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Background: Nurse Practitioners are identified as the ideal conduit to transform healthcare delivery internationally. Healthcare transformation requires the application of leadership and research skills. Current literature has limited information on NPs as leaders or researchers in the nursing profession. Objectives: Determine if Nurse Practitioners identify themselves as leaders in nursing. Identify the leadership and research activities and influencing characteristics of Nurse Practitioners in Ireland and Australia. Establish similarities in leadership and research activities between Nurse Practitioners in Ireland and Australia. To identify if there is a relationship between leadership and research activities. Design: A quantitative electronic survey. Methods: A survey instrument was developed by combining two previously validated instruments. Nurse Practitioners in Ireland or Australia that had practiced within the last five years, and members of the respective professional association were included. Descriptive statistics were used to describe the findings and explore relationships in the data. Results: 14% (n = 96) of Nurse Practitioners responded to the survey. Nurse Practitioners in Ireland and Australia identified themselves as leaders of the nursing profession. Nurse Practitioners work practices, leadership and research activities are similar in Ireland and Australia. The majority (n = 55, 57%), of participants reported being research active. There was an association between perceived leadership and research activities among participants. Conclusion: Nurse Practitioners in both Ireland and Australia identify themselves as leaders of the nursing profession. There is no difference in reported work practices, leadership or research activities of Nurse Practitioners in both Ireland and Australia. There is an association between perceived leadership and research activity. Impact Statement: Nurse Practitioners in Ireland and Australia perceived themselves as lead

Aims This study aimed to identify evidence of nurse practitioner‐led changes to health‐care delivery and the outcomes of such changes. Background Changing health‐care delivery is synonymous with the nurse practitioner role. The literature is critical of the lack of research by nurse practitioners, reporting the effects of a change to health‐care delivery. Design This study used a systematic integrative review by using Torraco's approach. Data sources Databases Cumulative Index to Nursing and Allied Health Literature, MEDLINE, Web of Science and SCOPUS were searched for peer‐reviewed publications from 2000 to 2019. Review Methods A systematic approach was used to screen and analyse the literature. Inclusion/exclusion criteria were applied, and quality appraisal was undertaken by two reviewers. Results Eighteen articles were selected. The research projects were across the community and acute care settings. Research methodologies varied including preintervention and postintervention studies, evaluation of quality improvement projects, randomized controlled trial and descriptive studies. Multiple data collection tools were used. Two major themes were identified including evidence‐based practice champions and improved patient outcomes. Conclusion The nurse practitioner role is pertinent toward improving evidence‐based practice in clinical settings. Positive patient outcomes and praise for clinical leadership are evident in the literature. Research by nurse practitioners to date has focused on individual services.

AIMS AND OBJECTIVES: To explore the ways in which Irish and Australian Nurse Practitioners (NPs) implement leadership and research in their roles and whether there is a difference in how leadership and research are demonstrated between NPs in Ireland and Australia. BACKGROUND: The original concept of the NP role was to expand nursing practice in order to provide high-quality, accessible health care to patients. This placed NPs at the crux of changes to healthcare delivery. Implementing these changes requires leadership. Research demonstrates the effects of these changes to healthcare delivery and contributes to healthcare knowledge from the nursing profession. DESIGN: In the qualitative phase of a mixed methods study, an interpretative descriptive approach was used to draw on participant experiences. METHODS: Thirty-eight respondents agreed to be interviewed following an online survey. Ten interviews were recorded and transcribed verbatim. Data were analysed using Braun and Clarke thematic analysis method. The research complied with the consolidated criteria for reporting qualitative research, COREQ. RESULTS: Ten participants, five NPs from Ireland and five from Australia were interviewed. Four themes emerged from the analysis: (a) Innovative leadership, which included the categories of leadership activities, the work of NPs and trailblazers; (b) Optimism, incorporating pride in achievements, the future outlook for the role and continued innovation of NPs over time; (c) Research, which included the NP research role, research challenges, support and research leadership; and (d) Resilience, which included overcoming resistance, isolation and seeking positive support systems. CONCLUSION: Nurse Practitioners are clinical leaders focused on improving healthcare delivery for patient populations. There is a lack of understanding of the NP role. Nurse Practitioners lack confidence to be independently research active. Research by NPs requires support from nurses in academia.

Background: Those who experience a critical illness or condition requiring admission to an intensive care unit (ICU) frequently experience physical and psychological complications as a direct result of their critical illness or condition and ICU experience. Complications, if left untreated, can affect the quality of life of survivors and impact health care resources. Explorations of potential interventions to reduce the negative impact of an ICU experience have failed to establish an evidence-based intervention. Objective: The aim of this study is to evaluate the impact of a Web-based intensive care recovery program on the mental well-being of intensive care survivors and to determine if it is a cost-effective approach. Methods: In total, 162 patients that survived an ICU experience will be recruited and randomized into 1 of 2 groups. The intervention group will receive access to the Web-based intensive care recovery program, ICUTogether, 2 weeks after discharge (n=81), and the control group will receive usual care (n=81). Mental well-being will be measured using the Hospital Anxiety and Depression Scale, The Impact of Events Scale-Revised and the 5-level 5-dimension EuroQoL at 3 time points (2 weeks, 6 months, and 12 months post discharge). Family support will be measured using the Multidimensional Scale of Perceived Social Support at 3 time points. Analysis will be conducted on an intention-to-treat basis using regression modeling. Covariates will include baseline outcome measures, study allocation (intervention or control), age, gender, length of ICU stay, APACHE III score, level of family support, and hospital readmissions. Participants’ evaluation of the mobile website will be sought at 12 months postdischarge. A cost utility analysis conducted at 12 months from a societal perspective will consider costs incurred by individuals as well as health care providers. Results: Participant recruitment is currently underway. Recruitment is anticipated to be completed by

Conclusion: Participants identified themselves as clinical leaders focused on direct patient care The NP role was misunderstood Support from nursing academics and management was identified as a research opportunity Confidence in research abilities was a barrier to research The NP role was similar in Ireland and Australia

Conclusion: Nurse Practitioners in both Ireland and Australia identify themselves as leaders of the nursing profession. NP work practices are primarily focused on provision of direct patient care. Research activity is lacking among NPs. Leadership ability influences research outcomes for NPs in both Ireland and Australia.

The original concept of the Nurse practitioner role was to expand nursing practice in order to provide high quality, accessible healthcare to patients. This placed NPs at the crux of changes to healthcare delivery. Implementing these changes requires leadership. Research demonstrates the effects of these changes to healthcare delivery and contributes healthcare knowledge from the nursing profession., https://ro.ecu.edu.au/ecuposters/1028/thumbnail.jpg

Nurs practitioners are clinical leaders focused on improving healthcare delivery for patient populations. The NP role is misunderstood. NPs lack confidence to be independently research ctive. Research by NPs requires support from nurses in academia. The NP role is similar in Ireland and Australia, https://ro.ecu.edu.au/ecuposters/1029/thumbnail.jpg

Nurse practitioners (NP) provide improved access to quality healthcare for identified patient populations. NPs are identified as the ideal conduit to transform healthcare delivery internationally. Trandforming healthcare requires the application of leadership and research skills. The literature to date has limited information on NPs as leaders or researchers in the nursing profession., https://ro.ecu.edu.au/ecuposters/1030/thumbnail.jpg

Nurse practitioners (NP) are identified as the ideal conduit to transform healthcare delivery internationally. Healthcare transformation requires the application of leadership and research skills. The literature to date has limited information on NPs as leaders or researchers in the nursing profession., https://ro.ecu.edu.au/ecuposters/1031/thumbnail.jpg