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Advanced practice nurse professional advancement programs: a scoping review.

Alisia Hankins1,2, Michelle Palokas1,2, Robin Christian1,2

  • 1School of Nursing, University of Mississippi Medical Center, Jackson, MS, USA.

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Summary

Literature on advanced practice nurse professional advancement programs is scarce, with wide variations in program criteria and limited data on outcomes. Further research is needed to understand the benefits and implementation of these crucial programs.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Professional Development

Background:

  • Professional advancement programs are established for staff nurses, yet literature on similar programs for advanced practice nurses (APNs) is limited.
  • These programs aim to enhance employee engagement, foster retention, and support professional growth.
  • Understanding APN professional advancement is crucial for healthcare organizations seeking to optimize their nursing workforce.

Purpose of the Study:

  • To conduct a scoping review of existing literature on professional advancement programs for advanced practice nurses.
  • To examine and map the evidence regarding the characteristics, criteria, and outcomes of APN advancement programs.
  • To identify gaps in the current literature concerning APN professional advancement.

Main Methods:

  • A comprehensive scoping review methodology was employed.
  • Included studies focused on advanced practice nurses in direct patient care roles participating in professional advancement programs.
  • Searches were conducted across multiple databases (PubMed, CINAHL, Embase, Scopus, PsycINFO) and gray literature sources, with studies published in English from 1965 to the search date included.

Main Results:

  • Nine descriptive studies met the inclusion criteria.
  • All studies detailed the names, characteristics, and criteria of APN advancement programs.
  • Limited data were available on the benefits and outcomes associated with these programs, with significant variations noted in program design.

Conclusions:

  • There is a paucity of literature on advanced practice nurse professional advancement programs.
  • Existing programs exhibit considerable heterogeneity in their naming conventions, criteria, and characteristics.
  • Further research is essential to elucidate the outcomes and benefits of APN professional advancement programs to inform best practices.