#WeNurses - Thursday 30th June 2022 8:30pm (GMT Standard Time) Advanced Practice

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Hosted by WeNurses using #WeNurses

This chat is guest hosted by @tarailes @michellesamson_

The NHS Long Term Plan (NHS England, 2019) highlights how advanced clinical practice is central to helping transform service delivery and better meet local health needs by providing enhanced capacity, capability, productivity and efficiency within multi-professional teams.

Advance Practice can be further explored via Health Education England's Multi-professional framework for advanced clinical practice in England. All health and care professionals working at the level of advanced clinical practice should have developed their skills and knowledge to the standard outlined in the framework; the capabilities are common across this level of practice enabling standardisation. The four pillars that underpin this practice are:

1. Clinical Practice
2. Leadership and Management
3. Education
4. Research

Advanced practice roles have developed partly to address demand and workforce issues. In community care settings and general practice, an advanced nursing practitioner is generally understood to mean a nurse who has undertaken additional education and training in clinical assessment, including history-taking and physical examination, clinical reasoning and independent prescribing, so they can safely manage patients presenting with undifferentiated and undiagnosed conditions.

This tweetchat aims to explore what advanced practice in nursing is, the key principles of advanced practice and how nurses can embrace and be valued for the skills they bring to advanced practice.

We'll be exploring Advance Practice via the following questions:

  • What does advanced practice mean to you?
  • What skills do you feel are required to practice at an advanced level?
  • What is the impact of advanced practice to patients, families and the NHS/care as a whole?
  • Are you aware of and capable of delivering all four pillars of advanced practice in your role?
  • What is needed in nursing to drive awareness or update of advance nursing roles?
  • I’m a newly qualified nurse/student really interested in advanced practice, what advice would you give me?


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Picture Credit: NHS Education for Scotland





