Exploring the Presence and Impact of Advanced Nursing Roles in Care Homes and Charitable Organisations: An International Systematic Scoping Review.

IF 3.4 3区医学 Q1 NURSING

Journal of Advanced Nursing Pub Date : 2025-09-16 DOI:10.1111/jan.70212

Siobhán Kelly,Claire Pryor,Melanie Stephens,Vanessa Heaslip

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引用次数: 0

Abstract

INTRODUCTION Investing in advanced nursing roles (AN) in social care is a strategic priority to address workforce challenges, create new career pathways, improve outcomes and future-proof the sector. However, there is limited understanding of these roles globally. This systematic scoping review maps the international presence and impact of post-qualification advanced practice roles for registered nurses (RNs) working in care homes and charitable organisations. DESIGN This review was conducted following the methodology established by the JBI and adhered to the PRISMA extension for scoping reviews checklist. METHODS Studies were included if (1) they included RNs working in care homes, charities or not-for-profit health centres, (2) the RN was in a specialist, enhanced or advanced practice role and (3) if role details were provided. Studies were limited to those published in the English language between 2014 and 2024. Evidence was gathered from a comprehensive search of electronic databases (CINAHL, MEDLINE, Scopus, PubMed and Web of Science), grey literature, relevant webpages, and reference lists. Expert consultations were also conducted. Eligible full texts were reviewed in Covidence software by two independent researchers. RESULTS The search yielded 575 records, and 89 were taken forward for full-text screening. A total of 20 met the inclusion criteria: 19 were concerned with AN roles in care homes, and one focused on a charitable organisation. The majority of these studies (n = 12) were conducted in North America. CONCLUSION The literature on AN roles in care homes and charitable organisations is notably sparse. Despite this, the available evidence highlights substantial benefits, including improved care quality, enhanced resident outcomes and positive impacts on team dynamics. This review identifies four key themes: scope of practice, positive impacts, influencing factors and barriers, which provide a framework for policymakers, healthcare leaders and educators to optimise the contributions of this group within the evolving global social care sector. PUBLIC OR PATIENT CONTRIBUTION Not undertaken because of the nature of scoping reviews. CLINICAL RELEVANCE This review highlights the crucial role of advanced nurses in enhancing care quality, resident outcomes, and workforce sustainability in care homes and charitable organisations. The findings provide direction for policymakers and health and social care leaders to further develop the role of nursing in social care settings globally.

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探索高级护理角色在护理院和慈善组织中的存在和影响：一项国际系统范围审查。

投资于社会护理中的高级护理角色（AN）是应对劳动力挑战、创造新的职业道路、改善成果和面向未来的行业的战略重点。然而，在全球范围内对这些角色的理解是有限的。这个系统的范围审查地图的国际存在和影响后资格高级执业角色的注册护士（RNs）在养老院和慈善机构工作。本次评审按照JBI制定的方法进行，并遵循PRISMA扩展范围评审清单。方法纳入下列研究：(1)纳入在护理院、慈善机构或非营利保健中心工作的注册护士，(2)纳入担任专科、强化或高级执业角色的注册护士，以及(3)纳入提供角色详细信息的注册护士。研究仅限于2014年至2024年间用英语发表的论文。证据收集自电子数据库（CINAHL、MEDLINE、Scopus、PubMed和Web of Science）、灰色文献、相关网页和参考文献列表的综合搜索。还进行了专家协商。符合条件的全文由两名独立研究人员在covid软件中进行审查。结果共检索到575条记录，其中89条进行全文筛选。共有20篇文章符合入选标准：19篇与护理院的护士角色有关，1篇与慈善机构有关。大多数研究（n = 12）在北美进行。结论关于护士在养老院和慈善组织中的作用的文献非常少。尽管如此，现有的证据强调了实质性的好处，包括提高护理质量，增强住院治疗结果和对团队动态的积极影响。这篇综述确定了四个关键主题：实践范围、积极影响、影响因素和障碍，为政策制定者、医疗保健领导者和教育工作者提供了一个框架，以优化这一群体在不断发展的全球社会保健部门中的贡献。公众或患者贡献：由于范围审查的性质，未进行。临床相关性本综述强调了高级护士在提高护理质量、住院治疗结果和护理院和慈善组织的劳动力可持续性方面的关键作用。研究结果为决策者和卫生和社会护理领导者提供了方向，以进一步发展护理在全球社会护理环境中的作用。

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

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.