Exploring Advanced Clinical Practitioner’s Experience Developing Clinical Competence and Opinions on Role Identity


In the United Kingdom, there is an urgent need to reshape the National Health Service (NHS) workforce to equip it to meet the changing demands of the population it serves and deliver the vision set out in the Next Steps on the NHS Five Year Forward View (2017) and recently published NHS Plan (2019). One of the key elements to this is the continuing development, support and utilisation of Advanced Clinical Practice (ACP) roles. Advanced Clinical Practitioners are educated to Masters Level in clinical practice and assessed as competent in practice using their expert clinical knowledge and skills. They have the freedom and authority to act, making their own decisions in the assessment, diagnosis and treatment of patients. Although the level of education and assessment of competence are common for ACPs working in all areas, training and supervision varies between primary and secondary care, specialties and sites. The proposed research will explore ACP experiences of how they develop clinical competence and their opinions on role identity, specifically: – Factors that have influenced their clinical competency achievements. – Training experience (clinical and external education opportunities) – Experience of educational/ clinical supervision and its benefits. – Self-identified knowledge gaps, with a focus on mental health. – Future ACP role identity

Full Title of Study: “Exploring Advanced Clinical Practitioner’s Experience Developing Clinical Competence and Opinions on Role Identity”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: July 31, 2020


  • Other: No intervention
    • ACPs, qualified or in training, will be invited to participate by email. Interested participants will be provided with study materials and asked to complete an online eligibility questionnaire; if eligible, contact details will also be recorded. Participants will be invited to take part in a focus group about their experience in developing clinical competence and their opinions on role identity. Data collection will consist of focus groups.

Arms, Groups and Cohorts

  • ACP
    • ACPs, either qualified or in training, working in the South Yorkshire and Bassetlaw area.

Clinical Trial Outcome Measures

Primary Measures

  • Experiences and views of ACPs regarding their experience of developing clinical competence and opinions on role identity [Time frame: 120 minutes]
    • Time Frame: Jan-Dec 2020
    • Focus groups will follow a topic guide to explore the factors which influence participants experience of clinical competence, training experience and supervision. The focus groups will also discuss participants feelings in relation to self-identified knowledge gaps (focusing on mental health) and the future ACP role identity.

Participating in This Clinical Trial

Inclusion Criteria

  • Qualified ACP or trainee ACP who has completed at least 1 years (FTE) of ACP clinical training – Currently working in this role within either Primary or Secondary Care and based in South Yorkshire and Bassetlaw. Exclusion Criteria:

  • Unable to communicate in English

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • University of Sheffield
  • Collaborator
    • South Yorkshire and Bassetlaw Faculty of Advanced Clinical Practice
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Contact(s)
    • Maxine Kuczawski, MSc, 01142222981, m.kuczawski@sheffield.ac.uk

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