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 #WeNurses transcript

 
@WeNurses
30 June 2022 20:30
Here we go... WELCOME to #WeNurses this evening on: >>> Advanced Practice <<< Guest hosted by @michellesamson_ & @tarailes after a great @WeNurses takeover today! Please say hi if you are joining or lurking this evening :) https://t.co/AQG9ZsREL6
@tarailes
30 June 2022 20:30
HELLO! ?? a huge welcome ?? #WeNurses tonight’s tweetchat on #AdvancedPractice https://twitter.com/wenurses/status/1542591298581893122
@WeNurses
30 June 2022 20:31
If you've not joined a tweetchat before, here's how: Click on #WeNurses to see the chat Add #WeNurses to your tweets to join in Look out for questions Don't worry about keeping up Do join in, sharing your view adds value to us all! https://t.co/syFaFdMZHH
@WeStudentNurse
30 June 2022 20:31
Spoiled for choice tonight #WeSTNs !! :) Come and learn about Advanced Practice now via #wenurses https://twitter.com/WeNurses/status/1542591298581893122
@WeCYPnurses
30 June 2022 20:31
RT @WeNurses: Here we go... WELCOME to #WeNurses this evening on: >>> Advanced Practice <<< Guest hosted by @michellesamson_ & @tarailes…
@WeLDnurses
30 June 2022 20:31
RT @WeNurses: Here we go... WELCOME to #WeNurses this evening on: >>> Advanced Practice <<< Guest hosted by @michellesamson_ & @tarailes…
@WeMHNurses
30 June 2022 20:32
Great #WeNurses Advanced Practice tweetchat, starting.... NOW https://twitter.com/WeNurses/status/1542591298581893122
@WeNurses
30 June 2022 20:32
@tarailes thanks for joining us on #WeNurses after your super #WeNursesAP day Tara :)
@tarailes
30 June 2022 20:32
@Jess_Resp1994 @WeNurses @michellesamson_ Hi Jess. Where do you work? #WeNurses
@WeNurses
30 June 2022 20:33
To begin... #WeNurses QUESTION 1 "What does advanced practice mean to you?" Adding #WeNurses to your replies please so we can all see them :) https://t.co/hRIGeNdVig
@uronursebriz
30 June 2022 20:33
#WeNurses
@WeNurses
30 June 2022 20:33
@Jess_Resp1994 @michellesamson_ @tarailes Hi Jess, welcome to #wenurses :) If you add #wenurses to your tweets we can all see them :)
@tarailes
30 June 2022 20:33
@WeNurses Of course! ?? ?? #WeNurses
@VanessaRNMH
30 June 2022 20:33
RT @WeMHNurses: Great #WeNurses Advanced Practice tweetchat, starting.... NOW
@WeNurses
30 June 2022 20:33
@uronursebriz Welcome to #wenurses Amanda :)
@tarailes
30 June 2022 20:34
@anmartina71 @WeNurses @michellesamson_ Done forget to add #WeNurses to tweets ?? Hi Anita! ??
@NRCUK
30 June 2022 20:34
@WeNurses @michellesamson_ @tarailes I think I need to change my twitter handle to "lurking and learning" :) #wenurses
@AgencyNurse
30 June 2022 20:34
Hello Teresa here …. Just wanted to say how much I have enjoyed watching all of the #WeNursesAP videos today - great work @tarailes and @NorthBristolNHS #WeNurses https://twitter.com/wenurses/status/1542592053665599493
@WeNurses
30 June 2022 20:34
#wenurses https://twitter.com/anmartina71/status/1542592203981209605
@JessM_QI
30 June 2022 20:35
@WeNurses Advanced practice means enhancing patient care and their experience of healthcare, with better access to services and improved safety through incorporation of the 4 pillars #wenurses
@WeMidwives
30 June 2022 20:35
Interesting chat over on @wenurses now about Advanced practice... click on #wenurses to join in and share our midwifery thoughts and experiences too :) https://twitter.com/WeNurses/status/1542591550563274754
@tarailes
30 June 2022 20:36
Advanced Practice is just that; allowing healthcare professionals to diagnose and treat in a wide variety of settings #WeNurses https://twitter.com/wenurses/status/1542592053665599493
@WeNurses
30 June 2022 20:36
@AgencyNurse @tarailes @NorthBristolNHS Thanks for joining and sharing your #WeNursesAP feedback :) #WeNurses
@tarailes
30 June 2022 20:36
Thanks so much Tre!! ???? ?? #WeNurses https://twitter.com/agencynurse/status/1542592427038588932
@tarailes
30 June 2022 20:37
@Jess_Resp1994 @WeNurses @michellesamson_ Welcome Jess! #WeNurses
@tarailes
30 June 2022 20:37
@uronursebriz @WeNurses @michellesamson_ Hi Amanda ?? and welcome #WeNurses
@WeNurses
30 June 2022 20:37
first 4 pillars mention - well done @Jess_Resp1994 #wenurses https://twitter.com/Jess_Resp1994/status/1542592606655447041
@WeNurses
30 June 2022 20:38
Moving on... #WeNurses QUESTION 2 "What skills do you feel are required to practice at an advanced level?" Adding #WeNurses to your tweets, please :) https://t.co/V3KqoIEA6T
@WeNurses
30 June 2022 20:38
