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Roles and Outcomes of Advanced Practice Nurses in Thailand: A Systematic Review
Phatcharaphon Whaikid1, Noppawan Piaseu2,3,4
1Faculty of Nursing, Huachiew Chalermprakiet University, Samut Prakan 10540, Thailand.
Healthcare (Basel, Switzerland)
|August 13, 2026
Summary
Advanced practice nurses (APNs) in Thailand demonstrate diverse roles, leading to improved patient outcomes, satisfaction, and reduced healthcare costs. Evidence suggests APN-led care positively impacts patients and health systems.
Area of Science:
- Nursing Science
- Health Services Research
- Public Health
Background:
- Advanced practice nurses (APNs) are crucial for enhancing healthcare quality and outcomes.
- The role of APNs in Thailand's healthcare system requires comprehensive synthesis of existing evidence.
Purpose of the Study:
- To systematically review and synthesize evidence on the roles of APNs.
- To evaluate the impact of APN roles on healthcare outcomes in Thailand.
Main Methods:
- Systematic review of four databases (PubMed, CINAHL, Scopus, Thai Journals Online) up to January 2026.
- Inclusion of 20 studies: quasi-experimental, cross-sectional, mixed-methods, retrospective, and qualitative.
- Methodological quality assessed using MMAT and JBI checklists; narrative synthesis employed due to heterogeneity.
Main Results:
- APNs engaged in diverse roles: direct care, coordination, consultation, education, mentoring, and evidence-based practice implementation.
- APN-led care models correlated with improved clinical outcomes, enhanced self-care, better quality of life, and increased patient/caregiver satisfaction.
- APN-led models were associated with reduced hospital stays and lower healthcare costs.
Conclusions:
- APN-led care models show potential for positive patient, family, and health system outcomes in Thailand.
- Findings should be interpreted cautiously due to the predominance of non-randomized and observational studies.
- Further research is needed to isolate the independent effects of APN practice.
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