Clinical Activities of Advanced Practice Nurses in Tertiary Hospital Surgical Inpatient Settings : A Scoping Review
Saarinen, Kerryn (2023)
Saarinen, Kerryn
2023
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi-fe2023051243934
https://urn.fi/URN:NBN:fi-fe2023051243934
Tiivistelmä
Background: Nursing shortages are requiring health services to explore different ways to encourage recruitment and retention of nursing staff. One such method is the development of advanced practice nursing roles. APN roles can be found in both primary and tertiary care in a diverse range of nursing specialities.
Objective: To investigate what types of acute surgical advanced practice nursing clinical activities within a tertiary setting were described in the literature between January 2017 and November 2022.
Methods: A scoping review utilising the 2020 JBI framework was performed. 25 studies and documents were retrieved from the CINAHL, MEDLINE, Academic search complete, PubMed, Google Scholar and Google databases during December 2022. An inductive qualitative analysis was performed.
Results: 106 codes were identified, and then organised into five main categories describing the clinical activities of acute surgical APNs within tertiary settings: 1) Independent clinical care, 2) Clinical and
professional advancement, 3) Management, 4) Education, and 5) Negative clinical activities. The category of clinical care was the focus of descriptions, reflecting the centrality of the patient to the APN
role. Negative clinical activities were also described, resulting in APNs being unable to perform independently to their advanced capabilities.
Conclusions: APNs working in acute surgical tertiary settings perform a variety of activities across all four categories with positive attributes identified in this review. The context of the acute surgical setting
determines to what extent each of the clinical activity categories are represented. These results were similar to previous research findings. Negative clinical activities are less represented in previous research. Negative clinical activities may be due to a lack of knowledge of APNs scope of practice.
This study could assist the development of position descriptions for APNs working in acute surgical tertiary settings.
Objective: To investigate what types of acute surgical advanced practice nursing clinical activities within a tertiary setting were described in the literature between January 2017 and November 2022.
Methods: A scoping review utilising the 2020 JBI framework was performed. 25 studies and documents were retrieved from the CINAHL, MEDLINE, Academic search complete, PubMed, Google Scholar and Google databases during December 2022. An inductive qualitative analysis was performed.
Results: 106 codes were identified, and then organised into five main categories describing the clinical activities of acute surgical APNs within tertiary settings: 1) Independent clinical care, 2) Clinical and
professional advancement, 3) Management, 4) Education, and 5) Negative clinical activities. The category of clinical care was the focus of descriptions, reflecting the centrality of the patient to the APN
role. Negative clinical activities were also described, resulting in APNs being unable to perform independently to their advanced capabilities.
Conclusions: APNs working in acute surgical tertiary settings perform a variety of activities across all four categories with positive attributes identified in this review. The context of the acute surgical setting
determines to what extent each of the clinical activity categories are represented. These results were similar to previous research findings. Negative clinical activities are less represented in previous research. Negative clinical activities may be due to a lack of knowledge of APNs scope of practice.
This study could assist the development of position descriptions for APNs working in acute surgical tertiary settings.
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