Identifying the Priorities to Develop Advanced Practice Nursing in Mexico Using a Delphi Study.

Area of Science:

• Nursing
• Health Policy
• Healthcare Workforce Development

Background:

• Advanced practice nursing roles are established globally but not yet implemented in Mexico.
• This study addresses the need to define and prioritize the development of advanced practice nurse (APN) roles within Mexico's healthcare system.

Purpose of the Study:

• To achieve national consensus among expert stakeholders on the development priorities for advanced practice nurse (APN) roles in Mexico.
• To inform policy and strategy for APN implementation in Mexico.

Main Methods:

• A two-round Delphi technique involving 31 experts in round 1 and 14 in round 2.
• Utilized in-depth interviews, literature review, and a Likert scale for statement evaluation (content validity index > 0.8).
• Statements were ranked by priority in the second round.

Main Results:

• Twelve statements achieved a content validity index above 0.8 and were prioritized.
• Key priorities identified include establishing a national regulatory framework and clearly defining APN roles.
• Identified critical areas for APN development: workforce, regulation, education, and career progression.

Conclusions:

• The prioritized statements provide a foundation for advocating the national development of APN roles in Mexico.
• Implementation of APN roles is crucial for addressing population health needs and building a robust nursing workforce.
• This consensus guides the strategic development of advanced practice nursing in Mexico.