How it works:
The affairs of the Irish Association of Advanced Nurse/Midwife Practitioners association shall be managed by a committee consisting of the following:
- Deputy Chairperson
- Sub Committee Officers
A quorum for a committee meeting shall be five of which two must be an officer of the committee. The committee shall have the authority to:
- Co-opt a member of the association to fill a vacancy, which will be subsequently endorsed at an AGM.
- Establish sub committees the members of which shall be appointed at the discretion of the committee
- Invite persons who are not members of the Association to attend certain meetings to give expert advice.
The Committee 2019 / 2020
The IAANMP committee members are all volunteer members who contribute their expertise in order to advance the mission and vision of the association.
Ms.Christine McDermott. Registered Advanced Nurse Practitioner [Neonatology].
RN, RM, RNP, RANP, BNS, BSc (Hons) Neonatal Studies, MSc.
Newly elected Chairperson,Christine has worked as a Registered Advanced Nurse Practitioner (Neonatology) at the Rotunda Hospital, Dublin since 2005 the first of such posts in neonatology. Her nursing career commenced with General Nursing at St James Hospital, Dublin and Midwifery at Our Lady of Lourdes Hospital, Drogheda. She obtained her BNS degree in UCD, a BSc (Hons) in Neonatal Studies (2001) in Southampton University (the first programme for ANPs in neonatology in the UK) and an MSc from UCD (2002). Christine was one of the participants for the Nurse Prescribing Pilot Project in 2003 and successfully completed the Certificate programme in 2008 and the Prescription of ionising radiation by Nurses certificate in 2016.
Her areas of research, audit and project work include neonatal abstinence syndrome on which she has presented widely, prevention and management of hypothermia in the newborn, nutrition, clinical risk, development of a neonatal early warning tool and infection prevention. She is heavily involved with nurse/midwifery education providing lecture support on midwifery programmes in Trinity College, Dublin, Post Graduate Diploma in Nursing (Neonatal Intensive Care) and Foundation Programme in Neonatal Nursing part 1 and 2 through RCSI. Christine is part of the group that proposed and developed the MSc Advanced Practice/PG Certificate Advanced Practice (Neonatology) through RCSI. In 2007 she was part of the sub-committee set up by the Maternity Strategy Implementation Group to review models of care and workforce planning. As a member of the (NCPPN) Parentral nutrition group she was involved in developing national standards for Parentral Nutrition in Paediatrics and Neonatology; advising on requirements, developing a national guideline and eLearning programme on HseLand and liaising with suppliers and government funding bodies
She has been a member of the IAANMP since its foundation, a committee member since 2013.
Ms. Karen Brennan. Registered Advanced Nurse Practitioner [Emergency].
Karen was the chairperson of the association from 2014 to 2018, promoting Advanced Nurse Midwifery practice at a national and International level. She is the current International liaison officer for the association, and a member of the ICN Advanced Practice subgroup. For the past 12 years she has worked in the Emergency Department of South Tipperary General Hospital, providing care for both the adult and paediatric patient . A graduate of Trinity College, Karen’s qualifications include a Postgraduate diploma in clinical practice and an MSc degree. She is a registered Nurse Tutor and a registered Nurse Prescriber in both ionising radiation and medicinal products.Her career includes a three year term as clinical facilitator in Emergency Nursing in University Hospital Waterford and Waterford Institute of technology. She is an honorary teaching associate with the Royal College of Surgeons, Ireland.
Ms.Deirdre Gleeson. Registered Advanced Nurse Practitioner [Emergency].
Newly elected Secretary,Deirdre is working in University Hospital Limerick since September 2014.
Previously she worked as a CNM I for the bones of 11 years in the Emergency Department in Nenagh General Hospital where she gained extensive knowledge and her passion for emergency nursing. During this peroid she embarked on an educational journey from Post Graduate Diploma to Msc in Advanced Nursing Practice, completing courses in medicinal prescribing and x-ray prescribing along the way.
In line with national hospital configuration and service need, Deirdre and a team of 5 other RANPs rotate between the ED and the 3 Injury Units (IU) within the Emergency Care Network of the UL Hospitals Group providing safe, efficient and autonomous care to adult patients and paediatric patients over the age of 5 with a range of injuries and conditions as per a collaboratively agreed scope of practice.
