NURSING ASSIGNMENT

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the Student:
Name of the University:
Author Note:

1NURSING ASSIGNMENT
Introduction:
Nurses who are highly qualified and are experienced are known as Advanced Nurse
Practitioners (ANP). The ANPs possess the ability to investigate, assess, diagnose and prescribe
the correct intervention to the patients. According to the NHS Greater Glasgow and Clyde more
than 100 ANPs are working across the world based at primary care to intensive care unit. The
role of the Advanced Nurse Practitioner is thus to provide complete clinical care to the patients
rather than caring for a specific condition (Nhsggc.org.uk 2019). In other words, it should be
mentioned that ANP should not be confused with a specialization degree; it is rather a level of
practice (Hendry and Walker 2004). Further, ANPs possess the authority of a clinical leader and
can independently take decisions in the best interest of the patient. Further, it should also be
mentioned in this regard that ANPs also own the authority to refer, admit or discharge a patient
within relevant clinical areas. However, the role of an Advance Nurse Practitioners is often
misunderstood or is unclear to the physicians. The common notion treats ANPs as an assistant to
the Physician which leads to communication gap and at the same time poor job satisfaction
among the Nurse practitioners. Therefore, this paper intends to evaluate the perception about
ANP among the physicians and devise appropriate strategies to improve their level of
understanding about the role of an ANP within a healthcare setting.
Literature Review:
In order to evaluate the perception of the Physicians in relation to the role of the ANPs
within a healthcare setting, an exhaustive literature review would be conducted. The literature
review would be based upon the articulated research question mentioned below:

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RQ1: What are the common perceptions about the role of ANPs among Physicians within Saudi
Arabia?
RQ2: How do ANPs contribute to the healthcare system?
RQ3: Where do ANPs stand within the healthcare system?
Search Strategy:
In order to conduct the review, the electronic bases Google Scholar, CINAHL, PubMed
and MedLine were thoroughly searched by using relevant key terms and the research papers that
satisfied the exclusion and inclusion criteria were considered relevant for the literature review.
Exclusion Criteria:
According to Parahoo (2014), scanning the electronic databases exposes a wide gamut of
literatures which need to be filtered on the basis of specific criteria so as to narrow down the
search and include only relevant papers. The exclusion criteria thus includes the characteristics
that are used to exclude irrelevant papers that do not substantially address the research question.
The following exclusion criteria were included while conducting the search:
 Papers that were published prior to 2003 were not considered
 Papers that were published in foreign languages other than English were excluded
 Papers that could not be accessed completely and only the abstract part was accessible
was also excluded
Inclusion Criteria:

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The inclusion criteria on the other hand constitutes of the set of characteristics that serve
as checklists to include the literatures in the paper (Parahoo 2014). The following list of
inclusion criteria were considered which included the following:
 Papers published between 2003-2018 were included for the review
 Papers that were published in English language were considered for the review
 Papers that were aligned to the medical context of Saudi Arabia were included
 Papers that were fully accessible were considered for the review
Key terms:
Key terms are short phrases that are relatable to the research question and help in
retrieving literatures that are connected to the central concept of the research paper. The key
terms that were used to conduct a search on the electronic database included the following terms:
Physician perception, ANP, Saudi Arabia, Role of ANP, Healthcare system, NP, healthcare
environment
Review:
A research study conducted by Dalton (2013) focused on evaluating the perception of the
junior physicians at their first year of placement and RNs about the role of ANPs The researcher
conducted a qualitative cross-sectional study and adapted an interpretative research philosophy.
The sample size considered for the research included six junior doctors, six ward nurses and six
ANPs and the researcher conducted a semi structure interview to evaluate the response of the
participants (Dalton 2013). Typically, the findings were segregated under four themes and the
gathered responses revealed diverse understanding of the role of the ANPs during the day shift