Kim Anderson: Advanced Nurse Practitioner (Practice Education)

NHS Shetland

I have been working within NHS Shetland since qualifying as a registered nurse in 2001 where I studied at Robert Gordon University and achieved my DipHEN (Adult) qualification.

In 2015 there was a service redesign within NHS Shetland, the decision was made to recruit a team of ANPs to work within the Primary Care setting (due to the shortfall of GPs and difficulty in recruitment to remote and rural localities).

St Ninians Isle – Shetland 


My role has evolved and I am quite sure it will continue to do so!

I provide a frontline service which assesses, investigates and treats the presenting practice population. This includes babies, children, adults and the elderly.

The type of presentations seen within my ANP role: (as you can see – pretty much any presentation!)

  • Unwell children/babies
  • Mental Health
  • Cardiac
  • Respiratory
  • Neurology
  • Renal
  • Endocrine
  • Dermatology
  • Rheumatology
  • Sexual Health
  • Mens Health
  • Long Term Conditions

These patients have undifferentiated and undiagnosed problems making an assessment of healthcare needs based on my nursing knowledge and skills. This includes performing a comprehensive history taking and physical examination of all body systems and recognising normal and variation of normal.

I initiate laboratory and radiological investigations as indicated and interpret results and act on them accordingly.

I use my clinical knowledge and skills to diagnose patients, whilst always considering differential diagnoses. I work autonomously and take full responsibility for my practice.

The team I work with make the job even more enjoyable! The GP Practice I work in is conducive to learning and has a very supportive multidisciplinary team approach.

I commenced the MSc Advanced Nursing Practice programme through RGU at the end of 2015 and completed the MSc in spring 2018!


My Graduation!!

This was the first Masters level study I had done, so it was a bit daunting! The last time I studied prior to the MSc, was to obtain my non-medical prescriber (NMP at level 9)…again with RGU in 2013.

For me reflecting on my experience of Advanced Nursing so far…

It is ever evolving and there will be many opportunities for development within this area. Being an ANP is extremely challenging but equally rewarding.

Working in a new challenging role whilst studying for the MSc qualification and being a mother to my 2 young children is no mean feat! But with the support of colleagues, RGU staff, family and friends it is one I will look on fondly.

It is SO important to get a good work life balance and ensure that you have time to relax and spend time with friends and family away from work and study.


My family – Me, Jonathan (ever suffering husband ) Madison 12 years old and Sandy 8 years old

Since completing my MSc I have been acting Lead ANP which involved supervising and educating trainee ANPs.  In August 2018 I moved into a new role as ANP (Practice Education) where I am responsible for the development of local educational programmes, clinical governance and quality assurance processes for all ANPs working within NHS Shetland.

It is safe to say I am still developing within my role as an ANP and will continue to do so throughout my career…………..


Are you interested in advanced practice? RGU offer MSc Advancing Nursing Practice allowing experienced nurses or midwives to develop their skills and knowledge required for advanced practice.


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