Deirdre is involved in a number ANP committees and groups both nationally and locally. Since 2014 she has been a committee member of the Irish Association of Advanced Nurse and Midwife Practitioners. Members are welcome and encouraged to contact Deirdre for information or advice through the association email, Facebook page or Twitter account.
Ms Jennifer Hewson Registered Advanced Nurse Practitioner [Gastroenterology]
Newely elected treasurer, Jennifer trained as a general nurse in Adelaide Hospital in Dublin. The hospital relocated to Tallaght University Hospital (formerly AMNCH) in 1998 where she commenced working as a staff nurse in endoscopy. She continued her endoscopy career as a staff nurse and acting CNM2 in University Hospital Limerick until she was recruited by the National Screening Services in 2013 as part of the National Bowel Screen Programme. Since registration she received a Bachelor of Nursing Studies (Hons) at Dublin City University, Diploma in Healthcare Management from University of Limerick and a Masters in Advanced Practice with clinical components of Nurse Prescribing and Advanced Principles of Endoscopy Practice in 2015 at University College Dublin. She is a registered nurse prescriber and registered as RANP in 2016.
Jennifer works across two hospital locations, University Hospital Limerick and Nenagh Hospital where she works alongside Gastroenterologists and Surgeons and perform endoscopic gastrointestinal (GI) procedures and work in the GI clinic.
She is a member of the Irish Society of Gastroenterology (ISG), ANP West Forum, secretary and co-founder of Society of Irish Gastrointestinal Nurse Endoscopists (SIGNE).
She passionate about education and motivating staff to advance their careers to promote high professional standards in nursing.
Ms.Trisha Mc Keown. Registered Advanced Nurse Practitioner [Emergency].
Trisha has been a RANP since 2013. She began as a staff nurse in 1993 at Whipps Cross University Hospital, London and has worked in the Emergency setting since. She has been working in the ULHG for the past 17 years.She is also a Registered Children’s Nurse, Nurse Prescriber of both Ionising Radiation and medications. She completed her MSc Advanced practice in NUIG in 2011.
Trisha is an active member of the HSE West Forum, EMP ANP & LIU forums. As part of the EMP LIU Forum she took the lead in the design of the new National IU document.
Trisha is an IAANMP member since 2012 , and held the position of Association secretary since 2015.
She is passionate about educating staff to grow their knowledge to better care for our patients and families. She is an advocate for the progression of advanced practice.
Ms. Niamh Kiely.Registered Advanced Nurse Practitioner [Cardiothoracic Surgery].
Niamh is a Registered Advanced Nurse Practitioner in Cardiothoracic Surgery in St James’s Hospital. St James’s Hospital is a National referral centre for cardiac surgery and lung cancer management. Niamh’s background is in critical care and thoracic surgery. She began her career in St Vincent’s Hospital Dublin. Since then she has completed a post graduate critical care course in St Vincent’s University Hospital, a BSc in Nursing Management and MSc in Nursing from the Royal College of Surgeons in Ireland. Niamh gained extensive experience in surgical and intensive care nursing and worked at both Clinical Nurse Manager 1 and Clinical Nurse Manager 2 level before moving to St James’s Hospital in 2004 as a candidate Advanced Nurse Practitioner. She was accredited by The National Council of Nursing as an ANP in 2007 and subsequently as an RANP with the National Nursing and Midwifery Board in 2011.
Ms. Audrey Butler. Registered Advanced Nurse Practitioner [Orthopaedics].
Audrey Butler (MHSc (Advanced Practice), RGN, BSN, RNP, HDip Ortho) has worked in the Dept of Trauma Orthopaedics in UHL for 15 years.Prior to this she worked as a Staff Nurse on the Orthopaedic Trauma Ward and was then appointed Clinical Nurse Specialist in 2007, a post she filled for nine years.
Audrey has enhanced her academic and professional development through a vast amount of further education. Her continued professional development was also enhanced through attendances at many orthopaedic nursing courses and conferences. This also gave her opportunity to present audit and research projects undertaken as part of her role.
Audrey completed her Masters in Advanced Specialist Practice in NUIG in 2014 and is a Registered Nurse Prescriber of Medications and Ionising Radiation.
