An exploration of clinical practice in sites with and without clinical nurse or midwife specialists or advanced nurse practitioners, in Ireland

Table 4 Observation schedule

Type of outcome	Outcome	Example of evidence/lack of evidence
Patient	Patient/client involved in shared decision making
	Patient/client/family knowledgeable and prepared (preparedness for treatment, patient or family education, health promotion activity
	Patient/client aware of diagnosis and understands consequences, treatment options,
	Facilitates continuity of care
Nurse or midwife or health professional	Advises others on use of evidence/research relevant to practice
	Involved in policy development/dissemination
	Involved in knowledge-educating other professionals
	Provides leadership in an area of practice
	Involved in clinical initiatives (care pathway development, clinical guidelines)
	Addresses patient/client symptoms and experiences of illness/distress addressed (Symptom management, looking at holistic assessment, assessment that is wide ranging)
	Demonstrates clinical autonomy
Health Care Service	Evidence of shared decision making with other members of the multi-disciplinary team
	Refers to other health professionals
	Assessment of service needs initiated by the CNS or ANP
	Facilitates speedy access to services for patient/client
	Evidence of networking/linking with community health professionals/voluntary organisations on patient/client issues

ISSN: 1472-6963