Journal article
Deriving consensus on the characteristics of advanced practice nursing: meta-summary of more than 2 decades of research
Nursing Research, Vol.63(2), pp.116-128
2014
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Abstract
<p><p id="x-x-x-P17">Background: Over recent decades, there has been considerable research and debate about essential features of advanced nursing practice and differences among various categories of advanced practice nurses. <p id="x-x-x-P18">Objectives: This study aimed to derive an integrative description of the defining characteristics of advanced practice nursing through a meta-summary of the existing literature. <p id="x-x-x-P19">Methods: A three-phase approach involved (a) systematic review of the literature to identify the specific activities characterized as advanced practice nursing, (b) qualitative meta-summary of practice characteristics extracted from manuscripts meeting inclusion criteria; and (c) statistical analysis of domains across advanced practice categories and country in which the study was completed. A descriptive framework was distilled using qualitative and quantitative results. <p id="x-x-x-P20">Results: Fifty manuscripts met inclusion criteria and were retained for analysis. Seven domains of advanced nursing practice were identified: (a) autonomous or nurse-led extended clinical practice; (b) improving systems of care; (c) developing the practice of others; (d) developing/delivering educational programs/activities; (e) nursing research/scholarship; (f) leadership external to the organization; and (g) administering programs, budgets, and personnel. Domains were similar across categories of advanced nursing practice; the domain of developing/delivering educational programs/activities was more common in Australia than in the United States or United Kingdom. <p id="x-x-x-P21">Discussion: Similarity at the domain level was sufficient to suggest that advanced practice role categories are less distinct than often argued. There is merit in adopting a more integrated and consistent interpretation of advanced practice nursing.</p>
Details
- Title
- Deriving consensus on the characteristics of advanced practice nursing: meta-summary of more than 2 decades of research
- Creators
- Marie Hutchinson - Southern Cross UniversityLeigh East - Southern Cross UniversityHelen StasaDebra Jackson
- Publication Details
- Nursing Research, Vol.63(2), pp.116-128
- Identifiers
- 2913; 991012822090602368
- Academic Unit
- Nursing; Faculty of Health; School of Health and Human Sciences
- Resource Type
- Journal article