Evidence map›Paper›PMID 33268992›Full record

ArticleJournal of multidisciplinary healthcare2020

The Role and Development of Advanced Clinical Practice Within Allied Health Professions: A Mixed Method Study.

Adéle Stewart-Lord, Clare Beanlands, Ricardo Khine, Shani Shamah, Noreen Sinclair, Sandie Woods, Nick Woznitza, Lesley Baillie

Open access · goldAbstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. What Advanced Practice Roles Are Dietitians Undertaking? A Mixed Methods Systematic Review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Pooled it
  2. A model-based cost-effectiveness analysis of prescribing by dietitians and therapeutic radiographers in England.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Adéle Stewart-LordTherapeutic Radiography Allied Health Sciences School of Health and Social Care London South Bank University, London, UK.ORCID 0000-0003-1594-5616
Clare BeanlandsOccupational Therapy, Allied Health Sciences, London South Bank University, London, UK.ORCID 0000-0002-9645-2882
Ricardo KhineTherapeutic Radiography, City University of London, London, UK.ORCID 0000-0003-0021-0553
Shani ShamahService-User; Research (Public Patient Involvement) Consultant, Independent, London, UK.ORCID 0000-0002-8267-285X
Noreen SinclairTherapeutic Radiography Allied Health Sciences School of Health and Social Care London South Bank University, London, UK.ORCID 0000-0003-3208-5187
Sandie WoodsOccupational Therapy, Allied Health Sciences, London South Bank University, London, UK.ORCID 0000-0002-2537-0599
Nick WoznitzaDiagnostic Radiography, Homerton University Hospital NHS Foundation Trust, London, UK.ORCID 0000-0001-9598-189X
Lesley BaillieAdult Nursing, London South Bank University, London, UK.ORCID 0000-0003-4644-8495
London South Bank University · GBCity, University of London · GBHomerton University Hospital NHS Foundation Trust · GBUser Systems (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the profiles of advanced clinical practitioners (ACPs) in the allied health professions (AHPs) and their skills, attributes, experiences and involvement in new models of care.

methodsA 2 phase, cross sectional, mixed method survey of AHP ACPs across London was conducted in 2018-2019. Online questionnaires were completed by 127 AHP ACPs and then semi-structured interviews were conducted with 15 AHP ACPs.

resultsThe survey results gave a comprehensive overview of the attributes of AHPs in ACP roles across London. There was considerable variability between role titles, types and levels of qualification, and evolution of the roles. The respondents predominately worked in clinical practice, and less frequently in other ACP domains (research, leadership and management, education). The interview findings provided in-depth insights into the AHP ACP roles within four themes: being advanced, career pathways, outcomes of the advanced practitioner role and influencing and transforming. The "Being advanced" theme highlighted that expert practice comprised confident and autonomous practice, leadership, and applying specialist and expert decision-making skills. "Career pathways" highlighted the diversity within the participants' roles, titles, career opportunities and development. In the "Outcomes of the advanced clinical practitioner role" theme, the ACPs described their services as prompter, more accessible and providing an improved patient journey. The "Influencing and transforming" theme highlighted networking and dissemination and ideas for innovation, influencing and transforming services.

conclusionThis is the first comprehensive profile of ACP roles across AHPs and indicates that these roles are already having a positive impact on healthcare services and supporting new models of care. However, establishing the necessary infrastructure, standardization and governance for ACP roles across sectors, along with the career pathways, funding, sustainability and education, could increase impact in the future.

Indexed as

advanced practiceallied health professionalsexpert practicemodels of carepathway configurationrole development

Identifiers

PMID33268992
PMCPMC7701658
OpenAlexW3108837153

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.