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Contextual factors of advanced practice nursing development: A network analysis.

Sonia Sevilla Guerra1, Emmanuelle Jean2, Kelley Kilpatrick3

  • 1Servei Català de la Salut, Barcelona, Spain.

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|November 4, 2022
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Summary

This study explored factors influencing advanced practice nursing roles in Catalonia. Understanding these relationships helps optimize the development and implementation of new roles to improve patient care.

Keywords:
advanced practice nursinghealth planningimplementationnursing processprofessional role

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Area of Science:

  • Nursing
  • Healthcare Management
  • Social Sciences

Background:

  • Advanced practice roles are crucial for healthcare systems.
  • Understanding the factors influencing their development is essential for successful integration.
  • Catalonia presents a specific context for studying advanced practice role evolution.

Purpose of the Study:

  • To identify actors and contextual factors related to advanced practice role development in Catalonia.
  • To analyze the relationships and consensus among these factors.
  • To provide insights for optimizing the implementation of advanced practice roles.

Main Methods:

  • Qualitative, descriptive, and explanatory study design.
  • Semi-structured focus groups with 44 participants from diverse perspectives.
  • Social Network Analysis (SNA) for complementary data analysis.

Main Results:

  • Identified 71 contextual factors associated with advanced practice role development.
  • Network analysis revealed relationships and consensus among participants and themes.
  • Clustering of professional roles and disciplines indicated consensus on significant topics.

Conclusions:

  • Understanding interactions and consensus is key to navigating complex contexts for advanced practice nursing.
  • Consensual factors can guide the development and implementation of roles impacting patient care.
  • This research offers a framework for optimizing advanced practice role integration in healthcare organizations.