All nurse practitioners (n = 5) employed at the two EDs were interviewed whilst doctors and nurses were purposively selected based on seniority of role and length of employment at the sites to ensure knowledge of the development of the nurse practitioner role onsite and reasonable levels of interaction with nurse practitioners during clinical work.
This in-house training program provided specialised, evidence-based training for the emergency department environment, resulting in development of the nurse practitioner candidate as a high functioning team member.
By having a professional name that was recognized and accepted by all, the group prevented many of the nomenclature arguments and irregularities within nursing that have dogged the more recent development of the nurse practitioner (NP) role in Canada where there is no inter-provincial agreement on title and title protection NPs.
Some from within the nursing profession have questioned the need for an additional non-physician service provider, given the development of the nurse practitioner (NP) who can meet the service needs within a team that is consultant-led, has prescription privileges and can also practise independently.
The oncology nurses voiced the need for a collaborative network with researchers who need to incorporate the views of practitioners into the development of the guidelines and support practitioners for dissemination, even after implementation.
The existence of the physician substitute 'clinical officer' cadre in Kenya, as in other Sub-Saharan African countries, suggests that the development of the advanced nurse practitioner role is unlikely at present.
To improve case management of acute diarrhoea, continuing professional development programme targeting the practitioners of all systems of medicine is necessary.
5 7 While there is limited research that addresses critical perspectives of faculty who are on the 'front-lines' of curricular innovation, patient safety and quality improvement training literature continues to recognise the critical role faculty play in moving the patient safety agenda forward and in the development of safe practitioners.
The growth of residency and fellowship programs warrants critical investigation and dissemination of methods used by postgraduate training educators in order to support transition to practice and ensure the development of strong practitioners.
His interests include clinical education and the development of novice practitioners.
