Perceptions of competency in advanced clinical practice

BACKGROUND

Historically, there has been limited research carried out on the competency of individuals undertaking advanced clinical roles.

AIMS

To research advanced clinical practitioner (ACP) perceptions of the term competency, and how they evidence their competency in practice.

METHODS

A cross-sectional, qualitative study used semi-structured interviews, which were analysed by content analysis. Six participants were recruited to the study.

FINDINGS

There is disparity in the definitions of 'trainee' and 'qualified' ACP in clinical practice as well as disparity and ambiguity regarding being able to work in a supernumerary capacity during training and master's level study. There is a lack of agreement over the benchmark for qualified ACP status and the road to getting there.

CONCLUSION

ACPs should be employed in a supernumerary capacity while training and work towards a full MSc in advanced clinical practice. They should maintain a portfolio of their competency. Work must also be carried out nationally to identify both generic and specialist curricula for ACPs to benchmark against.