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Related Concept Videos

Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Nursing Evaluation01:15

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

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The Scientific Method in Nursing Process01:18

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The scientific method provides the foundation for any research. It is the most reliable and objective of all forms of gaining knowledge and guides in applying research-based evidence in practice and conducting future research.
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Current Trends in Nursing II01:30

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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
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Updated: Jun 22, 2025

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Advanced practice nursing implementation in France: A mixed-method study.

Jean Toniolo1,2,3, Valérie Berger4, Amélie Deplanque5

  • 1Inserm U1094, IRD U270, Univ. Limoges, CHU Limoges, EpiMaCT-Epidemiology of Chronic Diseases in Tropical Zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, France.

Journal of Advanced Nursing
|July 2, 2024
PubMed
Summary
This summary is machine-generated.

Advanced practice nursing (APN) in France is an evolving profession with significant challenges, including role ambiguity and resistance. Despite these hurdles, APNs are crucial to the healthcare system, necessitating targeted interventions for successful integration and broader acceptance.

Keywords:
Franceadvanced practice nursinghealth policyimplementation

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Area of Science:

  • Healthcare Policy and Management
  • Nursing Practice and Education

Background:

  • Advanced practice nursing (APN) roles are increasingly recognized globally for their potential to enhance healthcare delivery.
  • Understanding the specific context of APN implementation in France is crucial for optimizing its integration into the existing healthcare landscape.

Purpose of the Study:

  • To delineate the characteristics of advanced practice nursing (APN) within the French healthcare system.
  • To explore the definition, implementation, and physician perceptions of the APN role in France.

Main Methods:

  • A mixed-methods approach combining qualitative (interviews) and quantitative (questionnaires) data collection.
  • Involved 41 APNs and 12 physicians across diverse French healthcare settings.
  • Employed thematic analysis for qualitative data and descriptive analysis for quantitative data.

Main Results:

  • APNs are perceived as pivotal, independent professionals with advanced clinical and interprofessional skills.
  • Key challenges include role ambiguity (only 17.1% had clearly defined roles initially) and resistance, despite 73.2% reporting good implementation.
  • Positive findings include successful integration, good physician relationships, and patient satisfaction.

Conclusions:

  • The APN role in France is dynamic and evolving, presenting both challenges and opportunities.
  • Addressing role ambiguity and resistance is essential for successful APN integration.
  • Interventions are needed to enhance APN impact and acceptance, potentially influencing policy and professional development.