Benner P From novice to expert: excellence and power in clinical nursing practice. Research in Nursing and Health. 1984; 8:(1)95-7

Booth J, Hutchison C, Beech C, Robertson K New nursing roles: the experience of Scotland's consultant nurse/midwives. J Nurs Manag. 2006; 14:(2)83-9

Bryant-Lukosius D, Dicenso A, Browne G, Pinelli J Advanced practice nursing roles: development, implementation and evaluation. J Adv Nurs. 2004; 48:(5)519-29

Castledine G, 2nd edn. In: McGee P, Castledine G (eds.). Oxford: Blackwell; 2003

Coster S, Redfern S, Wilson-Barnett J, Evans A, Peccei R, Guest D Impact of the role of nurse, midwife and health visitor consultant. J Adv Nurs. 2006; 55:(3)352-63

London: DH; 2004

London: DH; 2010

Donnelly G Clinical expertise in advanced practice nursing: a Canadian perspective. Nurse Educ Today. 2003; 23:(3)168-73

1980. (accessed 10 October 2013)

Fulbrook P(Eds.). Oxford: Butterworth-Heinemann; 1998

Hamric AB, 2nd edn.. In: Hamric AB, Spross JA (Eds.). Philadelphia: WB Saunders; 1989

Jasper MOxford: Blackwell; 2006

Jones ML Role development and effective practice in specialist and advanced practice roles in acute hospital settings: Systematic review and metasynthesis. J Adv Nurs. 2005; 49:(2)191-209

Lewis P Editorial: A framework for advancing practice. British Journal of Midwifery. 2003; 11:(5)260-1

Manley K In: Rolfe G, Fulbrook P (Eds.). Oxford: Butterworth-Heinemann; 1998

Mantzoukas S, Watkinson S Review of advanced nursing practice: The international literature and developing the generic features. J Clin Nurs. 2007; 16:(1)28-37

Marshall JE In: Marshall JE, Raynor MD (Eds.). Edinburgh: Churchill Livingstone Elsevier; 2010

Maylor M Differentiating between a consultant nurse and a clinical nurse specialist. Br J Nurs. 2005; 14:(8)463-8

National Leadership and Innovation Agency for Healthcare. 2010. (accessed 10 October 2014)

Belfast: NIPEC; 2006

London: NMC; 2005

Olson DM, Chioffi SM Restrictions on medical resident hours: Advanced practice nurses as a workforce solution. Journal of Nursing Law. 2005; 10:(2)115-21

Por J A critical engagement with the concept of advancing nursing practice. J Nurs Manag. 2008; 16:(1)84-90

Rogers C, Bloomfield L, Townsend J A qualitative study exploring midwives' perceptions and views of extending their role to the examination of the newborn baby. Midwifery. 2003; 19:(1)55-62

Rolfe G In: Rolfe G, Fulbrook P (Eds.). Oxford: Butterworth Heinemann; 1998

Rolfe G, Freshwater D, Jasper MBasingstoke: Palgrave; 2001

London: RCM; 2000

Scottish Government Health Directorate. 2001. (accessed 21 October 2014)

Sheer B, Wong FK The development of advanced nursing practice globally. J Nurs Scholarsh. 2008; 40:(3)204-11

Smith R, Leap N, Homer C Advanced midwifery practice or advancing midwifery practice?. Women Birth. 2010; 23:(3)117-20

Sookhoo M, Butler M An analysis of the concept of advanced midwifery practice. British journal of Midwifery. 1999; 7:(11)690-3

Townsend J, Wolke D, Hayes Dave S, Rogers C, Bloomfield L, Quist-Therson E, Tomlin M, Messer D Routine examination of the newborn: the EMREN study. Evaluation of an extension of the midwife role including a randomized controlled trial of appropriately trained midwives and paediatric senior house officers. Health Technology Assessment. 2004; 8:(14)

Cardiff: WAG; 2009

Wilson-Barnett J, Barriball LK, Reynolds H, Jowett S, Ryrie I Recognising advancing nursing practice: Evidence from two observational studies. Int J Nurs Stud. 2000; 37:389-400

Engaging critically with the concept of advancing professional practice

02 December 2014
Volume 22 · Issue 12


The concept of advancing professional practice is pivotal to the development of midwifery practice and should not be confused with simply extending the midwife's role. This article takes a critical stance in examining the concept within the context of midwifery practice. It emphasises the importance of integrating theoretical, empirical and practical knowledge to enable this to be achieved.

In recent years, the role of the midwife has been expanded beyond what was traditionally seen as its core responsibilities. This has been in response to a number of service demands and the changing health service landscape. Whether this is appropriate has been much debated by the midwifery profession. Therefore, this article will critically examine the concept of advancing professional practice in the context of midwifery practice.

The midwifery career frameworks in all four UK countries identify a range of levels of practice and the need to develop new, and redesign existing, career pathways (Scottish Executive, 2001; Department of Health, 2004; Northern Ireland Practice and Education Council for Nursing and Midwifery, 2006; Welsh Assembly Government, 2009). The frameworks have a dual purpose of meeting the needs of service users and promoting the continued professional development of NHS staff. They describe and define the knowledge and skills required to deliver high-quality, evidence-based patient care to meet employer requirements as well as outlining a step-wise career progression. While the frameworks are concerned with the application of knowledge and levels of proficiency, there is little detail of midwifery-specific knowledge (Jasper, 2006). The overall content is concerned more with meeting user expectations than professional development.

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