Advanced Nurse Practitioner (cANP/ANP) Thoracic Surgery & Lung Cancer

Advanced Nurse Practitioner (cANP/ANP) Thoracic Surgery & Lung Cancer Blackrock Health Location: On site / Lucan, Co. Dublin, Ireland
job type: Permanent / Full-time
Sector and subsector: Medical & Healthcare Nursing & Midwifery
Salary: Negotiable salary

Job Title: Candidate Advanced Nurse Practitioner (cANP/ANP) Thoracic Surgery & Lung Cancer

Department: Nursing

Job Function: Nursing

Reporting to: Assistant Director of Nursing / Director of Nursing

Location: Hermitage Clinic

Job Purpose

The Candidate Advanced Nurse Practitioner (cANP)- Thoracic Surgery will provide clinical

leadership and professional scholarship to develop nursing practice and health policy. The

Advanced Nurse Practitioner (ANP) will provide a specialist, patient-centred, evidence-based

clinical service for patients undergoing investigation, treatment and follow-up for thoracic

surgical conditions and lung cancer. The role will demonstrate advanced clinical knowledge,

clinical reasoning, critical decision-making and professional accountability within the scope of

practice of the ANP.

The ANP will undertake comprehensive clinical assessment, formulate differential diagnoses

where appropriate, initiate and interpret investigations, develop and implement individualised

management plans, and evaluate treatment outcomes in accordance with the ANP's scope of

practice, relevant legislation, professional standards, agreed clinical pathways and

organisational policies, procedures, protocols and guidelines (PPPGs).

The ANP will contribute to the coordination, development, evaluation and strategic

advancement of thoracic surgery and lung cancer services. This will include clinical leadership,

service improvement, interdisciplinary collaboration, the development of evidence-based

practice and the effective use of clinical data to support quality, safety and patient outcomes.

The role will contribute to nursing research to shape and advance nursing practice, education

and health care policy at local, national and international levels.

The overall purpose of the post is to provide safe, timely, evidenced based nurse-led care to

patients at an advanced nursing level. This involves undertaking and documenting a complete

episode of patient care (assess, diagnose, plan, treat and discharge patients) according to

collaboratively agreed protocols. The advanced practice role demonstrates a high degree of

knowledge, skill and experience that is applied within the nurse-patient/client relationship to

achieve optimal outcomes through critical analysis, problem solving and accurate decision-

making (NMBI, 2017).

Central to this is the provision of quality care, a safe environment and processes for patients

using evidence based clinical guidelines that address patient expectations, promote wellness

and evaluate care given.

Job Background/Context

Blackrock Health Hermitage Clinic is the leading and longest established private hospital and

clinic in Ireland. Since it opened in the mid-1980s, the clinic has consistently built an

unparalleled reputation in new high-tech surgical procedures, medical treatments, and

ground-breaking diagnostics. Blackrock Health Hermitage Clinic is part of Blackrock Health

private hospital group along with the Blackrock Health Hermitage Clinic, Galway Clinic, and

Limerick Clinic, some of the most advanced hospitals in Irish private healthcare.

The six domains of competence are as follows:

• Professional Values and Conduct
• Knowledge and Cognitive Competences
• Communication and Interpersonal Competences
• Management and Team Competences
• Leadership and Professional Scholarship Competences

Each of the six domains specifies the standard which the ANP/cANP has a duty and

responsibility to demonstrate and practice.

Domain 1: Professional Values and Conduct The ANP/cANP will be required to apply ethically sound solutions to complex issues related to

individuals and populations by:

• Demonstrating accountability and responsibility for professional practice as a lead
• healthcare professional in the care of patients with complex care needs.
• Collaborating with their supervisor and local stakeholder group to determine the caseload
• and scope of practice for the ANP/cANP.
• Collaborating with their supervisor and local stakeholder group to determine the inclusion
• criteria for the ANP/cANP.
• Collaborating with their supervisor and local stakeholder group to determine the exclusion
• criteria for the ANP/cANP.
• Articulating safe boundaries and engaging in timely referral and collaboration for those
• areas outside their scope of practice, experience, and competence by establishing, in
• collaboration with key stakeholders, referral pathways and locally agreed policies,
• procedures, protocols and guidelines to support and guide the ANP/cANP.
• Demonstrating leadership by practising compassionately to facilitate, optimise, promote,
• and support the health, comfort, quality of life and wellbeing of persons whose lives are
• affected by altered health, chronic disorders, disability, distress, or life-limiting conditions.
• Selecting a professional practice model that provides autonomy to control their own
• practice, focusing on person centred care, interpersonal interactions, and the promotion of
• healing environments.
• The chosen professional practice model for nursing will emphasise a caring therapeutic
• relationship between the ANP/cANP and their patients, recognising that ANP/cAPs work in
• partnership with their multidisciplinary colleagues (Slatyer et. Al 2016).
• Articulating and promoting the advanced practice nursing service in clinical, political, and
• professional contexts for example presenting key performance outcomes locally and
• nationally; contributing to the service's annual report; participating in local and national committees to ensure best practice as per the relevant national clinical and integrated care programme .

Domain 2: Clinical-Decision Making Competences The ANP/cANP will enhance their advanced knowledge, skills, and abilities to engage in senior clinical decision-making by increasing their capability to:

• Conduct a comprehensive holistic health assessment using evidenced based frameworks, policies, procedures, protocols, and guidelines to determine diagnoses and inform autonomous advanced nursing care.
• Synthesise and interpret assessment information particularly history including prior treatment outcomes, physical findings, and diagnostic data to identify normal, at risk and subnormal states of health.
• Demonstrate timely use of diagnostic investigations additional evidence-based advanced assessments to inform clinical-decision making.
• Exhibit comprehensive knowledge of therapeutic interventions including pharmacological and non-pharmacological advanced nursing interventions, supported by evidence-based policies, procedures, protocols, and guidelines, relevant legislation, and relevant professional regulatory standards and requirements.
• Initiate and implement health promotion activities and self-management plans in accordance with the wider public health agenda.
• Discharge patients from the service as per an agreed supporting policy, procedure, protocols, guidelines, and referral pathways.

Domain 3: Knowledge and Cognitive Competences The ANP/cANP will actively contribute to the professional body of knowledge related to their area of advanced practice by enhancing their capability to:

• Provide leadership in the translation of new knowledge to clinical practice (for example teaching sessions; journal clubs; case reviews; facilitating clinical supervision to other members of the team).
• Educate others using an advanced expert knowledge base derived from clinical experience, on-going reflection, clinical supervision, and engagement in continuous professional development.
• Demonstrate a vision for advanced practice nursing based on service need and a competent expert knowledge base that is developed through research, critical thinking, and experiential learning.
• Demonstrate accountability in considering access, cost, and clinical effectiveness when planning, delivering, and evaluating care (for example key performance areas, key performance indicators, metrics).

Domain 4: Communication and Interpersonal Competences The ANP/cANP will negotiate and advocate with other health professionals to ensure the beliefs, rights and wishes of the person are respected by gaining increased competence and capability to:

• Communicate effectively with the healthcare team through sharing of information in accordance with legal, professional, and regulatory requirements as per established referral pathways.
• Demonstrate leadership in professional practice by using professional language (verbally and in writing) that represents the plan of care, which is developed in collaboration with the person and shared with the other members of the inter-professional team as per the organisation's policies, procedures, protocols and guidelines.
• Facilitate clinical supervision and mentorship through utilising one's expert knowledge and clinical competences.
• Utilise information technology . click apply for full job details