@uronursebriz @michellesamson_ @tarailes Huge welcome Amanda :) nailing tweetchatting already, what a pro #WeNurses
@AgencyNurse
30 June 2022 20:39
Fantastic! #WeNurses https://twitter.com/andreawyllie/status/1542593471323701248
@AgencyNurse
30 June 2022 20:39
RT @WeNurses: Moving on... #WeNurses QUESTION 2 "What skills do you feel are required to practice at an advanced level?" Adding #WeNurs…
@WeMHNurses
30 June 2022 20:39
RT @WeNurses: Moving on... #WeNurses QUESTION 2 "What skills do you feel are required to practice at an advanced level?" Adding #WeNurs…
@tarailes
30 June 2022 20:39
Educated to Masters Level in clinical practice and have been assessed as competent in practice using their expert clinical knowledge and skills. Making autonomous decisions in the assessment, diagnosis and treatment of patients #WeNurses https://twitter.com/wenurses/status/1542593312015646721
@CNSSinead
30 June 2022 20:40
@WeNurses Providing holistic and specialist care to patients. Allergy is my absolute speciality that I dedicate myself to every day-I am not trying to be a Jack of all trades! I can assess, plan and implement and reassess care. This includes prescribing! ???? #WeNurses
@michellesamson_
30 June 2022 20:40
@WeNurses For me passion, experience, knowledge and a willingness to be the best you can & have continuous learning #WeNurses
@JessM_QI
30 June 2022 20:42
@WeNurses The ability to critical think and assess patients through extensive history taking and physical examination to rule out differentials and create safe and effective management plans #WeNurses
@CNSSinead
30 June 2022 20:42
@WeNurses Passion, advanced assessment and prescribing. Also recognising when you are out of your scope and not being ashamed to ask for help. Being integrated in an MDT and not a lone ranger #WeNurses
@WeNurses
30 June 2022 20:43
Up next... #WeNurses QUESTION 3 "What is the impact of advanced practice to patients, families and the NHS/care as a whole?" Keep adding #WeNurses to your tweets, please https://t.co/N7Lug9Nrg8
@JessM_QI
30 June 2022 20:43
@WeNurses The ability to critique the available evidence base and use it to challenge current practice, policy, and procedure to provide safer treatment and care for patients #WeNurses
@WeNurses
30 June 2022 20:43
@CNSSinead Welcome and thank you for bringing your passion and allergy skills to tonight's #wenurses Sinéad
@AgencyNurse
30 June 2022 20:43
@tarailes You have inspired me to do something similar with social care nurses …. It was a great day … really loved it :) #WeNurses
@JessM_QI
30 June 2022 20:43
@WeNurses The ability to lead and inspire others with kindness. To motivate others and provide them with the tools to make a difference to patients, themselves and their teams #WeNurses
@uronursebriz
30 June 2022 20:43
@tarailes @WeNurses Leadership, advance skills and knowledge.A willingness to teach. Put the patient 1st #wenurses
@BJNursing
30 June 2022 20:44
RT @WeNurses: Moving on... #WeNurses QUESTION 2 "What skills do you feel are required to practice at an advanced level?" Adding #WeNurs…
@tarailes
30 June 2022 20:44
Patients get seen quicker, by people with different skill sets and ultimately high quality care #WeNurses https://twitter.com/wenurses/status/1542594570495606785
@WeNurses
30 June 2022 20:44
#wenurses :) https://twitter.com/anmartina71/status/1542594274658865153
@JessM_QI
30 June 2022 20:44
@WeNurses Strong communication skills to teach others and role model good practice. The willingness to never stop learning and expanding our scopes of practice #WeNurses
@tarailes
30 June 2022 20:45
RT @uronursebriz: @tarailes @WeNurses Leadership, advance skills and knowledge.A willingness to teach. Put the patient 1st #wenurses
@WeNurses
30 June 2022 20:45
RT @tarailes: Patients get seen quicker, by people with different skill sets and ultimately high quality care #WeNurses https://t.co/P5AeF…
@uronursebriz
30 June 2022 20:46
@WeNurses Availability, time and knowing your patients #wenurses
@NRCUK
30 June 2022 20:47
@tarailes That came across so clearly today in @NorthBristolNHS the whole driver is patient exp/outcome which has many benefits to "the system" too, but the driver is clearly patient focus #wenurses great to see
@JessM_QI
30 June 2022 20:47
@WeNurses #WeNurses
@CharlotteNHSRN
30 June 2022 20:47
RT @WeNurses: Moving on... #WeNurses QUESTION 2 "What skills do you feel are required to practice at an advanced level?" Adding #WeNurs…
@jacqui_caskey
30 June 2022 20:47
