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Nursing Research and Practice
Volume 2015, Article ID 829593, 14 pages
http://dx.doi.org/10.1155/2015/829593
Research Article

Australian Nurse Practitioner Practice: Value Adding through Clinical Reflexivity

1Royal Hobart Hospital, Diabetes Centre, 5th Floor, 70 Collins Street, Hobart, TAS 7000, Australia
2School of Health Sciences, University of Tasmania, Hobart, TAS 7000, Australia
3Diabetes Centre, Tasmanian Health Organisation-North West, P.O. Box 258, Burnie, TAS 7320, Australia

Received 1 August 2014; Revised 8 October 2014; Accepted 31 December 2014

Academic Editor: Linda Moneyham

Copyright © 2015 Michelle Woods and Giuliana Murfet. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The role of the Australian Nurse Practitioner (NP) is in its infancy and at a crossroads where extensive research demonstrates effective quality care and yet the role remains underrecognised and underutilised. The translation of practice into “value” is critical for the sustainability of NP roles and requires the practitioner to adopt a systematic method of inquiry. Kim’s (1999) “Critical Reflective Inquiry” (CRI) method was adapted by two Australian NPs who specialise in diabetes and chronic disease management. Kim highlights the intent of CRI as understanding the meaning of practice, delivering improvements to practice through self-reflection, and the critique of practice that can lead to practice changes and development of new models of care translated to “products” of value. Based on the thematically analysis of 3 years of CRI application, the authors formed 5 headings that represented the NP’s practice as Specialised Care Access, Complications and Diagnostics Interventions, Pharmaceutical Treatment, Vulnerable Populations, and Leadership. The utility of CRI demonstrates how NP practice is integral to a continuous cycle of addressing health care services gaps, and the conversion of “products” into “value” and positions the NP to assimilate the role of the practitioner-researcher.