Interviewing an advanced nurse practitioner

Jane Bruton
Clinical Research Nurse, Imperial College London

In the uncertain world of the changing NHS and commissioning structures, nurses need to continue to look for opportunities to demonstrate our key role in delivering patient-centred care at advanced levels. In the following interview with Breda Patterson, Advanced Nurse Practitioner at Chelsea and Westminster NHS Foundation Trust, she outlines the challenges and rewards of her role and the importance of team working. JB: How did you become an Advanced Nurse Practitioner? BP: Well, my route was probably not the usual one into such a role! I was working as a senior staff nurse at the time and my role had already considerably expanded to doing stable patient clinics, which we set up in our clinic in 2005. I knew I wanted to continue to work clinically rather than pursue a management career but wasn’t really sure how feasible this was in HIV. The HIV clinical nurse specialist role at this time involved management of a complex caseload of patients who were poorly adherent; however, most of the outpatient nursing team had undergone intensive adherence support training with the CNS. Therefore, these patients were increasingly being taken on by the clinic nurses and as such, the need for such a specialist role was waning. Agenda for Change was being implemented in the Trust at the time the CNS had left the post; therefore I was invited with the Clinical Nurse Lead for HIV to present our outline for a new role to the AfC panel and it was they who decided that the job description merited the title of Advanced Nurse Practitioner! It has probably been in the 7 years since then that I have fully gotten to grips with what the title and the role entail. Read more…