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Advanced practice nurse capabilities: A mixed methods systematic review.

Laura Hako1,2, Hannele Turunen1,3,4, Krista Jokiniemi1

  • 1Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.

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|December 8, 2022
PubMed
Summary
This summary is machine-generated.

Advanced practice nurses require specific capabilities for global health challenges. This review identified five known dimensions and a new one: identifying factors affecting scope of practice, crucial for role development.

Keywords:
advanced practice nursingcapabilityglobal healthlearningnurse cliniciansnurse practitionersprofessional competencescope of practiceself-efficacysystematic literature review

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Area of Science:

  • Nursing Science
  • Healthcare Management
  • Professional Development

Background:

  • Global health challenges necessitate optimal utilization of nurses' professional capabilities.
  • While competencies for advanced practice nurses (APNs) are established, research on their capabilities remains limited.
  • Understanding APN capabilities is crucial for effective healthcare delivery.

Purpose of the Study:

  • To systematically review and compare existing literature on the capabilities of advanced practice nurses.
  • To identify and define the key dimensions of APN capabilities.

Main Methods:

  • A mixed-methods systematic review was conducted, searching CINAHL, PubMed, and Scopus (1998-2021).
  • Article quality was assessed using JBI Critical Appraisal Tools.
  • Abductive content analysis, incorporating deductive and inductive approaches, was employed.

Main Results:

  • Eleven articles met inclusion criteria, analyzing 357 initially identified studies.
  • Five established dimensions of capability were confirmed: applying competencies in varied situations, creativity, self-efficacy, learning ability, and teamwork.
  • A novel dimension was identified: the ability to identify factors influencing the scope of practice.

Conclusions:

  • Capability is essential for advanced practice nurses' performance.
  • Defining APN capabilities will guide the development of their roles, education, and assessment.
  • Enhanced understanding and implementation of APN capabilities can improve healthcare quality, accessibility, and cost-effectiveness.