Skip to the content

Paper 1: Conceptualizing the transition from advanced to consultant practitioner: Career promotion or significant life event?

Hardy, M and Nightingale, JM 2014, 'Paper 1: Conceptualizing the transition from advanced to consultant practitioner: Career promotion or significant life event?' , Journal of Medical Imaging and Radiation Sciences, 45 , pp. 356-364.

[img] PDF - Published Version
Restricted to Repository staff only

Download (833kB) | Request a copy

Abstract

Background: The diversification of nursing and allied health profession (AHP) roles has seen unprecedented growth as organizations have sought to optimize limited health care resources. Within the UK health care system, the nonmedical consultant is viewed as the pinnacle of the clinical career ladder. Yet, nearly 15 years after their introduction, recruitment to these positions remains slow. Criticisms of nonmedical consultant practice include a lack of role clarity, a failure to work across the four domains of consultant practice, a lack of suitable applicants, and poor preparedness of new appointments. Although there is evidence exploring the nature and effectiveness of established consultant roles, little research addresses the development phase of aspiring consultants. Objectives: To explore the transitional journey experienced by trainee consultant radiographers as they move from advanced to consultant practitioner within a locally devised consultant development programme. Design: Longitudinal qualitative enquiry. Methods and Settings: Five trainee consultant radiographers were recruited to a locally devised consultant practice development program within a single UK hospital trust. Semistructured interviews were undertaken at 1, 6, and 12 months with the trainees. Results: A challenging journey was recounted involving five key emotional stages that occurred in a consistent and predictable order (ie, elation, denial, doubt, crisis, and recovery). The identified stages had close parallels with Hopson’s Life Events model, suggesting that transition to consultant practice is a significant life event rather than a straightforward job promotion. Conclusions: Current emphasis on the four domains of practice, although providing a clear framework for expected external role outcomes, overlooks the importance of the internal or subjective career development on the perceived success or failure of the role. Employers, educators, and professional bodies have a responsibility to facilitate aspirational consultants to explore and enhance their internal career development, offering more time to define themselves and their role with support to guide them through the transition journey.

Item Type: Article
Themes: Health and Wellbeing
Schools: Schools > School of Health Sciences > Centre for Health Sciences Research
Journal or Publication Title: Journal of Medical Imaging and Radiation Sciences
Publisher: Elsevier
Refereed: Yes
ISSN: 1939-8654
Related URLs:
Funders: The Mid Yorkshire NHS Foundation trust
Depositing User: Prof JM Nightingale
Date Deposited: 23 Dec 2014 13:18
Last Modified: 23 Dec 2014 13:18
URI: http://usir.salford.ac.uk/id/eprint/33259

Actions (login required)

Edit record (repository staff only) Edit record (repository staff only)

Downloads

Downloads per month over past year