The Role of Nursing Consultant in Iran: A Qualitative Study
Abstract
Background: Nursing consultation is one of the important roles of nurses and is very effective in improving care results. But this role is unknown in Iran and there are no respective organizational positions. The purpose of this study is to examine the factors affecting the position of this role.
Materials and Methods: This study, as a qualitative research was conducted from April to December 2017 using content analysis approach. We performed semi‑structured in‑depth interviews with 23 participants who were selected using purposeful sampling and were asked to describe the factors affecting the organizational position of nurse consultant.
Results: The mean (standard deviation) age of the participants was 44.5 years (10.68). 279 meaning units, 39 codes, 6 subcategories and two categories were obtained in this essay. The two main categories include necessity for nursing consultation role with two subcategories (nursing consultation role as one of the main roles in nursing, and the need for nursing consultation in healthcare system in Iran), and the obstacles of nursing consultation role with four subcategories (healthcare system problems, problems associated with physicians, problems associated with nurses and problems associated with patients’ culture).
Conclusions: Considering the importance of nursing consultation role in improving the health of the patients, the policymakers should take into account the consultant role of nurses and they should understand the importance of and the need for this role. As such, we hope that managers and policymakers create a role position by removing the obstacles and considering the necessity of this role.
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Bookey‑Bassett S, Markle‑Reid M, Mckey CA, Akhtar‑Danesh N. Understanding interprofessional collaboration in the context of chronic disease management for older adults living in communities: A concept analysis. J Adv Nurs 2017;73:71‑84.
Morilla‑Herrera JC, Garcia‑Mayor S, Martín‑Santos FJ, Uttumchandani SK, Campos ÁL, Bautista JC, et al. A systematic review of the effectiveness and roles of advanced practice nursing in older people. Int J Nurs Stud 2016;53:290‑307.
Whitehead L. The effects of personalized care planning for adults living with chronic conditions. Int J Nurs Pract 2016;22:138‑40.
van Dijk‑de Vries A, van Bokhovena MA, de Jong S, Metsemakersa JF, Verhaak PF, van der Weijdena T, et al. Patients’ readiness to receive psychosocial care during nurse‑led routine diabetes consultations in primary care: A mixed methods study. Int J Nurs Stud 2016;63:58‑64.
de Meneses LS, Lima FE, de Oliveira SK, Oliveira FJ, Vieira Md, Almeida PC, et al. Self‑care practice of patients with mechanical heart valve prosthesis accompanied in nursing consultation. Health 2015;7:1387‑95.
Potter PA, Perry AG. Fundamentals of Nursing. Australia: Mosby Elsevior; 2009.
Gregorowski A, Brennan E, Chapman S, Gibson F, Khair K, May L, et al. An action research study to explore the nature of the nurse consultant role in the care of children and young people. J Clin Nurs 2013;22:201‑10.
Taylor S. A Descriptive Interpretive Exploration of the Nurse Consultant Role and Its Influence on the Research Agenda. UK: Cardiff University; 2016.
Giles M, Parker V, Mitchell R. Understanding nurse consultant role engagement in metropolitan and rural contexts. Collegian 2016;23:329‑40.
Ahmadian S, Mokhtari J. A review of the evolution and challenges in nursing role development. Iran J Med Ethics Hist Med 2017;9:48‑60.
Shiu AT, Lee DT, Chau JP. Exploring the scope of expanding advanced nursing practice in nurse‑led clinics: A multiple‑case study. J Adv Nurs 2012;68:1780‑92.
Carryer J, Wilkinson J, Towers A, Gardner G. Delineating advanced practice nursing in New Zealand: A national survey. Int Nurs Rev 2018;65:24‑32.
Baldwin R, Duffield CM, Fry M, Roche M, Stasa H, Solman A. The role and functions of clinical nurse consultants, an Australian advanced practice role: A descriptive exploratory cohort study. Int J Nurs Stud 2013;50:326‑34.
Moshtaghi Honarvaran B, Nani M, Kamali D, Sadeghnezhad M. The status of professional nursing roles in nursing MSc theses. Iran J Med Educ 2017;17:230‑8.
Irajpoor A, Khorasani P. Development of the operational program and strategic plan for the development of nursing science. Iran J Med Educ 2017;17:110‑9.
Ravani Pour M, Vanaki Z, Afsar L, Azemian A. The standards of professionalism in nursing: The nursing instructors’ experiences. Evid Based Care 2014;4:27‑40.
Bakhshi R, Akaberian S, Bahreini M, Mirzaei K, Kiani J. The effect of group counseling on the quality of life in patients with major thalassemia referred to the thalassemia treatment center in Bushehr. Pajouhan Sci J 2018;16:11‑9.
NikbakhtNasrabadi A, Bakhshayeshi O, Parsayekta Z, Hoseyni M, Taghavi T, Rezvani H. The effectiveness of implementing nursing consultation on the anxiety of patients undergoing GI endoscopy. Iran J Nurs (IJN) 2012;27:54‑61.
Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs 2008;62:107‑15.
Anney VN. Ensuring the quality of the findings of qualitative research: Looking at trustworthiness criteria. J Emerg Trends Educ Res Policy Stud (JETERAPS) 2014;5:272‑81.
da Silva JPG, Costa KNdFM, da Silva GRF, dos Santos Oliveira SH, de Almeida PC, Fernandes MdGM. Nursing consultation for the elderly: Instruments of communication and nursing roles according to Peplau. Escola Anna Nery Rev Enfermagem 2015;19:154‑61.
de Souza Braga AL, Valle WAdC, Machado MED, de Souza DF, Andrade M, Aloi AP. Nursing consultation‑a restructuring strategy of the program hiperdia. J Nurs UFPE on line 2015;9:8155‑64.
Stevenson K, Ryan S, Masterson A. Nurse and allied health professional consultants: Perceptions and experiences of the role. J Clin Nurs 2011;20:537‑44.
Deschodt M, Claes V, Van Grootven B, Van den Heede K, Flamaing J, Boland B, et al. Structure and processes of interdisciplinary geriatric consultation teams in acute care hospitals: A scoping review. Int J Nurs Stud 2016;55:98‑114.
Mitchell T, Williams CB, Easton K, Ingledew I. The consultant nurse — Expert practitioner and so much more. Br J Nurs 2010;19:481‑8.
Doody O. The role and development of consultancy in nursing practice. Br J Nurs 2014;23:32‑9.
Stichler JF. The nurse as consultant. Nurs Admin Q 2002;26:52‑68.
Gerrish K, McDonnell A, Kennedy F. The development of a framework for evaluating the impact of nurse consultant roles in the UK. J Adv Nurs 2013;69:2295‑308.
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