Dr Lorna MacLellan

Dr Lorna MacLellan

Senior Lecturer

School of Nursing and Midwifery (Nursing)

Career Summary

Biography

Lorna is a Senior Lecturer in the School of Nursing & Midwifery, at the University of Newcastle, Australia.
Lorna trained in Scotland and has had many diverse positions over a long clinical nursing career both in Scotland and Australia. Lorna's clinical expertise is in wound management where she has had several senior roles both in acute care and the community and still maintains research interests with wound management colleagues.  Lorna was a participant in the ACT Nurse Practitioner (NP) trial in 2001, was appointed as Principal Advisor to the Chief Nursing Officer of NSW from 2003-2004.  

Lorna's career took a change in direction in 2004 when she was appointed Convenor of the Master of Nursing (Nurse Practitioner) Program at The University of Newcastle, a position she held till 2011 and then again from 2014-2015.  The MN (NP) Program at The University of Newcastle has been awarded maximum unconditional accreditation by the Australian Nursing and Midwifery Accreditation Council (ANMAC) in 2001; 2006; 2011 and is currently awaiting re-accreditation by the end of the year. The NP Program has been strengthened with each revision of the curriculum and has demonstrated high satisfaction from students who feel well prepared for NP practice. This university is the leader in NP education as it is one of the only a few universities who provide interdisciplinary teaching by academic staff from Health and Medicine, Medical Imaging and Pharmacology. With over 250 graduates to date, the program is highly respected within the NP community.

Lorna plans to retire within the next year or two and has now handed the Program Convenor role to her successor Dr Melissa Robinson-Reilly, an endorsed NP with a doctorate.  Lorna still teaches the NP students and remains Deputy Convenor of the NP Programs.

Research Expertise
Lorna completed her PhD "A critical ethnography of the transition experiences of newly endorsed nurse practitioners in Australia" in 2016. Lorna has published the following five papers from her PhD in well respected international peer reviewed journals and has presented her findings at 27 national and international conferences. Lorna's research expertise is in critical and focused ethnography.

1. MacLellan, L., Higgins, I., Levett-Jones, T. (2017). An exploration of the factors that influence nurse practitioner transition in Australia: A story of turmoil, tenacity and triumph. The Journal of the American Academy of Nurse Practitioners 29(3), 149-156. DOI:10.1002/2327-6924.12423.

2. MacLellan, L., Levett-Jones, T., Higgins, I. (2016). The Enemy Within:Power and Politicas in the Transition to Nurse Practitioner. NursingPlus Open(2), 1-7. DOI: 10.1016/j.npls.2016.01.003.

3. MacLellan, L., Higgins, I., Levett-Jones, T. (2015). A Game of Snakes and Ladders: Negotiating the 'ups and downs' of endorsement as a Nurse Practitioner in Australia. Contemporary Nurse50(2-3), 139-148. DOI: 10.1080/10376178.2015.1101351.

4. MacLellan, L.,  Levett-Jones, T., Higgins, I. (2015). Nurse Practitioner Role Transition: A Concept Analysis. The Journal of the American Academy of Nurse Practitioners27(7),389-397. DOI: 10.1002/2327-6924.12165.

5. MacLellan, L., Higgins, I., Levett-Jones, T. (2015). Medical Acceptance of the Nurse Practitioner Role in Australia: A Decade on. The Journal of the American Academy of Nurse Practitioners27(3), 152-159. DOI: 10.1002/2327-6924.12141.

Lorna has also been heavily involved in several Simulated Learning Environment projects lead by Professor Tracy Levett-Jones exploring the concepts of Empathy and Disability how student nurses can develop a better understanding and awareness of their patients individual needs.  Several publications from these research projects are under review.

Teaching Expertise
Lorna was awarded The University of Newcastle Vice Chancellor's Citation for Excellence in Teaching and Learning  and was a recipient of the National Carrick Citation (now Australian Teaching & Learning Council) for Excellence in Teaching & Learning, both in 2007.

Collaborations
Lorna maintains strong collaborative partnerships with the wound community. Lorna was a recipient of the Clinical Excellence Commission Award for Improvement in Patient Safety in 2009 as an executive member of the Hunter New England Pressure Ulcer Prevention Committee.


