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Advanced and expanded roles in palliative care nursing.

Kennedy, Catriona; Connolly, Michael


Michael Connolly


Catherine Walsh

Nancy Preston

Bridget Johnston


This chapter explores contemporary issues around advanced practice nursing roles and their contributions to palliative care. Our approach here is to consider advanced practice as a generic term which includes clinical nurse specialist and advanced nurse practitioner roles. These are extended roles and signify nurses who practise at a higher level than traditional nurses. The roles are shaped by the countries and context in which the nurse is practising. Our aim is to define the concepts and characteristics in advanced practice in order to provide insights into nursing contributions to palliative care. In this chapter we identify the growing demands for palliative care due to demographic changes alongside the resulting implications for education, professional identify and the scope and development of advanced practice nursing roles. We draw on evidence which demonstrates a 'blurring of professional boundaries' and 'fluid role boundaries' in advanced practice roles and which place the person in need of care at the centre of the service model. We also highlight the difficulties in differentiating between specialist, expanded and advanced roles and suggest further work is required to name, value and assess the contributions of such nursing roles.


KENNEDY, C. and CONNOLLY, M. 2018. Advanced and expanded roles in palliative care nursing. In Walshe, C., Preston, N. and Johnston, B. (eds.) Palliative care nursing: principles and evidence for practice. 3rd ed. London: Open University Press, chapter 14.

Online Publication Date May 16, 2018
Publication Date May 16, 2018
Deposit Date Jun 18, 2019
Publicly Available Date Jun 18, 2019
Publisher Open University Press
Pages 240-256
Edition 3rd edition
Book Title Palliative care nursing: principles and evidence for practice
Chapter Number Chapter 14
ISBN 9780335261628
Keywords Palliative care; Nursing roles; Advanced practice; Nurse practitioner; Boundaries
Public URL