You can use your existing Medical Independent, MediLearning or PharmacistCPD account to log in.


Medicalindependent.ie is Ireland's only investigative medical news website for doctors, healthcare professionals and anyone with an interest in health issues.

Established in 2010, along with its sister publication The Medical Independent, our stated aim is to investigate and analyse the major issues affecting healthcare and the medical profession in Ireland. The Medical Independent has won a number of awards for its investigative journalism, and its stories are frequently picked up by national digital, broadcast and print media. The Medical Independent is published by GreenCross Publishing.

Address: Top Floor, 111 Rathmines Road Lr, Dublin 6

Tel: 353 (01) 441 0024

GreenCross Publishing is owned by Graham Cooke.


The benefits of registering: only registered users:
  • receive the ecCopy two days prior to the printed edition.
  • have automatic access to our free CPD sites.
  • can partake in our online MCQs.
  • can enter our online sports quiz.

Sign up now for ease of access to The Medical Independent, Ireland’s most frequently published medical newspaper, delivering award-winning news and investigative reporting.

Download the new Mindo app for both IOS & Android.

  • Get notified when a story goes live
  • Access Premium Content
  • Read Offline
 
[the_ad_placement id="main-ldb-public"]
[the_ad_placement id="main-ldb-mobile-public"]

You are reading 1 of 2 free-access articles allowed for 30 days

‘Medical model’ ethos is restricting advanced nurse role — INMO

By Dermot - 07th Apr 2016 | 3 views

Mr Liam Doran said there is “an underlying philosophy” in the Irish health service and elements of the medical profession that “a doctor must initiate almost all pathways of care”.

The small number of advanced practice roles for nurses is “a source of huge frustration” and indicative of a health service that “doesn’t actually believe in reform on the front line”. 

“I’m absolutely strongly of the view that there’s a cultural mindset out there which does not want to liberate nursing and midwifery to perform this level of function as a matter of norm,” he told <strong><em>MI</em></strong>.

Latest figures show 184 advanced nurse practitioners (ANPs) and six advanced midwife practitioners (AMPs) on the Nursing and Midwifery Board of Ireland (NMBI) register. Approximately 35,000 whole-time equivalent nurses and midwives are employed in the public health service.

According to Mr Doran, there are six ANPs in the emergency department (ED) at St James’s Hospital, Dublin, where the role is well-established. He said it was not a coincidence that St James’s had the “best-performing” ED.

He proposed that some non-training NCHD posts could be removed in favour of advanced nurse/midwife roles in the health service, noting that NCHD posts not designated for training often had a high staff turnover.  

According to the NMBI figures, there were 36 new registrations of ANPs in 2015, compared with 21 new registrations in 2014. There were no new registrations of AMPs last year and two in 2014.  In 2015, most new ANP registrations were in emergency care (15), oncology-radiation (three) and two registrations each in dermatology, epilepsy and neurology. In 2014, most new ANP registrations were in emergency care (10) followed by neonatology (three).

Meanwhile, there are 893 nurse and midwife prescribers active on the NMBI register. Some 87 new registrations occurred in 2015 and 130 in 2014. The Department of Health says it has undertaken an evidence review of advanced practice for nurses and midwives, with a view to “developing a policy direction later in 2016 that embraces regulation, legislation, education and credentialing issues and to address barriers identified in the development of the posts”.

Leave a Reply

[the_ad_placement id="main-ldb-public-2"]
[the_ad_placement id="main-ldb-mobile-public-2"]
Latest Issue
The Medical Independent – 24 June 2021

You need to be logged in to access this content. Please login or sign up using the links below.

[the_ad_placement id="main-mpu-public"]
Most Read
[the_ad_placement id="main-ldb-public-2"]
[the_ad_placement id="main-ldb-mobile-public-2"]