Qualifications

  • Doctor of Philosophy, University of Newcastle
  • Registered Nurse, General Nursing Council for Scotland
  • Certificate in Intensive Nursing Care, Glasgow Royal Infirmary and Assoc Hospitals
  • Certificate in Midwifery, Central Midwives Board for Scotland
  • Master of Nursing, University of Canberra
  • Graduate Certificate Practice of Tertiary Teaching, University of Newcastle

Keywords

  • Critical and focussed ethnography
  • Curriculum development
  • Empathy
  • Nurse Practitioner Education
  • Nurse Practitioner in Australia
  • Qualitative research
  • Simulated Learning
  • Transition to NP practice

Languages

  • English (Mother)

Fields of Research

Code Description Percentage
111099 Nursing not elsewhere classified 100

Professional Experience

UON Appointment

Title Organisation / Department
Senior Lecturer University of Newcastle
School of Nursing and Midwifery
Australia
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Publications

For publications that are currently unpublished or in-press, details are shown in italics.


Journal article (13 outputs)

Year Citation Altmetrics Link
2017 MacLellan L, Higgins I, Levett-Jones T, 'An exploration of the factors that influence nurse practitioner transition in Australia: A story of turmoil, tenacity, and triumph', Journal of the American Association of Nurse Practitioners, 29 149-156 (2017) [C1]

©2016 American Association of Nurse Practitioners Background and purpose: Nurse practitioner (NP) legislation was introduced in Australia in 1998 with the first NPs endorsed 2 ye... [more]

©2016 American Association of Nurse Practitioners Background and purpose: Nurse practitioner (NP) legislation was introduced in Australia in 1998 with the first NPs endorsed 2 years later. Although the number of NPs has slowly increased, they still face significant challenges adjusting to their new role. The aim of this study was to explore the factors that influence the experience of new NPs. Methods: Ten newly appointed NPs were interviewed three to four times over a 12-month period. Using a summative content analysis, data were reduced to four key factors that influence the experience of role transition: personal, intraprofessional, interprofessional, and organizational. Conclusions: The findings illustrate that for many participants, transition was a time of turmoil and a great deal of tenacity was required to navigate the journey. However, despite the challenges, some participants were triumphant and able to forge a successful role for themselves. Implications for practice: This study highlights the need for the nursing profession to support new NPs. It also demonstrates that the provision of structured orientation programs is needed to facilitate effective transition to these complex and challenging roles. Clarity of expectations and a gradual increase in responsibilities are likely to optimize adjustment to the NP role.

DOI 10.1002/2327-6924.12423
Co-authors Isabel Higgins, Tracy Levett-Jones
2016 MacLellan L, Levett-Jones T, Higgins I, 'The enemy within: Power and politics in the transition to nurse practitioner', NursingPlus Open, 2 1-7 (2016) [C1]

© 2016 The Authors. Background: The period of transition from registered nurse to nurse practitioner is often challenging. While adjusting to their autonomous role, nurse practit... [more]

© 2016 The Authors. Background: The period of transition from registered nurse to nurse practitioner is often challenging. While adjusting to their autonomous role, nurse practitioners need to create and define a distinct role for themselves within practice contexts that may be unfamiliar, sometimes unwelcoming and inhospitable. During this time of transition, nurses need well developed negotiation skills and personal attributes including resilience, tenacity, fortitude and determination. Purpose of the research: The purpose of the research reported in this paper was to explore the transition experiences of 10 newly endorsed nurse practitioners in Australia during their first year of practice. This paper focuses on power, control and political manoeuvring that negatively impacted the [U+05F3]nurse practitioners[U+05F3] transition. A qualitative approach using a modified version of Carspecken[U+05F3]s five stage critical ethnography, informed by focused ethnography, was the methodology selected for this study. Methods included observations of practice, journaling, face to face and phone interviews which were recorded, transcribed and analysed thematically. Results: "The enemy within" emerged as a dominant theme highlighting issues of power, powerlessness and politics dominating the participant[U+05F3] s experiences. Power struggles amongst nurses, both overt and covert, and the deliberate misuse of power were frequently encountered. Many of the participants felt powerless and ill-prepared to negotiate the challenging situations in which they found themselves. Many lacked the skills needed to address the negative behaviours they experienced. Conclusions: This paper reports on the experiences of 10 newly endorsed nurse practitioners during their transition to the nurse practitioner role. The impact of the political climate at the time of this study had an undeniable influence on many of the participants[U+05F3] transition experiences. Competition for the limited numbers of designated nurse practitioner positions led to hostility between senior nurses and, in some contexts, a jostling for power, control, prestige and position. Rather than camaraderie, cooperation and collaboration, many of t he participants described feeling besieged, undermined and alienated. The new nurse practitioners felt isolated, unwelcomed and unsupported. Several felt burnt out and abandoned their aspirations to be become a nurse practitioner. They left and returned to practice as a registered nurse.

