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The Impact of the Expanded Nursing Practice on Professional Identify in Denmark

Piil, Karin RH, MhsN; Kolbæk, Raymond MhsN; Ottmann, Goetz PhD; Rasmussen, Bodil PhD


There was an error in the title of the article by Karin Piil, RH, MhsN, that appeared on page 329 of the November/December 2012 issue. The correct title is: “The Impact of Expanded Nursing Practice on Professional Identity in Denmark.”

Clinical Nurse Specialist. 27(1):43, January/February 2013.

doi: 10.1097/NUR.0b013e31826e3f43
Feature Article

Purpose: This article explores the concept of professional identity of Danish nurses working in an expanded practice. The case study explores the experiences of a small group of Danish nurses with a new professional category that reaches into a domain that customarily belonged to physicians. The aim of this case study was to explore the impact of “nurse consultations,” representing an expanded nursing role, of 5 nurses focusing on their perception of autonomy, self-esteem, and confidence.

Methods: The case study used semistructured interviews with 5 participants triangulated and validated with participant observations, a focus group interview, and theoretically derived insights.

Findings: This study indicates that nurses working within a new expanded professional practice see themselves as still engaged in nursing and not as substitute physicians. The study also suggests that the involved nurses gained a higher sense of autonomy, self-esteem, and confidence in their practice. These elements have a positive impact on their professional identity.

Conclusion: The research demonstrates that for the nurses involved in expanded professional practice, the boundaries of professional practice have shifted significantly. The research indicates that an expanded practice generates a new domain within the professional identity of nurses.

Author Affiliations: Outpatient Clinic of Neurosurgery, University Hospital of Copenhagen (Ms Piil), and VIA University College, Campus Viborg (Mr Kolbæk), Denmark; and Deakin University, Melbourne, Victoria, Australia (Drs Ottmann and Rasmussen).

This article is part of a master’s thesis submitted by Ms Piil. The coauthors have contributed through supervision and critical revisions of important intellectual content.

No funding has been received for this work.

The authors report no conflicts of interest.

Correspondence: Karin Piil, RH, MhsN, University Hospital of Copenhagen, Denmark, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark (;

© 2012 Lippincott Williams & Wilkins, Inc.