staff in the hospital This will be involved in organizing training improving staff and services, monitoring and evaluating staff. This will also engage staff and patients in the making decision process.My aspirational goals are to achieve a high quality of care, and patient and staff satisfaction. I also want to deliver a high quality service, while having improvements and reducing costs. Focusing more on the patients’ needs would lead to some of these improvements. Furthermore I was to organize training to improve the staff. Lastly I want to change the organizational culture.

• What the is the important of parallel of Advance nursing practices ?

According to the United Kingdom Central Council, advanced practice is defined as “adjusting the boundaries for the development of future practice, pioneering and developing new roles responsive to changing needs and with advancing clinical practice, research and education enrich professional practice as a whole” (UKCC, 1994: 20). In contrast, The International Council of Nurses define advanced practitioner as a registered nurse who has acquired the expert knowledge base, complex decision making skills and clinical competencies for expanded practice, the characteristics of which are influenced by the context and/or country in which she or she is credentialed to practice (McGee, 2009).

The essay is divided into two parts. The first half of the essay discusses the concept and development of advanced nursing practice in the UK since 1970s whilst focusing on the critical evaluation of the nature and conceptualization of advanced and specialist practice. The second half looks at the ways in which, leadership can be used to advance the leadership practice, alongside the use of the other three pillars (xx, xx and xx) to help promote advanced nursing practice.

Jasper (2006) argues that the development of advanced nursing practice in the UK has been poorly documented and remains fragmented however, the evidence available points to the acceptance of the notion during the 1970s that alongside the progression of clinical nurse specialist roles in 1970s, the idea gained acceptance that some nurses were able to undertake more demanded work relative to others. This was followed by subsequent reforms in 1980s in nurse education, which increased the professional debate relating to the levels of practice and the requirement to aim towards practitioner-focused activity and making use of division of labour to provide flexibility during the time of rapid change in the external environment (Barker, 2009).

Advanced nursing began to be viewed as a separate area within nursing instead of simply an extension to the specialist role whereby nurse becomes more specialist and knowledgeable. McGee et al (1996) specified seven key criteria, functions and roles of the advanced nursing practice applicable in the UK during mid-1990s. These included autonomous practitioner, expert in case management, expert in health and nursing assessment, knowledgeable and experienced, researcher and valuator of care, consultant and leader, and respected and recognized by others in the profession. Significant changes in the environment including the changes in healthcare, development of new clinical roles (e.g. nurse practitioners) and the rise in specialist nurses in late 20th and early 21st century facilitated the development of initiatives such as midwife and nurse consultants.

Thus it is clear from the above that the development in nurses’ roles, and the responsibilities inherent in the roles has been largely haphazard and lacking a planned coordination amongst various stakeholders. The roles developed to meet local needs actually contributed to heightened confusion relating to role boundaries, provision of appropriate training and titles.

Now the paper looks at the role of leadership in promoting the advanced leadership practice.