Leadership Roles, Care Models, and Effectiveness of Advanced Practice Nurse–Led Multidisciplinary Teams: A Scoping Review

IF 3.7 3区医学 Q1 NURSING

International Nursing Review Pub Date : 2025-09-05 DOI:10.1111/inr.70079

Jin Yang, Jingying Huang, Mengbo Han, Haiou Qi, Miaomiao Xu

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Abstract

Aim

This review aimed to delineate the leadership roles, care models, and effectiveness of advanced practice nurse (APN)-led multidisciplinary teams in healthcare settings.

Background

Emerging international evidence suggests leadership constitutes a core characteristic of APN roles. Despite expanding involvement of advanced practice nurses in leading advanced and sustainable care within multidisciplinary teams, the current understanding of such care models is limited.

Methods

A scoping review was performed and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews Checklist.

Results

Thirty-three studies were included. Five leadership roles of advanced practice nurses in multidisciplinary teams were identified: individual contributor, decision-maker, facilitator, trainer, and manager. The analysis revealed three care models within APN–led teams: case management, group intervention, and transitional care. These models demonstrated similar or better patient and organizational outcomes compared with physician-led models. Both caregivers and healthcare providers consistently recognized and valued advanced practice nurses’ leadership.

Conclusion

The findings highlight the fluidity of advanced practice nurses’ leadership roles in addressing complex patient needs. Future research should investigate contextual determinants shaping APN-led multidisciplinary teams, with particular emphasis on role transition processes.

Implications for nursing and policy

The findings suggest that policymakers should establish standardized APN titles, clearly defined scopes of practice, and accountability frameworks in alignment with international standards. Healthcare organizations should cultivate enabling environments through structural support, policy alignment, and organizational culture transformation.

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领导角色，护理模式，以及高级实践护士领导的多学科团队的有效性：范围审查

目的本综述旨在描述高级执业护士（APN）领导的多学科团队在医疗保健环境中的领导角色、护理模式和有效性。新出现的国际证据表明，领导力是APN角色的核心特征。尽管在多学科团队中，高级实践护士在领导先进和可持续护理方面的参与越来越多，但目前对这种护理模式的理解是有限的。方法进行范围评价，并使用系统评价的首选报告项目和范围评价清单的元分析扩展进行报告。结果共纳入33项研究。在多学科团队中确定了高级实习护士的五种领导角色：个人贡献者、决策者、促进者、培训师和管理者。分析揭示了apn领导的团队中的三种护理模式：病例管理、小组干预和过渡护理。与医生主导的模型相比，这些模型显示出类似或更好的患者和组织结果。护理人员和医疗保健提供者一致认可和重视高级实践护士的领导。结论研究结果突出了高级实习护士在解决复杂患者需求方面的领导角色的流动性。未来的研究应该调查影响apn领导的多学科团队的环境决定因素，特别强调角色转换过程。研究结果表明，决策者应建立标准化的APN名称、明确界定的实践范围和与国际标准一致的问责制框架。医疗保健组织应该通过结构支持、政策协调和组织文化转型来培育有利的环境。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Nursing Review 医学-护理

CiteScore

7.90

自引率

7.30%

发文量

审稿时长

6-12 weeks

期刊介绍： International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.