DOI 10.1016/j.npls.2016.01.003
Citations Scopus - 2
Co-authors Tracy Levett-Jones, Isabel Higgins
2015 Maclellan L, Higgins I, Levett-Jones T, 'Medical acceptance of the nurse practitioner role in Australia: A decade on', Journal of the American Association of Nurse Practitioners, 27 152-159 (2015) [C1]

©2014 American Association of Nurse Practitioners. Purpose: In Australia, nurse practitioners (NPs) were first endorsed in 2000. After more than a decade, the number of NPs remai... [more]

©2014 American Association of Nurse Practitioners. Purpose: In Australia, nurse practitioners (NPs) were first endorsed in 2000. After more than a decade, the number of NPs remains relatively small with previous research suggesting medical resistance as a key reason for this. This article presents a selection of narratives from a study that explored the transition experiences of newly endorsed NPs with particular attention to relationships with their medical colleagues. Data sources: A critical ethnographic approach was undertaken to explore the experiences of 10 Australian NPs who were interviewed three to four times for up to an hour throughout their first year of practice. Conclusions: Participants' narratives provide insight into their transition to practice and the barriers and facilitators to their new role. In contrast to previous research, medical colleagues were generally supportive and collegial while resistance was demonstrated most often by senior nurses yielding positions of power. Implications for practice: This study provides insight into the influences that key health professionals have over the transition of NPs. Despite the fact there are still negative attitudes being expressed by some medical associations, in this study medical colleagues were largely supportive of the NP role and that integral to the development of these interprofessional relationships was mutual respect and effective communication.

DOI 10.1002/2327-6924.12141
Citations Scopus - 6Web of Science - 6
Co-authors Tracy Levett-Jones, Isabel Higgins
2015 Maclellan L, Levett-Jones T, Higgins I, 'Nurse practitioner role transition: A concept analysis', Journal of the American Association of Nurse Practitioners, 27 389-397 (2015) [C1]

© 2014 American Association of Nurse Practitioners. Background: Transitioning from registered nurse to nurse practitioner (NP) can be challenging personally and professionally. I... [more]

© 2014 American Association of Nurse Practitioners. Background: Transitioning from registered nurse to nurse practitioner (NP) can be challenging personally and professionally. Insight into transition experiences may help validate the experiences of new NPs and provide greater understanding of the challenges faced during their professional journey. Purpose: The purpose of this article is to report a concept analysis of transition from registered nurse to NP. The article provides new knowledge, understanding, and clarity about the concept of transition. Data sources: Walker and Avants' framework for concept analysis was used to identify the attributes, antecedents, and consequences of the concept. A literature review of refereed journals was undertaken. Model cases from an ethnographic study conducted in Australia provide real life examples of the attributes of transition. Conclusions: Transitioning to the role of NP is complex and dependent on the individual and the attitudes of healthcare colleagues. Change and adaptation are required of both the NP and members of the healthcare team. Failure to adapt by either party undermines the potential for NPs to deliver improved health care. Implications for practice: Mentorship along with a nurturing environment may be effective strategies for increasing the NP's self-confidence and ensuring a smooth and successful transition period.

