Variation in job titles within the nursing workforce.

Journal article


Leary, A, Maclaine, K, Trevatt, P, Radford, M and Punshon, G (2017). Variation in job titles within the nursing workforce. Journal of Clinical Nursing.
AuthorsLeary, A, Maclaine, K, Trevatt, P, Radford, M and Punshon, G
Abstract

Aims and Objectives/Background The work of specialist nursing has been under scrutiny for many years in the UK due to a perception that it is not cost effective. A common issue is the lack of consistency of job titles which causes confusion to the public, employing organisations, colleagues and commissioners of services. Lack of consistency has implications for the wider perception of advanced specialist practice in the worldwide community and the workforce more generally. This study aims to understand the variation in job titles in the UK population. Methods A pre-existing data set of accrued studies into the work of nurses working in specialisms was mined for insight (N=17,960). This study used knowledge discovery through data and descriptive statistics to perform secondary analysis. Results Mining these data revealed 595 job titles in use in 17,960 specialist posts once the specialism had been removed. The most commonly used titles were Clinical Nurse Specialist, Nurse specialist/specialist nurse, Advanced Nurse Practitioner and Nurse Practitioner. There were three other primary groupings. These were variants with a specialist or technical prefix of suffix for example nurse endoscopist, variants of seniority such as trainee, senior nurse for [specialism] or variants of function such as Nurse prescriber. The clustering was driven primarily by pay band. 323 posts were recorded as holding titles such as Advanced Nurse Practitioner or specialist nurse who were not registered with the Nursing & Midwifery Council. Relevance to Clinical practice In this dataset there is a large array of titles which appear to have little relationship with other factors like education. This is confusing to the public, employers and those commissioning services. It also demonstrates that the previous assumptions by Council for Healthcare Regulatory Excellence that advanced practice labels are associated with career progression are unsound and should be addressed by the regulator.

KeywordsAdvanced practice, specialist practice, clinical nurse specialist, nurse practitioner, job titles; 1110 Nursing; 1701 Psychology; Nursing
Year2017
JournalJournal of Clinical Nursing
PublisherBlackwell Publishing Inc.
ISSN0962-1067
Digital Object Identifier (DOI)doi:https://doi.org/10.1111/jocn.13985
Publication dates
Print07 Sep 2017
Publication process dates
Deposited15 Aug 2017
Accepted25 Jul 2017
Accepted author manuscript
License
CC BY 4.0
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https://openresearch.lsbu.ac.uk/item/86xyx

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