Advancing professional practice: The Peter Maccallum Cancer Institute Haematology Nurse Practitioner project

The Peter MacCallum Cancer Institute (PMCI) Haematology Nurse Practitioner Project is one of eight Nurse Practitioner Models of Practice funded by the Victorian Government Department of Human Services to both explore, and demonstrate sustainable advanced practice roles in nursing which enhance health service delivery. The PMCI model aims to further develop and adjust the boundaries of advanced haematology nursing practice with a major focus on autologous blood and bone marrow transplantation. In accordance with specific Government guidelines this innovative initiative has been developed to meet clearly articulated outcomes. Key issues requiring consideration are: role definition, education (credentialling/accreditation), best and safe practice, and evaluation methods.

This paper will examine the development of a context-based education programme designed specifically for the preparation of a Haematology Nurse Practitioner, discuss implementation issues associated with the programme and the role, and present preliminary findings of the project evaluation.

This account will include a brief historical background and an honest reflection on the elements of project management critical to success. Such a major redefinition of the scope of practice demands pushing the boundaries of both law and convention, and is an inherently difficult, complex and political process. Significant pitfalls experienced in our attempt will be exposed and critiqued.