Calidad, accesibilidad y sostenibilidad: Claves para la Enfermería de Práctica Avanzada en España

Camacho-Bejarano, Rafaela; Gómez, Susana Rodríguez; Gómez‐Salgado, Juan; Lima‐Serrano, Marta; López, Susana Padín

doi:10.1016/j.enfcli.2015.09.004

Cited by 7 publications

(7 citation statements)

References 8 publications

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“…Other authors underlined the usefulness and added value of the introduction of APN for fragile patients or those with a high level of dependency [29,30,31]. The APN role showed results comparable to other health professionals, emphasising the APN ability to work autonomously, perform diagnosis, and make reliable and effective decisions [9,10,26,27,30,32,33].…”

Section: Resultsmentioning

confidence: 99%

“…The work of the APN reflected a higher patients’ satisfaction [5,9,10,22,25,33,34]. Studies on APN found a higher level of satisfaction, less prescription and referral cases, and more dedication in consultation.…”

Section: Resultsmentioning

confidence: 99%

“…This new organisational model tries to balance healthcare loads, provide users with better access to the health services through the different entry points and to, consequently and potentially, reduce the costs derived from the lack of efficiency [9,26,34]. Another long-term advantage of the implementation of APN in PC is the progressive reorientation of health care demands, which means, in some cases, filling healthcare gaps, complementing existing services with an added value, or assuming some shared assistance with other professionals or independently, thus reordering the flow of the demand [9,22,26,30,32].…”

Section: Resultsmentioning

confidence: 99%

“…Later, in the 1990s, in Canada, the APN was included in the post-graduate and doctorate nursing studies, represented by Nurse Practitioners [8]. Gradually, the APN role has been developed in other countries such as the United Kingdom, Australia, New Zealand, Holland, Sweden, and Ireland [9]. The development of APN was adapted to the particularities of each context, leading to the heterogeneity of conceptions.…”

Section: Introductionmentioning

confidence: 99%

“…Delamaire and Lafortune underlined the role of the APN in Primary Care (PC) for providing a range of services such as the first contact with patients with minor and acute problems, along with chronic patients’ follow-up, prescription of medicines, and request for diagnostic tests [9].…”

Section: Introductionmentioning

confidence: 99%

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Benefits of Advanced Practice Nursing for Its Expansion in the Spanish Context

Gómez

Ramos-Santana²,

Gómez‐Salgado

et al. 2019

IJERPH

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The objective of this study is to describe the impact of the Advanced Practice Nurse role on the clinical practice and patient benefit, as well as to provide reasons for its implementation and expansion in Spain. Through the scoping review method, this study has been carried out according to five thematic blocks: life quality, cost-effectiveness, health results, satisfaction, and accessibility. The critical appraisal was performed with the Critical Appraisal Skills Programme (CASP) tool and the level of evidence and strength of recommendation have been analysed following the Oxford Centre for Evidence-Based Medicine (OCEBM) system. The results show that it is possible to formally implement advanced practice nursing in the Spanish context. The analysis of the Spanish regulatory framework reveals that the generalisation of the Case Manager Nurse is the starting point for the development of advanced practice nursing in Spain. This implementation would have a positive impact on patients in terms of health results, satisfaction, and life quality, given that the advanced practice nurse performs a more effective follow-up of chronic patients with a better control of risk factors, symptoms and health outcomes, and an earlier detection of complications. Considering these results, regional governments should promote the role of the Advanced Practice Nurse to contribute to its expansion.

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