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Advanced nursing roles: a systematic review
Krista Jokiniemi1, Anna-Maija Pietilä, Jari Kylmä
1Department of Nursing Science, University of Eastern Finland, Kuopio, Finland. kristj@student.uef.fi
Nursing & Health Sciences
|September 7, 2012
Summary
This review compared advanced practice nursing roles in the UK, USA, and Australia, finding significant similarities. An international consensus on advanced practice nursing definitions is achievable with further research.
Area of Science:
- Nursing
- Healthcare Policy
- International Health
Background:
- Advanced practice nursing roles vary globally, necessitating a clear understanding of their scope and definition.
- Specialized nursing roles, such as the nurse consultant, clinical nurse specialist, and clinical nurse consultant, are critical in healthcare systems.
Purpose of the Study:
- To systematically review and compare one specialized advanced practice nursing role across the UK, USA, and Australia.
- To determine the feasibility of establishing an international consensus on the definition of advanced practice nursing.
Main Methods:
- A systematic literature search was conducted in CINAHL and PubMed Medline in 2011.
- Qualitative content analysis was used to synthesize findings from 42 selected studies.
- Focused on nurse consultant (UK), clinical nurse specialist (USA), and clinical nurse consultant (Australia) roles.
Main Results:
- The analyzed advanced practice nursing roles exhibited substantial similarities across the three countries.
- Variations observed were attributed to organizational or individual factors rather than national differences.
- A synthesized representation of one specialized advanced practice nursing role was developed.
Conclusions:
- An international consensus on the definition of advanced practice nursing and its subroles is possible.
- Further research is recommended to refine the concept and explore implementation in diverse cultural contexts.
- The study highlights the potential for harmonizing advanced practice nursing roles globally.
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