The M-Strong APN Model as an effective framework for registered nurse training in tissue viability: An interpretative phenomenological analysis

Abstract

Advanced practice nursing (APN) has increased internationally in scope and profile with changing health care needs. In Australia, ambiguity remains around role delineation and the nature of APN for registered nurses (RNs). The M-Strong APN Model has been suggested as a useful framework for articulating the nature of APN and the contribution of RNs to health care settings. This study investigated the efficacy of the model as a framework for an innovative professional development program in tissue viability at the Canberra Hospital. RNs who had completed the training program (n=5) participated in a focus group and responses were analysed using interpretative phenomenology. This analysis revealed 22 themes, 16 of which were mapped across the five M-Strong APN domains (Direct comprehensive care, Support of systems, Education, Research, Publication and professional leadership). The remaining themes were grouped into two further domains: "The program" and "Support for professional development". The M-Strong APN Model was found to be a useful tool for RN training development and implementation. However, discrepancy existed between the M-Strong Model's goals and complete realisation of its domains of practice in day-to-day activity, suggesting further attention must be paid to providing support and appropriate opportunity for RNs to fully achieve the model's aspirations for APN.