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Advanced practice nurses and evidence-based practice. An opportunity for change.

Miguel Ángel Rodríguez Calero1, Carlos Javier Villafáfila Gomila2, Pedro Sastre Fullana1

  • 1Servei de Salut de les Illes Balears, Departamento de Enfermería y Fisioterapia, Universitat de les Illes Balears, Palma, Baleares, España.

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Summary

New advanced practice nursing roles are proposed to implement evidence-based practice in healthcare settings. These roles address population aging and chronic diseases by integrating best evidence into clinical decision-making and promoting change.

Keywords:
Advanced practice nursingEnfermería de práctica avanzadaEvidence-based practiceInvestigación traslacionalPráctica clínica basada en la evidenciaRol de la enfermeraThe role of the nurseTranslational research

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Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Public Health

Background:

  • The aging population and rising chronic diseases necessitate evolving healthcare roles.
  • Variability in clinical practice and health management demands evidence-based decision-making.
  • Implementing evidence requires understanding its applicability, limitations, and local context.

Purpose of the Study:

  • To propose new advanced practice nursing roles.
  • To focus on the planned implementation of evidence in clinical settings.
  • To address the complexities of modern healthcare needs.

Main Methods:

  • Collaboration between the Health Service of the Balearic Islands and the Faculty of Nursing and Physiotherapy.
  • Focus on developing advanced practice nursing competencies.
  • Emphasis on planned implementation of evidence-based practice.

Main Results:

  • Advanced practice nurses are positioned to promote organizational and attitudinal changes.
  • Competence development enables nurses to facilitate evidence implementation.
  • These roles can bridge the gap between evidence and practice in complex environments.

Conclusions:

  • Advanced practice nursing roles are crucial for integrating evidence into healthcare.
  • These roles support adaptation to demographic and epidemiological changes.
  • Successful implementation requires understanding both macro and micro contextual factors.