DOI 10.1002/2327-6924.12165
Citations Scopus - 5Web of Science - 4
Co-authors Tracy Levett-Jones, Isabel Higgins
2015 MacLellan L, Higgins I, Levett-Jones T, 'A game of snakes and ladders: negotiating the 'ups and downs' of endorsement as a nurse practitioner in Australia.', Contemporary nurse, 50 139-148 (2015) [C1]
Citations Scopus - 2Web of Science - 1
Co-authors Tracy Levett-Jones, Isabel Higgins
2011 Asimus M, Maclellan LI, Li IP, 'Pressure ulcer prevention in Australia: the role of the nurse practitioner in changing practice and saving lives', International Wound Journal, 8 508-513 (2011) [C1]
Citations Scopus - 12Web of Science - 9
2010 Collins R, Maclellan LI, Gibbs H, Maclellan DG, Fletcher J, 'Venous thromboembolism prophylaxis: The role of the nurse in changing practice and saving lives', Australian Journal of Advanced Nursing, 27 83-89 (2010) [C1]
Citations Scopus - 11Web of Science - 4
2008 Maclellan LI, Van Der Riet PJ, 'Conference review: Report on 1st NUS-UH Conference: Advanced Practice Nursing in Multi-Cultural Environments 28 May 2008 Singapore', HNE Handover for Nurses and Midwives, 1 39-40 (2008) [C3]
Co-authors Pamela Vanderriet
2003 Gardner G, Gardner A, Maclellan L, Osbourne S, 'Reconceptualising the objectives of a pilot study for clinical research', INTERNATIONAL JOURNAL OF NURSING STUDIES, 40 719-724 (2003)
2003 Gardner G, Gardner A, MacLellan L, Osborne S, 'Reconceptualising the objectives of a pilot study for clinical research', International Journal of Nursing Studies, 40 719-724 (2003)
DOI 10.1016/S0020-7489(03)00011-7
2002 Carville K, Scott J, Magazinovic N, Swanson T, Manning J, Bradley J, et al., 'Standards for wound management', Primary Intention, 10 47-47 (2002)
2002 MacLellan LI, Gardner G, Gardner A, 'Designing the future in wound care: the role of the nurse practitioner', Primary Intention, 10 97-105 (2002)
1997 Maclellan L, Maclellan DG, 'Pressure Ulcer Management', Journal of Military and Veterans' Health, 60 24-27 (1997)
Show 10 more journal articles

Conference (11 outputs)

Year Citation Altmetrics Link
2012 Maclellan LI, 'Acceptance of the nurse practitioner role in Australia: Rhetoric or reality?', The 7th Conference of the Australian College of Nurse Practitioners (2012) [E3]
2012 Maclellan LI, Higgins IJ, Levett-Jones TL, 'The personal experiences of Australian nurse practitioners during transition to practice: Stories from the field', 2nd Australian Capital Region Nursing & Midwifery Research Conference. Conference Proceedings (2012) [E3]
Co-authors Tracy Levett-Jones, Isabel Higgins
2010 Maclellan LI, Higgins IJ, Levett-Jones TL, 'Transition to nurse practitioner practice in Australia: What really happens on the journey to the top?', 25th National Conference of the American Academy of Nurse Practitioners (2010) [E3]
Co-authors Isabel Higgins, Tracy Levett-Jones
2010 Maclellan LI, Higgins IJ, Levett-Jones TL, 'Challenges to nurse practitioner practice in Australia', 25th National Conference of the American Academy of Nurse Practitioners. Abstracts (2010) [E3]
Co-authors Tracy Levett-Jones, Isabel Higgins
2010 Maclellan LI, 'Transition to NP practice in Australia: Readiness, resilience and reaping the rewards', INP/APNN. 6th International Nurse Practitioner/Advanced Practice Nursing Network Conference (2010) [E3]
2010 Collins R, Maclellan LI, Gibbs H, Maclellan D, Fletcher J, 'Venous thromboembolism prophylaxis: A collaborative approach', Pathophysiology of Haemostasis and Thrombosis (2010) [E3]
2008 Maclellan LI, Gooley R, Greenwood M, Van Der Riet PJ, 'Nurse practitioner practice: A question of equity!', 1st NUS-UH Conference: Advanced Practice Nursing in Multicultural Environments: Programme (2008) [E3]
Co-authors Pamela Vanderriet
2008 Walsh MA, Maclellan LI, 'Bridging the nexus: Linking pathophysiology, health assessment and clinical decision-making for pre-registration nurse practitioners', 5th International Council of Nurses International Nurse Practitioner/Advanced Practice Nursing Network (INP/APNN) Conference: Final Program (2008) [E3]
2008 Maclellan LI, Walsh MA, 'Innovation and collaboration in nurse practitioner education: A blueprint for clinical practice', 5th International Council of Nurses International Nurse Practitioner/Advanced Practice Nursing Network (INP/APNN) Conference: Final Program (2008) [E3]
2008 Maclellan LI, 'The secrets of success: An exploration of the transition of registered nurse to nurse practitioner in Australia', Australian Nurse Practitioner Association 4th Annual Conference: Handbook (2008) [E3]
2008 Maclellan LI, Walsh MA, 'A multidisciplinary, multimodal program for specialist nurse practitioner education', Australian Nurse Practitioner Association 4th Annual Conference: Handbook (2008) [E3]
Show 8 more conferences

