This is the third ebook in a series of three publications that form part of a larger programme that was conducted in October 2023 – April 2024. The programme aimed to develop a framework for advanced or enhanced practice in nursing in social care settings in the United Kingdom. To this end, there is a need to understand the competencies required for enhanced and advanced nursing practice in social care, and to articulate the training that is currently on offer for nursing staff working in social care settings. The overall programme hypothesis is that the evolving social care system requires the deployment of both enhanced and advanced nursing competencies and the creation of career grade opportunities; such competencies require further description and definition to demonstrate the benefits of employing enhanced and/or advanced social care nurses. The research of the overall programme is structured around three phases. Phase 1 involved comprehensive desk-based research to establish a baseline for subsequent investigations. Phase 2 was based on original fieldwork that involved 13 in-depth, semi-structured interviews and 2 semi-structured focus groups. The first focus group (nurses/nursing background) had 6 participants while the second one (employers/training providers) consisted of 8 participants. Following phase 2 and 3, this ebook undertakes triangulation of findings from both secondary and primary research by juxtaposing results across phases and consulting 4 key stakeholders from BHSCA and BNU including also the analysis of an online survey which was completed by 171 practitioners and educators.
 
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“This final e-book in the series is the culmination of a research journey around the potential of Advanced and Enhanced levels of practice for registered nurses within social care settings, providing a scientifically proven conclusion. It is impressive to note the significant participation in the online survey, which validated the research results and identified the necessary steps to elevate social care nursing. Through the collaboration of numerous participants, the research team has not only triangulated the results but also accurately addressed the initial research questions regarding the potential development of a framework for advanced and enhanced practice. This e-book stands as a testament to the sector’s commitment to advancing the practice of social care nursing.”
 
Juliet Anderson, Director, Buckinghamshire Health and Social Care Academy