Competences of specialist nurses and advanced practice nurses

Gutiérrez-Rodríguez, Laura; Mayor, Silvia García; Lozano, Daniel Cuesta; Burgos-Fuentes, Eva; Rodríguez-Gómez, Susana; Sastre-Fullana, Pedro; Pedro-Gómez, Joan Ernest de; Higuero-Macías, Juan Carlos; Ardanaz, Bibiana Pérez; Morales‐Asencio, José Miguel

doi:10.1016/j.enfcle.2019.10.003

Cited by 14 publications

(14 citation statements)

References 20 publications

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“…32 With their training and clinical expertise, CNSs support nurses and promote improvements in clinical practice, with their leadership constituting a driving force to promote processes of change and innovation and the translation of knowledge into clinical practice. 8,33,34 In this sense, and returning to the finding regarding the improvement of nurses' clinical evidence-based decision-making, this study reinforces the results of a recent study 35 about the impact of CNSs on improving decision-making processes in the standardization of care. The findings of this study suggest that the CNS facilitates nurses' self-reflection on the way they work.…”

Section: Discussionsupporting

confidence: 84%

“…This description is congruent with the role of the CNS; as a clinical leader and expert, the CNS has the potential to advocate for patients, mentor and support nursing staff, and implement system changes that promote EBP 32 . With their training and clinical expertise, CNSs support nurses and promote improvements in clinical practice, with their leadership constituting a driving force to promote processes of change and innovation and the translation of knowledge into clinical practice 8,33,34 . In this sense, and returning to the finding regarding the improvement of nurses' clinical evidence-based decision-making, this study reinforces the results of a recent study 35 about the impact of CNSs on improving decision-making processes in the standardization of care.…”

Section: Discussionsupporting

confidence: 75%

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Nurses' Perceptions of the Clinical Nurse Specialist Role Implemented in a Highly Specialized University Hospital in Spain

et al. 2022

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Purpose/AimsTo explore nurses' perceptions of clinical nurse specialist practice as implemented in a highly specialized university hospital in Spain.DesignA descriptive qualitative study was carried out in 3 inpatient wards, with a clinical nurse specialist within the team, at a high specialized university hospital in Spain.MethodSemistructured interviews were conducted by purposive sampling with 17 selected nurses with at least 2 years of professional experience who voluntarily agreed to participate and signed the informed consent form. Analysis of the qualitative data was conducted according to Burnard's method of content analysis. The Consolidated Criteria for Reporting Qualitative Research checklist was used.ResultsFour main categories emerged from the analysis of the data: “qualities of the role-holder,” “role competencies in practice,” “integration with the team,” and “impact of the role” on nursing, the patient, and the organization.ConclusionsThe findings of this study have interesting implications for the development and implementation of clinical nurse specialist practice in healthcare organizations. They also provide evidence of the benefit of implementing clinical nurse specialist practice for improving the quality of care, patient outcomes, and healthcare efficiency.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionsupporting

confidence: 75%

Nurses' Perceptions of the Clinical Nurse Specialist Role Implemented in a Highly Specialized University Hospital in Spain

et al. 2022

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“…In comparison to the other two countries examined here, this indicates a stronger emphasis on clinical tasks in nursing in Spain. This is also confirmed by other research: In primary care in Spain, for example, Advanced Practice Nursing is beginning to establish itself [ 29 , 60 , 61 ], whereas it is largely absent in Brazil and Germany [ 3 , 41 ]. In Spain a connection with lifeworld-oriented approaches of nursing care [ 20 ] is reflected in the model of primary care that foresees nurses’ (as well as general practitioners) long-term support of patients and their families.…”

Section: Discussionsupporting

confidence: 79%

How do nurses support chronically ill clients’ participation and self-management in primary care? A cross-country qualitative study

et al. 2022

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Background In the context of the advancement of person-centered care models, the promotion of the participation of patients with chronic illness and complex care needs in the management of their care (self-management) is increasingly seen as a responsibility of primary care nurses. It is emphasized that nurses should consider the psychosocial dimensions of chronic illness and the client’s lifeworld. Little is known about how nurses shape this task in practice. Methods The aim of this analysis is to examine how primary care nurses understand and shape the participation of patients with chronic illness and complex care needs regarding the promotion of self-management. Guided interviews were conducted with nurses practicing in primary care and key informants in Germany, Spain, and Brazil with a subsequent cross-case evaluation. Interpretive and practice patterns were identified based on Grounded Theory. Results Two interpretive and practice patterns were identified: (1) Giving clients orientation in dealing with chronic diseases and (2) supporting the integration of illness in clients’ everyday lives. Nurses in the first pattern consider it their most important task to provide guidance toward health-promoting behavior and disease-related decision-making by giving patients comprehensive information. Interview partners emphasize client autonomy, but rarely consider the limitations chronic disease imposes on patients’ everyday lives. Alternatively, nurses in the second pattern regard clients as cooperation partners. They seek to familiarize themselves with their clients’ social environments and habits to give recommendations for dealing with the disease that are as close to the client’s lifeworld as possible. Nurses’ recommendations seek to enable patients and their families to lead a largely ‘normal life’ despite chronic illness. While interview partners in Brazil or Spain point predominantly to clients’ socio-economic disadvantages as a challenge to promoting client participation in primary health care, interview partners in Germany maintain that clients’ high disease burden represents the chief barrier to self-management. Conclusions Nurses in practice should be sensitive to client’s lifeworlds, as well as to challenges that arise as they attempt to strengthen clients’ participation in care and self-management. Regular communication between clients, nurses, and further professionals should constitute a fundamental feature of person-centered primary care models.

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“…Numminen et al confirm these dependencies [ 28 ]. In contrast, Gutiérrez-Rodríguez et al indicate that a master’s degree or even a doctorate is not always a factor that significantly influences the level of competence [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Polish Nurses’ Opinions on the Expansion of Their Competences—Cross-Sectional Study

2021

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The development of medical science creates new challenges for nurses to acquire new skills. Thanks to legal changes in Poland, nurses have gained the opportunity to independently provide health services in many areas, including consultations for patients. The aim of the survey is to analyze nurses’ opinions on the expansion of competences in their profession. This is a cross-sectional, descriptive study conducted among 798 nurses using the survey technique. The majority (65.48%) of the respondents believed that they were adequately prepared to take up new competences. Most of the respondents believed that the new competence would improve the efficiency of the healthcare system in Poland (71.06%) and facilitate patients’ access to health services (65.29%). According to the nurses, the scope of nursing advice will mainly concern the promotion of health education, wound treatment and prescribing medications. Age, seniority and education level significantly influenced the nurses’ opinions on the scope of nursing advice. The Mann–Whitney test and the Kruskal–Wallis test were used. A correlation between two quantitative variables was assessed with the Spearman’s rho coefficient. The significance level of p < 0.05 was assumed. The extension of the professional competences of nurses will increase the prestige of the profession and is another step toward introducing the role of Advanced Practice Nurse in Poland.

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Competences of specialist nurses and advanced practice nurses

Cited by 14 publications

References 20 publications

Nurses' Perceptions of the Clinical Nurse Specialist Role Implemented in a Highly Specialized University Hospital in Spain

Nurses' Perceptions of the Clinical Nurse Specialist Role Implemented in a Highly Specialized University Hospital in Spain

How do nurses support chronically ill clients’ participation and self-management in primary care? A cross-country qualitative study

Polish Nurses’ Opinions on the Expansion of Their Competences—Cross-Sectional Study

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