Building foundations for the future: the NHS Scotland advanced practice succession planning development pathway

J Nurs Manag. 2011 Oct;19(7):933-42. doi: 10.1111/j.1365-2834.2011.01299.x. Epub 2011 Aug 24.


Aim: To highlight implications for managers from the implementation of a national advanced practice succession planning development pathway within Scotland.

Background: Internationally, advanced practice posts have often developed in an ad-hoc manner, with little organizational attention to succession planning. Evaluation of a pilot national succession planning development pathway identified mechanisms which facilitate or hamper effective planning for advanced practice roles.

Methods: A responsive evaluation design incorporating semi-structured questionnaires to pathway participants (n = 15) and semi-structured telephone interviews with case-site pathway participants (n = 7) and their line managers.

Results: Managers believed the development pathway was worthwhile; however, there was limited strategic planning to match individuals' development to service need. Practitioners generally perceived managers as interested in their development, although levels of practical support varied. There is concern from both managers and practitioners regarding ongoing funding for advanced practice development.

Conclusion: The present evaluation study reiterates the need for organizational commitment to succession planning including robust service needs analysis mechanisms and adequate funding for development processes.

Implications for nursing management: Nurse managers are viewed as the 'gatekeepers' to opportunities for developing advanced nurse practitioners; scare resources must be targeted effectively to support succession planning through the development of selected individuals for future advanced practice posts, justified by service need.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Advanced Practice Nursing / organization & administration*
  • Advanced Practice Nursing / trends
  • Attitude of Health Personnel*
  • Humans
  • Nurse Administrators / psychology*
  • Nurse's Role*
  • Nursing Administration Research
  • Pilot Projects
  • Planning Techniques
  • Qualitative Research
  • Scotland
  • Staff Development / economics
  • Staff Development / organization & administration*
  • State Medicine / economics
  • State Medicine / organization & administration*
  • State Medicine / trends