The impact of change on the tissue viability nurse specialist: 1.

Tissue viability nurse specialists in the UK have experienced difficulty in articulating their role, and this has led to a poor understanding of what they do. This article, the first of two parts, presents a literature review which examines the development of specialism in nursing and explores the factors that have influenced the development of tissue viability specialist nurses in the UK. The study described in the second part of the article uses focus group methodology to examine the practices and experiences of tissue viability nurses working in a changing healthcare environment.

[1]  R. Sibbald,et al.  Special foot clinics for patients with diabetes. , 1996, Journal of wound care.

[2]  V. Nahas,et al.  Nursing specialization in New South Wales, Australia. , 1996, Clinical nurse specialist CNS.

[3]  H. Cahill.  Role definition: nurse practitioners or clinicians' assistants? , 1996, British journal of nursing.

[4]  C. Malone.  Uniting services in tissue viability care. , 1995, Nursing Standard.

[5]  S. Miller.  The clinical nurse specialist: a way forward? , 1995, Journal of advanced nursing.

[6]  M. McSharry.  The evolving role of the clinical nurse specialist. , 1995, British journal of nursing.

[7]  P. Rhodes.  A postal survey of continence advisers in England and Wales. , 1995, Journal of Advanced Nursing.

[8]  Marlaine C. Smith.  The Core of Advanced Practice Nursing , 1995, Nursing science quarterly.

[9]  J. Wilson‐Barnett,et al.  Evaluating the clinical nurse specialist. A review. , 1994, International journal of nursing studies.

[10]  S. Smart.  Evaluating the impact: using a business planning approach , 1994 .

[11]  G. Castledine.  The role of nurses in the 21st century. , 1994, British Journal of Nursing.

[12]  J. Carlson‐Catalano.  Application of empowerment theory for CNS practice. , 1993, Clinical nurse specialist CNS.

[13]  P. Beare,et al.  Nurse consultant and professional liability. , 1993, Clinical nurse specialist CNS.

[14]  M. Benbow.  The North-West Network of Tissue Viability Nurses. , 1993, Journal of Wound Care.

[15]  G. Castledine.  The advanced nurse practitioner. Part 1. , 1991, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[16]  L. Thomas,et al.  Outcomes of nursing care: the case of primary nursing. , 1991, International journal of nursing studies.

[17]  P. Mascord.  Using job descriptions to identify educational needs of clinical nurse specialists , 1990 .

[18]  P. Sparacino.  Strategies for implementing advanced practice. , 1990, Clinical nurse specialist CNS.

[19]  C. Ward.  The meaning of role strain , 1986, ANS. Advances in nursing science.

[20]  P. Benner,et al.  Quality of life: a phenomenological perspective on explanation, prediction, and understanding in nursing science , 1985, ANS. Advances in nursing science.

[21]  G. Castledine.  Achieving the (almost) impossible. , 1983, Nursing mirror.

[22]  J. Yasko.  Variables which predict burnout experienced by oncology clinical nurse specialists , 1983, Cancer nursing.