Exploring the competencies of nephrology nurses: A comprehensive scoping review

Area of Science:

• Nephrology Nursing
• Healthcare Competencies
• Global Health

Background:

• Chronic kidney disease (CKD) is a major global health concern.
• Nephrology nurses are crucial for delivering high-quality CKD patient care.
• Specialized nursing competencies are essential for effective CKD management.

Purpose of the Study:

• To conduct a comprehensive scoping review of global literature on nephrology nurse competencies.
• To map and synthesize existing knowledge regarding the skills of nephrology nurses worldwide.
• To identify core and advanced competencies required for nephrology nursing practice.

Main Methods:

• A scoping review methodology was employed, adhering to PRISMA-ScR guidelines and Joanna Briggs Institute (JBI) methodology.
• Literature searches were conducted across five databases (Medline, Scopus, Cochrane Library, ASSIA, CINAHL) and gray literature.
• Data extraction, quality appraisal using JBI tools, and descriptive analysis were performed by two independent reviewers.

Main Results:

• 25 articles were included from 8786 identified records, primarily position papers published between 2000 and 2022.
• Studies encompassed all continents, highlighting a global perspective on nephrology nursing.
• Identified competencies included core skills and advanced areas such as clinical practice, education, leadership, management, and research.

Conclusions:

• A diverse and comprehensive set of skills is required for nephrology nurses to manage complex CKD cases.
• Ongoing refinement and expansion of nephrology nurse competencies are necessary in national contexts.
• This review provides a foundation for defining homogeneous training pathways and competencies at national and institutional levels.