Deriving Consensus on the Characteristics of Advanced Practice Nursing: Meta-summary of More Than 2 Decades of Research

Article

Hutchinson, Marie, East, Leah, Stasa, Helen and Jackson, Debra. 2014. "Deriving Consensus on the Characteristics of Advanced Practice Nursing: Meta-summary of More Than 2 Decades of Research ." Nursing Research. 63 (2), pp. 116-128. https://doi.org/10.1097/NNR.0000000000000021
Article Title

Deriving Consensus on the Characteristics of Advanced Practice Nursing: Meta-summary of More Than 2 Decades of Research

ERA Journal ID14151
Article CategoryArticle
AuthorsHutchinson, Marie, East, Leah, Stasa, Helen and Jackson, Debra
Journal TitleNursing Research
Journal Citation63 (2), pp. 116-128
Number of Pages13
Year2014
PublisherLippincott Williams & Wilkins
Place of PublicationUnited States
ISSN0029-6562
1538-9847
Digital Object Identifier (DOI)https://doi.org/10.1097/NNR.0000000000000021
Web Address (URL)https://journals.lww.com/nursingresearchonline/abstract/2014/03000/deriving_consensus_on_the_characteristics_of.6.aspx#ContentAccessOptions
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.

KeywordsAdvanced Practice Nursing
ANZSRC Field of Research 2020420503. Community and primary care
Public NotesFiles associated with this item cannot be displayed due to copyright restrictions.
Byline AffiliationsSouthern Cross University
Deakin University
University of Sydney
University of Technology Sydney
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