Report (1 outputs)

Year Citation Altmetrics Link
2002 Gardner G, Gardner A, Maclellan L, 'Wound care nurse practitioner model', ACT Government, 20 (2002)

Thesis / Dissertation (1 outputs)

Year Citation Altmetrics Link
2016 MacLellan LI, A Critical Ethnography of the Transition Experiences of Newly Endorsed Nurse Practitioners in Australia, The University of Newcastle, Australia (2016)
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Grants and Funding

Summary

Number of grants 5
Total funding $16,880

Click on a grant title below to expand the full details for that specific grant.


20121 grants / $1,500

7TH International ICN Nurse practitioner/Advanced Practice Nursing Network Conference, "Advanced nursing practice: Global vision - global reality, Imperial College, London, 20 - 22 August 2012$1,500

Funding body: University of Newcastle - Faculty of Health and Medicine

Funding body University of Newcastle - Faculty of Health and Medicine
Project Team Doctor Lorna MacLellan
Scheme Travel Grant
Role Lead
Funding Start 2012
Funding Finish 2012
GNo G1200607
Type Of Funding Internal
Category INTE
UON Y

20101 grants / $1,700

American Academy of Nurse practitioners 25th National Conference, Phoenix Arizona, USA, 23 - 27 June 2010$1,700

Funding body: University of Newcastle - Faculty of Health and Medicine

Funding body University of Newcastle - Faculty of Health and Medicine
Project Team Doctor Lorna MacLellan
Scheme Travel Grant
Role Lead
Funding Start 2010
Funding Finish 2010
GNo G1000330
Type Of Funding Internal
Category INTE
UON Y

20091 grants / $9,480

A critical ethnography of the transition of registered nurses to nurse practitioners in Australia$9,480

Funding body: University of Newcastle

Funding body University of Newcastle
Project Team Doctor Lorna MacLellan
Scheme Early Career Researcher Grant
Role Lead
Funding Start 2009
Funding Finish 2009
GNo G0190416
Type Of Funding Internal
Category INTE
UON Y

20081 grants / $1,700

International Council of Nursing: Leadership in Advanced Practice, Westin Harbour Hotel, Toronto, Canada, 17/9/2008 - 20/9/2008$1,700

Funding body: University of Newcastle

Funding body University of Newcastle
Project Team Doctor Lorna MacLellan
Scheme Travel Grant
Role Lead
Funding Start 2008
Funding Finish 2008
GNo G0189193
Type Of Funding Internal
Category INTE
UON Y

20071 grants / $2,500

Nurse practitioners: Coming of Age, Nothamptonshire, England, 7/9/2007 - 8/9/2007$2,500

Funding body: University of Newcastle

Funding body University of Newcastle
Project Team Doctor Lorna MacLellan
Scheme Travel Grant
Role Lead
Funding Start 2007
Funding Finish 2007
GNo G0188021
Type Of Funding Internal
Category INTE
UON Y
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Dr Lorna MacLellan

Position

Senior Lecturer
Postgraduate
School of Nursing and Midwifery
Faculty of Health and Medicine

Focus area

Nursing

Contact Details

Email lorna.maclellan@newcastle.edu.au
Phone 0243494536
Fax (02)43494538

Office

Room Room I29
Building Health Precinct
Location Ourimbah
10 Chittaway Road
Ourimbah, NSW 2258
Australia
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