She was appointed Candidate Advanced Nurse Practitioner in Orthopaedics in March 2016 and received accreditation from NMBI in Feb 2017 as a Registered Advanced Nurse Practitioner Orthopaedics, the 1st RANP post nationally within this speciality. Audrey Is an Adjunct Lecturer in the School of Nursing and Midwifery NUIG and is passionate about improving the patient experience of out-patient fracture care at UHL in collaboration with her Consultant colleagues.
Mr. Aidan Fallon. Registered Advanced Nurse Practitioner [Emergency].
Aidan is a RANP in Emergency at Portiuncula University Hospital since 2013. He qualified from Portiuncula Hospital School of Nursing in 1992. Having gained experience as a staff nurse in a number of hospitals he returned to Portiuncula in 2000 and started working in the Emergency Department firstly as a staff nurse and then as a CNM 2. During this time he completed a Post Graduate Diploma in Emergency Nursing, and a MSc in Advanced Nursing Practice as well completing courses in medicinal prescribing and x-ray prescribing.
He is an adjunct lecturer at the National University of Ireland Galway (NUIG) and currently assists on the MSc Advanced Practice and Nurse Prescribing modules. He has co-authored modules for the Postgraduate Diploma courses in Nursing at NUIG. Along with his colleagues in the Emergency Department they he has undertaken a number of audits which they presented at both the IAEM and EUSEM conferences in 2017 and 2018. He was Chairman of the HSE West ANP Forum from 2016-2017. As well as the clinical aspect of his work his role also encompasses the provision of leadership and education to both nursing and other members of the multidisciplinary team.
Ms. Margaret Mallen. Registered Advanced Nurse Practitioner [Emergency].
Margaret has been a RANP in Emergency Medicine since 2005. She is also a Registered Children’s Nurse, Nurse Prescriber of both Ionising Radiation and medications.She completed her MSc Advanced practice in UCD in 2004.
Margaret established Ireland’s first Injury unit in Monaghan hospital and worked there until she was invited to establish an injury unit on the sister site in Cavan Emergency Department in 2012.
Margaret is a member of the IAANMP since its inception. She is an active member of both EMP ANP & LIU forums.She is passionate about educating both nursing and medical staff within ED and provides mentorship for staff undertaking further education.She is an advocate for the progression of advanced practice.
A Word From Our Honorary Members.
Ms Cora O Connor. RANP [Emergency].
Founding member of the IAANMP.
I qualified as an Advanced Nurse Practitioner in 2004 in the Mater Hospital. Advanced Practice at that time was a fairly new initiative, having been introduced in St James’s Hospital in 1996. Therefore there was just a small cohort of advanced practitioners in the country, the majority of whom worked in Emergency Departments. As the role was unique and still in its infancy in Ireland, I decided that a network would be necessary to support the nurses and midwives in practice, as well as those on the career pathway to advanced practice and to facilitate a system for the sharing of information between groups. The Association however needed to be inclusive of all of the facilitators of advanced practice, in the realisation that advanced practice does not occur in a vacuum. Therefore the Association extended an invitation to Clinical Managers, Directors of Nursing and Midwifery and University Lecturers. In the same vein the Association would not have come to fruition without the help of the other founding members, Paula Mc Brearty and Bernadette Carpenter. It would not have weathered the last thirteen years from that first meeting in the Pillar room of the Mater Hospital where a handful of people gathered, without the steadfastness of those people who were present on that day and are still, members and committee members of the Association today
The remit of an Advanced Practitioner is based on four core concepts: Autonomy in clinical practice; pioneering professional and clinical leadership; expert practitioner; researcher and auditor.
The Association has endeavoured to facilitate, showcase and promote the extra ordinary work of advanced practitioners in all specialities both nationally and internationally.
The IAANMP has come a long way since inception. The ongoing success of the Association is based on the continued support and enthusiasm of its members and its utilisation as a platform for sharing information and support.
Cora O Connor.
Ms Valerie Small. RANP [Emergency].
Ireland’s First Registered Advanced Nurse Practitioner. Reflections on 21 years of Advanced Practice.
