Clarification of advanced nursing practice: characteristics and competencies

Area of Science:

• Nursing Science
• Healthcare Education

Background:

• The term "advanced nursing practice" lacks a clear, universally accepted definition, particularly concerning the Clinical Nurse Specialist (CNS) role.
• Existing descriptions of the CNS role focus on subroles (clinician, educator, researcher, consultant) but fail to capture its comprehensive impact on healthcare delivery.

Observation:

• Faculty discussions highlighted the need to redefine advanced nursing practice to improve CNS educational preparation.
• A clear definition is essential for redesigning educational curricula for advanced nurse practitioners.

Findings:

• This article provides an overview of advanced nursing practice, distinguishing between different practice levels.
• Key characteristics and competencies inherent to advanced nursing practice are delineated.
• A case study illustrates the interplay of these competencies in advanced nursing practice.

Implications:

• Clarifying advanced nursing practice is a foundational step for enhancing CNS educational programs.
• A well-defined understanding of advanced practice competencies can improve the quality of healthcare delivery.
• This work contributes to the ongoing discourse on the evolution and standardization of advanced nursing roles.