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https://hdl.handle.net/1959.11/17132
Title: | Deriving Consensus on the Characteristics of Advanced Practice Nursing: Meta-summary of More Than 2 Decades of Research | Contributor(s): | Hutchinson, Marie (author); East, Leah (author) ; Stasa, Helen (author); Jackson, Debra (author) | Publication Date: | 2014 | DOI: | 10.1097/NNR.0000000000000021 | Handle Link: | https://hdl.handle.net/1959.11/17132 | Abstract: | Background: Over recent decades, there has been considerable research and debate about essential features of advanced nursing practice and differences among various categories of advanced practice nurses. Objectives: This study aimed to derive an integrative description of the defining characteristics of advanced practice nursing through a meta-summary of the existing literature. Methods: A three-phase approach involved (a) systematic review of the literature to identify the specific activities characterized as advanced practice nursing, (b) qualitative meta-summary of practice characteristics extracted from manuscripts meeting inclusion criteria; and (c) statistical analysis of domains across advanced practice categories and country in which the study was completed. A descriptive framework was distilled using qualitative and quantitative results. Results: Fifty manuscripts met inclusion criteria and were retained for analysis. Seven domains of advanced nursing practice were identified: (a) autonomous or nurse-led extended clinical practice; (b) improving systems of care; (c) developing the practice of others; (d) developing/delivering educational programs/activities; (e) nursing research/scholarship; (f) leadership external to the organization; and (g) administering programs, budgets, and personnel. Domains were similar across categories of advanced nursing practice; the domain of developing/delivering educational programs/activities was more common in Australia than in the United States or United Kingdom. Discussion: Similarity at the domain level was sufficient to suggest that advanced practice role categories are less distinct than often argued. There is merit in adopting a more integrated and consistent interpretation of advanced practice nursing. | Publication Type: | Journal Article | Source of Publication: | Nursing Research, 63(2), p. 116-128 | Publisher: | Lippincott Williams & Wilkins | Place of Publication: | United States of America | ISSN: | 1538-9847 0029-6562 |
Fields of Research (FoR) 2008: | 111099 Nursing not elsewhere classified | Fields of Research (FoR) 2020: | 420599 Nursing not elsewhere classified | Socio-Economic Objective (SEO) 2008: | 929999 Health not elsewhere classified | Socio-Economic Objective (SEO) 2020: | 200201 Determinants of health | Peer Reviewed: | Yes | HERDC Category Description: | C1 Refereed Article in a Scholarly Journal |
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Appears in Collections: | Journal Article |
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