When the Chair of IAANMP Ms. Karen Brennan asked me to write a reflection on 21 years since the development of the Advanced Nurse Practitioner role I had to tell her that it might take me a while to put something on paper. Deciding on what to write contributed to my dalliance.
1996 was officially the year that myself and Professor Pat Plunkett set up the Emergency Nurse Practitioner(ENP)service in St James’s Hospital but in reality we had both been working on ‘Making the Case‘ for a whole year before that. The Scope of Practice as it was then was quite narrow and the oversight provided by Pat was forensic but essential due to the pioneering nature of what we were attempting to achieve. Thanks to the foresight of many and the culture within the organisation in particular the Director of Nursing Peta Taaffe and members of the hospital board who endorsed the concept we had a blank canvas from which to develop the role. From a clinical and academic point of view there were no advanced practice education programmes available in Ireland. Looking to the UK there were courses of varying length from 1 to 6 weeks, some were approved by the Royal College of Nursing but many were been developed as units of education by various nursing colleges but had no academic award which made them unattractive from a financial and professional development point of view.
In 1997 there were a number of developments which supported my personal development and helped with sharing the concept of advanced practice at a more strategic and national level. The first Masters in Nursing in Ireland was developed by Professor Cecily Begley when she set up the School of Nursing and Midwifery in Trinity College Dublin, and despite the fact I didn’t have a primary degree I convinced Cecily (in a telephone conversation) that I would be more than capable of completing this new two year post graduate programme. The Commission on Nursing which had been convened as a result of industrial unrest in the mid 90’s had commenced its work. Part of the Commissions task was to describe a career pathway for Nursing (and Midwifery) to facilitate the clinical nurse who wished to remain in clinical practice (CNS & ANP) and outline the role and levels of ‘Ward Sister’ now titled Clinical Nurse Manager (CNM).
Nurses who had developed clinical specialist roles were invited to make a submission to the Commissions public consultation and in response I submitted the ENP Scope of Practice document for consideration. The Report of The Commission on Nursing was published in 1998 and from that were recommendations regarding distinct career pathways for nursing, the development of an agency to oversee the continuing professional development of all nurses and midwives namely The National Council for the Professional Development of Nursing and Midwifery (NCNM) and the and the appointment of the first post of Chief Nurse in the Department of Health.
By 2000 NCNM was established and consisted of a Board representing nursing and midwifery from clinical and academic perspective, a Chief Executive, a Head of Professional Development and Professional Development Officers. From the outset NCNM hit the ground running and developed definitions and frameworks for Clinical Nurse/Midwife Specialist and Advanced Nurse/Midwife Practitioners. The first ANP post was approved in Emergency in St James’s Hospital in December 2001, and I was accredited as the first ANP in February 2002.
I was a member of the Board of NCNM for the duration of its existence (2000-2010) and was Chair of the Advanced Practice Accreditation Committee. In the time that NCNM existed they provided support to individuals and organisations across a range of professional development initiatives and laid the foundation stone for establishing advanced practice in a variety of specialist areas across nursing and midwifery.
NCNM as an agency was dissolved in 2010 and its role and function with respect of ANP registration and service development fell to An Bord Altranais (now known as NMBI). While there was an attempt to maintain some of the expertise which had developed within NCNM there was a degree of new learning required within NMBI with regard to the various processes attached to ANP site preparation and registration of individuals. In March 2017 NMBI published the first Advanced Practice (Nursing) Requirements and Standards and in the near future NMBI will only have responsibility for the registration of ANPs and all other elements will be the business of healthcare organisations.
Over my nursing career which spans thirty six years of clinical practice in Emergency Nursing in St James’s Hospital, Dublin I have had the privilege of leading the development of the role of Advanced Nurse Practitioner in Emergency Nursing and through my advisory role on the Working Group of the National Emergency Medicine Programme I developed a capacity building strategy which to date has supported the development of over 95 ANP posts in Emergency Departments throughout Ireland. The recent Department of Health initiative to recruit and educate 120 nurses to embark on the role of ANP is to be welcomed as is the intention to continue proliferation of advanced practice roles. All this is further testament to the excellent foundations which were laid in the early 2000s and to the success in building confidence in and support for the role of advanced practitioners across the healthcare system in Ireland which is the continuing legacy of NCNM and the earlier pioneers of ANP services across the country.