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Nursing Science Quarterly
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Re-Defining Nursing Expertise in the United Kingdom

Sally Hardy, RN; EdD

Deputy Director of the Institute of Health, Nursing, and Midwifery Research Unit, School of Nursing & Midwifery, University of East Anglia, Norwich, Associate Fellow, Royal College of Nursing Institute, London

Angie Titchen, PhD

Senior Research and Practice Development Fellow, Royal College of Nursing Institute, Practice Development Team and Clinical Chair, Fontys University, Netherlands

Kim Manley, RN; PhD

Head of Practice Development, Royal College of Nursing Institute, London, Visiting Professor of Nursing, Bournemouth University, England

Brendan McCormack, RGN; PhD

Professor of Nursing Research, University of Ulster and Royal Hospitals Trust, Belfast, Ireland, Adjunct Professor, Monash University, Melbourne, Australia

There is now international recognition of the importance of practice expertise in modern and effective health services. The Expertise in Practice Project in the United Kingdom began in May 1998 and continued to 2004. It included nurses working in all four countries of the United Kingdom, and it covered clinical specialists from pediatrics to palliative care. The project added to the current understanding of what nursing practice expertise is, through the identification and verification of attributes and factors which enable expert practice. The proposed framework offers a language for sharing what constitutes practice expertise and offers insight into what occurs between the expert practitioner and the people that experience their care. The Expertise in Practice Project demonstrates that nurses affect change and facilitate performance and organizational development.

Key Words: attributes • enabling factors • expertise • nursing practice

Nursing Science Quarterly, Vol. 19, No. 3, 260-264 (2006)
DOI: 10.1177/0894318406289911
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