RT @WeNurses: Really grateful to @w_r_m_0 for joining us as part of @NorthBristolNHS #wenursesap take over today… we hope you enjoy the fol…
@WeNurses
30 June 2022 20:47
#wenurses https://twitter.com/CNSSinead/status/1542595552797499393
@WeNurses
30 June 2022 20:48
And... #WeNurses QUESTION 4 "Are you aware of and capable of delivering all four pillars of advanced practice in your role?" Well done for adding #WeNurses to your tweets :) https://t.co/AMZGP0BjDX
@AgencyNurse
30 June 2022 20:48
RT @tarailes: Patients get seen quicker, by people with different skill sets and ultimately high quality care #WeNurses
@tarailes
30 June 2022 20:48
@NRCUK @NorthBristolNHS @Duncan2Burley @NickBrowning94 @w_r_m_0 any thoughts? #WeNurses
@tarailes
30 June 2022 20:49
We discussed the 4 pillars of Advanced Practice today, live from @NorthBristolNHS @Duncan2Burley @w_r_m_0 @NickBrowning94 any thoughts? #WeNurses https://twitter.com/wenurses/status/1542595828916822016
@JessM_QI
30 June 2022 20:49
@WeNurses Aware and well versed in the 4 pillars, however the focus from organisations seems focused upon clinical practice and there is little time afforded for the other pillars. It is the incorporation of all 4 that truly enhances care. #WeNurses
@tarailes
30 June 2022 20:50
@w_r_m_0 you discussed your journey as an internationally educated nurse & your role as an advanced practitioner. @armstrongduff what opportunities do we have? #WeNurses
@NRCUK
30 June 2022 20:50
Many peers shared today via #wenursesap that their role creates a bridge for both patients and families, as well as being an advocate in a complex health system, something the patients shouldn't need to understand and is a great role for nurses practicing at this level #wenurses https://twitter.com/Jess_Resp1994/status/1542595624029257732
@CharlotteNHSRN
30 June 2022 20:50
RT @WeNurses: And... #WeNurses QUESTION 4 "Are you aware of and capable of delivering all four pillars of advanced practice in your rol…
@WeCYPnurses
30 June 2022 20:50
RT @WeNurses: And... #WeNurses QUESTION 4 "Are you aware of and capable of delivering all four pillars of advanced practice in your rol…
@WeNurses
30 June 2022 20:53
Nearly done... #WeNurses QUESTION 5 "What is needed in nursing to drive awareness or updates of advanced nursing roles?" https://t.co/WKFJKKydoj
@uronursebriz
30 June 2022 20:53
RT @WeNurses: Moving on... #WeNurses QUESTION 2 "What skills do you feel are required to practice at an advanced level?" Adding #WeNurs…
@w_r_m_0
30 June 2022 20:53
@WeNurses This has allowed the development of a holistic approach and patient focused, high quality, cost-effective care. #WeNurses
@JessM_QI
30 June 2022 20:53
@NRCUK I'm sorry I missed that, sounds like a very worthwhile session and absolutely hits home how our role is so beneficial within healthcare systems. #WeNurses
@armstrongduff
30 June 2022 20:54
@tarailes @w_r_m_0 2) Ensure good representation so our #InternationallyEducatedNurses see themselves reflected in our advanced practice workforce #Wenurses
@NRCUK
30 June 2022 20:54
Clearly there is much academic work and research involved to deliver all 4 pillars. Affording this time when the pressure continues to grow is not an easy "nut to crack", despite the increase in flow and streamlining it delivers with AP nursing. #wenurses https://twitter.com/Jess_Resp1994/status/1542596227241582596
@uronursebriz
30 June 2022 20:54
@WeNurses Better specialised training #Wenurses
@tarailes
30 June 2022 20:55
Great advice @Duncan2Burley #WeNurses #AdvancedPractice https://twitter.com/duncan2burley/status/1542597412761616384
@anmartina71
30 June 2022 20:55
@WeNurses Anecdotally clinical & clinical management 70%, management 15%, education 14% & research 1% and definitely the later needs to be raised! #WeNurses
@armstrongduff
30 June 2022 20:55
@tarailes @w_r_m_0 3) Equip our #InternationallyEducatedNurses with the careeer and interview skills to navigate #NHS careers #wenurses
@tarailes
30 June 2022 20:56
SO important @armstrongduff ???? #WeNurses #StayandThrive https://twitter.com/armstrongduff/status/1542597799648366596
@JessM_QI
30 June 2022 20:56
@WeNurses Representation in bodies across the UK such as the @BTSrespiratory. Strong accreditation and governance to ensure safety. Role modelling within our organisations. Disseminating our work at networking events such as conferences. Building trust between teams #WeNurses
@tarailes
30 June 2022 20:57
