Description of Advanced Practice Nurses Interventions Through the Nursing Interventions Classification in Different Care Settings for Older People: A Qualitative Study

García‐Mayor, Silvia; Morilla‐Herrera, Juan Carlos; Cuevas-Fernández-Gallego, Magdalena; Villa-Estrada, Francisca; Pórcel‐Gálvez, Ana María; Sastre-Fullana, Pedro; Morales-Asencio, José Miguel

doi:10.1111/2047-3095.12078

Cited by 4 publications

(6 citation statements)

References 67 publications

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“…A recent study identified the interventions provided by advanced nurse practitioners to older people in different settings with a standardized nursing language (NIC) to determine the patterns of the developed interventions. Its results showed 73 interventions extracted from the NIC and among them are the interventions validated in the present study (Garcia‐Mayor et al., ). Other studies show that for successful aging both the health promotion interventions and the health rehabilitation interventions are needed, but the problems due to old age are not only physical health problems.…”

Section: Discussionsupporting

confidence: 55%

Validation of Nursing Outcomes and Interventions to Older Adults Care with Risk or Frail Elderly Syndrome: Proposal of Linkages Among NOC, NIC, and NANDA‐I to clinical practice

Lucena

Argenta

Almeida

et al. 2018

Int J of Nursing Knowl

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OBJECTIVE Select and validate outcomes from Nursing Outcomes Classification and interventions from Nursing Interventions Classification for diagnoses Risk for Frail Elderly Syndrome and Frail Elderly Syndrome/NANDA International. METHODS A consensus study with 15 gerontological nursing specialists. Data were collected by a Google forms instrument developed by the research team and analyzed using descriptive statistics. RESULTS For the risk diagnosis, 11 outcomes and seven interventions were validated. For the problem‐focused diagnosis, 12 outcomes and eight interventions were validated. CONCLUSION The outcomes and interventions showed up as important elements applicable in the health assistance to older adults care with risk or Frail Elderly Syndrome. IMPLICATIONS FOR NURSING PRACTICE Those outcomes and interventions are a linkages proposal with the diagnoses to be applied in the clinical practice.

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Section: Discussionsupporting

confidence: 55%

Validation of Nursing Outcomes and Interventions to Older Adults Care with Risk or Frail Elderly Syndrome: Proposal of Linkages Among NOC, NIC, and NANDA‐I to clinical practice

Lucena

Argenta

Almeida

et al. 2018

Int J of Nursing Knowl

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“…This area of professional development has been described in the literature as essential for increasing time to readmission, associated comorbidities or death, reducing readmissions and healthcare costs, while maintaining quality of life and functioning, by providing coordination and continuity of healthcare as patients transfer between different locations. 36 Moreover, the leadership and knowledge brokering component 37 understood as APN capabilities for improving evidence-based practice accessibility and consumption in their clinical context of reference, also emerges as an important area of competence ("Research and Evidence-Based Practice" with "Clinical and Professional Leadership" and "Professional Autonomy"), as has been previously reported in different APN areas of practice. 38 One arguable point in the final eight-factor model proposal is the lack of a domain for 'advocacy', consistently identified as essential to APNs.…”

Section: Discussionmentioning

confidence: 85%

Advanced Practice Nursing Competency Assessment Instrument (APNCAI): clinimetric validation

et al. 2017

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ObjectiveTo describe the development and clinimetric validation of the Advanced Practice Nursing Competency Assessment Instrument (APNCAI) through several evidence sources about reliability and validity in the Spanish context.Design and settingAPNCAI development was based on a multisequential and systematic process: literature review, instrument content consensus through qualitative Delphi method approach (a panel of 51 Advanced Practice in Nursing –APN– experts was selected) and the clinimetric validation process based on a sample of 600 nurses from the Balearic Islands public healthcare setting.MethodsAn initial step for tool's content development process based on Delphi method approach of expert consensus was implemented. A subsequent phase of tool validation started from the analysis of APN core competencies latent measurement model, including exploratory and confirmatory techniques. Reliability evidence for each latent factor was also obtained. Items' scores were submitted to descriptive analysis, plus univariate and multivariate normality tests.ResultsAn eight-factor competency assessment latent model obtained adequate fit, and it was composed by ‘Research and Evidence-Based Practice’, ‘Clinical and Professional Leadership’, ‘Interprofessional Relationship and Mentoring’, ‘Professional Autonomy’, ‘Quality Management’, ‘Care Management’, ‘Professional Teaching and Education’ and ‘Health Promotion’.ConclusionsAdequate empirical evidence of reliability and validity for APNCAI makes it useful for application in healthcare policy programmes for APN competency assessment in Spain.

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“…In a review looking into the most frequent interventions performed by APN nurses, it was reported that the management and collaboration tasks within primary care or across sectors made up about a third of APN nurses' total work tasks, though in different areas. The areas that are described as collaborative areas for APN nurses to handle are, for example, challenges for the patient where there are social and/or cultural agendas, but also challenges where the advanced practice plays out in relation to organisational and regulatory challenges for the service user [35]. Furthermore, in alignment with our map, studies describe that a central role of APN nurses is to manage patient care.…”

Section: Discussionmentioning

confidence: 86%

APN nurses' core competencies for general clinical health assessment in primary health care. A scoping review

Søndergaard,

Andersen,

Frederiksen

2024

Scandinavian Caring Sciences

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BackgroundThe field of Advanced Practice Nursing (APN) has developed over the past six decades. However, the definition of roles and responsibilities of APN nurses seem to be contested due to both a lack of a clear definition of the concept and to institutional and cultural barriers that restrict the nurses' opportunities to practise to the full extent of their competencies.AimThe objective of this scoping review was to identify, examine and conceptually map the available literature on APN nurses' core competencies for general health assessment in primary health care.MethodWe performed a scoping review, following the methodological guidance for reporting as it is described by the Joanna Briggs Institute (JBI). Furthermore, the PRISMA‐ScR statement and checklist for reporting scoping reviews were followed. Guiding the initial process for the search, we used the Population, Concept and Context mnemonic (PCC) to clarify the focus and context of the review.ResultsWe found three areas of core competencies on which APN nurse draw in performing general health assessments in primary health care: (1) ‘Collaborative, leadership and management skills’ (2) ‘Person‐centred nursing care skills’ and (3) ‘Academic and educational skills’. Furthermore, we found that the three areas are interrelated, because it is crucial that APN nurses draw on collaborative competencies related to leadership and management to meet the service users' needs and deliver high‐quality and person‐centred care.ConclusionThere is a need for a more specific investigation into how APN nurses' core competencies play a role during general health assessments of patients in primary care. We suggest an evaluation of what works for whom in what circumstances looking into the interrelation between competencies, skills and knowledge when an APN nurse performs a general health assessment in a primary healthcare setting.

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Description of Advanced Practice Nurses Interventions Through the Nursing Interventions Classification in Different Care Settings for Older People: A Qualitative Study

Abstract: Advanced practice nurses interventions can be better described, reported, and analyzed along different contexts with standardized languages.

Cited by 4 publications

References 67 publications

Validation of Nursing Outcomes and Interventions to Older Adults Care with Risk or Frail Elderly Syndrome: Proposal of Linkages Among NOC, NIC, and NANDA‐I to clinical practice

Validation of Nursing Outcomes and Interventions to Older Adults Care with Risk or Frail Elderly Syndrome: Proposal of Linkages Among NOC, NIC, and NANDA‐I to clinical practice

Advanced Practice Nursing Competency Assessment Instrument (APNCAI): clinimetric validation

APN nurses' core competencies for general clinical health assessment in primary health care. A scoping review

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