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An explanation of Role Development in Nursing and Midwifery: Scotland
Scientific Report

Submitted to Scottish Executive Health Department

National Nursing Midwifery and Health Visiting Advisory Committee

Contents

List of Contributors
Introduction
Chapter 1.The Project Debbie Tolson & Bernice West
Chapter 2. The Survey Debbie Tolson
Chapter 3. The Case Studies Bernice West
Chapter 4. Final Conclusions & Recommendations Debbie Tolson, Bernice West

List of Figures
Figure 2.1 Bar chart of the year of commencement of the reported extended practices
Figure 2.2 The Role Label Classification Scheme
Figure 2.3 Bar chart displaying the frequency ('n') of new Role Developments per year.
Figure 2.4 Stacked bar chart showing year by context of care delivery
Figure 2.5 Oncology search example

List of Tables
Table 2.1 Frequency of extended practices identified by 36 Trusts.
Table 2.2 Frequency of the Role Labels
Table 2.3 Frequency of single graded Developed Roles (n=401)
Table 2.4 Frequency of multiple graded Developed Roles (n=39)
Table 2.5 Frequency of new role developments during the period 1987-1998
Table 2.6 Frequency of role labels used during the period 1987-1998
Table.2.7 Cross tabulation of driving force with year of commencement
Table 2.8 Current (1998/99) context of care delivery
Table 2.9 Context of care delivery over the decade 1987-1998
Table 2.10 Funding sources of the Developed Roles
Table 2.11 Level of reservation of the post holders towards recommending their role for replication elsewhere in Scotland
Table 2.12 Frequency of application of each category as a discrete or mixed area of practice
Table 2.13 Cross tabulation of practice area categories for mixed category roles: areas of overlap.
Table 2.14 Frequency of Developed Roles per Area of practice over the decade (1987-1998)
Table 2.15 Cross tabulation of cases with mixed area of practice with context of care delivery
Table 3.1 Case Matrix of all visited: specialism, location & role title
Table 3.2 Case analyses: evidence of development
Table 3.3 Highly Developed Roles
Tables 3.4 Evolving Roles

References

Appendices
Appendix 1 Consent Form
Appendix 2 Code of Conduct
Appendix 3 Questionnaire 1(a)
Appendix 4 Questionnaire 1(b)
Appendix 5 Survey Completion Instructions
Appendix 6 Extended Practices Categorisation System
Appendix 7 Interview Schedules

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