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Analysis instruments for the performance of Advanced Practice Nursing.
Sonia Sevilla-Guerra1, Adelaida Zabalegui1
1Dirección de Enfermería, Hospital Clínic de Barcelona, Barcelona, España.
Enfermeria Clinica (English Edition)
|December 5, 2017
Summary
This study reviewed tools for defining Advanced Practice Nursing (APN) roles. While some instruments lacked validity, one tool effectively distinguished APN functions across five domains, aiding in evaluating new nursing roles.
Area of Science:
- Nursing Science
- Healthcare Management
Background:
- Advanced Practice Nursing (APN) is established internationally and emerging in Spain.
- The growth of APN roles necessitates tools to define and evaluate their scope.
- Existing instruments aim to delineate the functions and domains of APN.
Purpose of the Study:
- To identify and explore existing instruments for defining Advanced Practice Nursing domains.
- To analyze the design, domains, results, and clinimetric properties of these instruments.
Main Methods:
- A systematic review of international questionnaires and instruments for APN was conducted.
- Analysis included instrument design, defined domains, outcomes, and clinimetric properties.
- Seven studies were analyzed for their validity, stability, and reliability.
Main Results:
- Not all analyzed instruments were found to be valid, stable, or reliable.
- One instrument successfully differentiated general nursing from advanced practice nursing functions.
- This tool evaluated activities within five described domains of advanced practice.
Conclusions:
- Validated tools are crucial for evaluating the scope of advanced practice in new nursing roles.
- These instruments are essential for aligning Spanish nursing roles with international competency models.
- Further development and validation of APN evaluation tools are needed.
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