title: Is heart failure nursing practice at the level of a clinical nurse specialist or advanced nurse practitioner? The Irish experience.
abstract: Since 2000 there has been a significant increase of Heart Failure Nursing positions in the Irish health service. The background to these positions has been based on the model established at St. Vincent's University Hospital, Dublin since 1998. Recognition of nursing practice in Ireland has also transformed with the introduction of Clinical Nurse Specialist and Advance Nurse Practitioner positions. To date Clinical Nurse Specialists coordinate and manage heart failure programmes, however it remains to be seen whether current practices are within the scope of practice of these nurses. Advanced Nurse Practitioner is a new position in Irish Nursing from examining guidelines and education this may be the way forward for Heart Failure Nursing in Ireland.
authors.affiliation: St. Vincent's University Hospital, Heart Failure Unit, 1st Floor, St. Michaels Hospital, Dunlaoghaire, Co. Dublin, Ireland. m.ryder@stmichaels.ie
authors.forename: Mary
authors.initials: M
authors.lastname: Ryder
mesh_terms: D002568:Certification; D011307:Drug Prescriptions; D004511:Education, Nursing, Graduate; D019317:Evidence-Based Medicine; D006333:Heart Failure / Q000451:nursing*; D006785:Hospitals, University; D006801:Humans; D007494:Ireland; D007857:Leadership; D016294:Models, Nursing; D009720:Nurse Clinicians / Q000193:education / Q000458:organization & administration*; D009722:Nurse Practitioners / Q000193:education / Q000458:organization & administration*; D024802:Nurse's Role; D015399:Nursing Research / Q000458:organization & administration; D010348:Patient Care Team / Q000458:organization & administration; D010353:Patient Education as Topic; D010359:Patient Readmission; D010808:Physical Examination / Q000451:nursing; D017410:Practice Guidelines as Topic; D017009:Professional Autonomy; D011361:Professional Competence; D011788:Quality of Life