Really great point @NickBrowning94 ???? #WeNurses #AdvancedPractice https://twitter.com/nickbrowning94/status/1542597913469132801
@NRCUK
30 June 2022 20:57
@Jess_Resp1994 That's OK, catch up here https://wecommunities.org/blogs/3647 :) or click on #wenursesAP to see the amazing live streams and videos, it was all done via twitter :) #wenurses
@WeNurses
30 June 2022 20:58
And, finally this evening... #WeNurses QUESTION 6 "I’m a nurse really interested in advanced practice, what advice would you give me?" https://t.co/et0PPeIiGP
@tarailes
30 June 2022 20:58
RT @NRCUK: Many peers shared today via #wenursesap that their role creates a bridge for both patients and families, as well as being an adv…
@WeNurses
30 June 2022 20:58
#wenurses https://twitter.com/Duncan2Burley/status/1542597412761616384
@anmartina71
30 June 2022 20:58
@WeNurses We are fortunate to have a helicopter view & understanding of interdepartmental services with links to corporate NHS which places us in the best position to offer that compassionate care #WeNurses
@armstrongduff
30 June 2022 20:58
@tarailes @w_r_m_0 5) Work tirelessly to remove #UnconsciousBias so our #InternationallyEducatedNurses have equity of opportunity #wenurses
@WeNurses
30 June 2022 20:59
#WeNurses https://twitter.com/NickBrowning94/status/1542597913469132801
@uronursebriz
30 June 2022 20:59
@WeNurses Strong links with, for me @BAUSendourology #Wenurses
@tarailes
30 June 2022 20:59
We need to celebrate roles, raise the profile (as we did @NorthBristolNHS today), truly be proud of these fantastic roles! #WeNurses https://twitter.com/wenurses/status/1542597086788472832
@thesismum
30 June 2022 20:59
RT @WeNurses: And... #WeNurses QUESTION 4 "Are you aware of and capable of delivering all four pillars of advanced practice in your rol…
@CharlotteNHSRN
30 June 2022 20:59
RT @WeNurses: And, finally this evening... #WeNurses QUESTION 6 "I’m a nurse really interested in advanced practice, what advice would…
@thesismum
30 June 2022 20:59
RT @WeNurses: Nearly done... #WeNurses QUESTION 5 "What is needed in nursing to drive awareness or updates of advanced nursing roles?"…
@CharlotteNHSRN
30 June 2022 20:59
RT @WeNurses: Up next... #WeNurses QUESTION 3 "What is the impact of advanced practice to patients, families and the NHS/care as a who…
@tarailes
30 June 2022 21:00
Excellent point @armstrongduff #WeNurses https://twitter.com/armstrongduff/status/1542598585845424128
@JessM_QI
30 June 2022 21:00
@NRCUK It's not an easy task at all with the current climate in healthcare but we should continuously strive for this time. We shouldn't be providing baseline care we should be enhancing it and improving quality sustainably. #WeNurses
@AgencyNurse
30 June 2022 21:00
RT @WeNurses: And, finally this evening... #WeNurses QUESTION 6 "I’m a nurse really interested in advanced practice, what advice would…
@tarailes
30 June 2022 21:02
Where’s your clinical area of interest? What’s your academic profile? Who can you network with? Have you got a mentor? #WeNurses https://twitter.com/wenurses/status/1542598345432121346
@NRCUK
30 June 2022 21:02
@Jess_Resp1994 Striving, great plan A :) #wenurses
@armstrongduff
30 June 2022 21:02
@tarailes @w_r_m_0 6) Have career conversations on day one. Empower our #InternationallyEducatedNurses to know they are more than a vacancy filled. Show them postgrad options before they land. Introduce 4 pillars as part of #OSCE training #wenurses
@JessM_QI
30 June 2022 21:03
@WeNurses Go for it! Start building your portfolio around the 4 pillars now, you can create positive change no matter what grade you are at currently. Don't let anyone stop you #WeNurses
@tarailes
30 June 2022 21:03
QI is very important #WeNurses https://twitter.com/nickbrowning94/status/1542599075526238209
@w_r_m_0
30 June 2022 21:04
@armstrongduff @tarailes Agree ang giving them equal opportunities to flourish and develop their potential. #WeNurses
@tarailes
30 June 2022 21:04
RT @w_r_m_0: @armstrongduff @tarailes Agree ang giving them equal opportunities to flourish and develop their potential. #WeNurses
@HoldsworthFiona
30 June 2022 21:04
@WeNurses #WeNurses
@WeNurses
30 June 2022 21:05
Thank you @michellesamson_ & @tarailes for your #WeNursesAP time today and for being with us on #WeNurses this eve too! Thank you all for joining and sharing your Advanced Practice tweets this evening. https://t.co/g6bhmoXCFI




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 Total tweets: 102
 Total reach: 2,939,918

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